Facial Plastic Surgery Questions and Answers: Part 05

Question: Is the removal of a chin implant a difficult process?
Answer: Your chin implant can be simply removed, or replaced with another one under local anesthesia. An in-person exam would be required to choose another implant, since there are many options. Also important to know what size and style of implant was placed.

Question: Would a chin Implant give me ideal results?
Answer: From the limited photographs, it does appear that your candidate for a chin implant to augment your chin forward for cosmetic purposes. A sliding genioplasty is performed when the teeth are significantly out of alignment. Placement of the chin implant can be performed under local anesthesia as an outpatient procedure.

Question: Hi there, I just want to understand what is *wrong* with my jawline, any ideas?
Answer: The limited photographs demonstrate a recessive chin profile and fat deposits in the neck located above and below the platysma muscle in the neck. Consider a chin implant augment the chin forward for better facial balance and proportions, and improved structural support for the soft tissues in the neck. A neck lift procedure can accomplish removal of fat deposits above and below the platysma muscle which also includes a platysma plasty to significantly improve your jawline. No skin removal is required below 50 years of age.

Question: What can I do about my nose? Am I going to need a nose job? Will my nose be able to be restored to its original shape?
Answer: Trauma to the nose can cause of issues such as a displaced nasal fracture, a non-displaced nasal fracture, dislocation of the upper lateral cartilages off of the nasal bones and a deviated septum. A closed rhinoplasty can accomplish shaving down the dorsal irregularities, narrowing the nasal bones, placement of spreader grafts to the concave upper lateral cartilages in the mid-vault. All of the incisions are placed on the inside of the nose. 

Question: Is isolated alarplasty possible for my nose?
Answer: Yes it is possible to only perform an alar-plasty on your nose. This can be done under local anesthesia.

Question: Do I have alar retraction? Can this be ‘easily’ fixed? Not using rib or ear cartilage (and hence seeing scars).
Answer: You have both alar retraction and hanging columella. A columella-plasty is required to reduce the excess cartilage and skin hanging down below your nostril rim. This will also help camouflage the obvious open rhinoplasty incision scar. Composite skin/ cartilage grafts harvested from the ear are going to be required to reduce the alar retraction. This revision rhinoplasty procedure can be accomplished with a closed rhinoplasty approach which avoids the visible external scar across the columella. 

Question: Could I get similar results to Penelope Cruz?
Answer: A full set of facial photographs from all angles of your nose are going to be required to make a determination about how best to proceed. Digital computer imaging of your nose upon your facial features can give you an idea what can AND cannot be accomplished with a rhinoplasty. Thick skin in the tip of the nose is going to prevent confinement in that area, so it is important have realistic expectations.

Question: Weak jawline/genetic double chin?
Answer: At age 37, you do not need a facelift. A mini lift will not address your neck issues. The Photographs demonstrate a recessive chin profile and fat deposits in the neck with a poor jawline angle. Consider placement of a chin implant augment the chin Forward for better facial balance and proportions, especially with respect to the projection of your nose. A neck lift procedure can accomplish removal of fat deposits above and below the platysma muscle which also includes a platysma-plasty to significantly improve the jawline. Both of these procedures are performed through one incision underneath the chin under general anesthesia as an outpatient surgical procedure. 

Question: Are the rhinoplasty results shown in my photoshopped pictures achievable?
Answer: Yes, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, lifting the nasal tip, and reducing the hanging columella with all incisions placed on the inside of the nose. No external incisions are required and no painful packing is required. It is also important to release the depressor septi ligament which also pulls the nasal tip down dynamically when smiling. 

Question: Approximate price for rhinoplasty in SF Bay Area?
Answer: Those price quotes do sound a bit high, it’s also important to make sure that you’re looking at all costs which include the operating room, anesthesia fee, and surgeon’s fees. It’s also best to find a more affordable surgeon within United States, Since you may require some follow-up care. In addition too finding a more affordable surgeon, look for rhinoplasty specialist with an extensive portfolio of before-and-afters. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience. Our current rhinoplasty price list is located on the website link below.

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