Facial Plastic Surgery Questions and Answers: Part 07

Question: Lower face/chin widening. How can this be remedied?
Answer: I am almost 50 and have hallowing in the lower face next to my lips, is facelift the only way to correct this?

Question: Would a lower facelift help to remedy my issue?
Answer: More information is needed such as your age, and the status of the skin tone in your neck. If your skin tone is acceptable and you are less than 50 years of age, you may be able to get by with a neck lift procedure only which can accomplishes removal of fatty deposits above and below the platysma muscle in addition to the platysma-plasty to significantly improve the jawline. No skin removal is required. If you are over 50 and had significant facial and neck laxity, then a lower face and neck lift would be required. Also consider placement of a chin implant augment the chin forward for better facial balance and proportions along with improved structural support for the soft tissues in the neck.. Both procedures can be performed together under general anesthesia.

Question: What work do I need done on my nose?
Answer: A full set of facial photographs from all angles would be helpful to make a better determination about what needs to be done on your nose. A Closed rhinoplasty procedure can accomplish shaving down the dorsal hump, refining the nasal tip, narrowing the bridge line and reducing the hanging columella with all of the incisions placed on the inside of the nose. To make the diagnosis of a deviated septum requires a thorough internal examination of the nose.

Question: Would I be a good candidate for ptosis surgery, blepharoplasty or a brow lift?
Answer: A full set of eyelid photographs from all angles that are unadulterated are going to be required to make a determination about how best to proceed. From the limited photograph, your eyebrow position appears normal, And a brow lift is unnecessary. An upper blepharoplasty procedure can accomplish removal of excess skin on the upper lids. Ptosis surgery involves tightening the eyelid muscles when the upper eyelid margin is cutting across the black part of your pupil.

Question: How much can I expect to be able to shorten my nose, reduce nostril size and reduce bulges on the side of my nose?
Answer: A closed Rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, reducing the hanging columella, and reduction of the bulbous nasal tip. Also important to release the depressor septi ligament which pulls the tip down dynamically when you smile. With a closed rhinoplasty, all the incisions are located on the inside of the nose. No painful packing is required. An alar-plasty is performed to narrow wide nostrils with a small incision at the base of the nostrils. 

Question: Is there a specific type of chin implant to make your chin wider over projection?
Answer: A full set of facial chin photographs going to require to make a determination about how best to proceed. Consider placement of a pre- jowl implant.

Question: What procedure is best for my jaw/underneath chin?
Answer: Simple liposuction can accomplish removal of the fatty deposits in your neck. If there is a recessive chin profile present, then consider placement of a chin implant as well. Both procedures can be performed under local anesthesia as an outpatient procedure.

Question: Would I be a good candidate for a chin implant?
Answer: The Side profile photographs demonstrate a recessive chin profile, therefore you are a good candidate for a chin implant. The implants themselves are manufactured in a large array of thicknesses, sizes, and shapes which is best determined at the time of the consultation. In our practice, we place the implants through a small incision underneath the chin under local anesthesia as an outpatient procedure.

Question: Would I be a good candidate for a rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip, shaving down the dorsal hump, and narrowing the bridge line. All the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Computer imaging of your nose from several different angles would be helpful in the education process to understand what your new nose would look like upon your facial features. Choose your rhinoplasty specialist wisely based on producing natural results. 

Question: Is only chin/neck lipo needed for me?
Answer: Before undergoing any elective surgeryin the neck, you need to be at your ideal body weight with a BMI no greater than 32. When you’re at your ideal body weight, then consider neck surgery. The photograph demonstrates fat deposits and the neck which are located both above and below the platysma muscle in your neck. Liposuction will only accomplish removal of the fat deposits above the muscle, while a surgical neck lift is required to extract the majority of fat deposits Below the muscle. A platysma-plasty is also performed to significantly improve the jawline. You also have a recessive chin profile, so consider placement of a chin implant as well improve your side profile. 

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