Facial Plastic Surgery Questions and Answers: Part 08

Question: Can this revision be done with local anesthesia? 
Answer: Much more information is needed, such as a Full set of facial photographs, an internal examination of the nose, and a copy of the operative report to find out what was performed in the first procedure. In our practice, what you’re asking for would need to be performed under General anesthesia, since this is a surgical procedure performed on the nasal airway, not a minor little procedure performed in an office setting. You will probably require a septoplasty to have to harvest cartilage grafts from somewhere inside the nose, and reconstruct the columella, the tip and and make sure all the components of the nose are balanced. 

Question: Liposuction and face lift for 44 male. Interested in doing surgery in my 40s rather than later in my 50s/60s
Answer: At 44 years of age, you do not need a facelift procedure. The photographs demonstrate a recessive chin profile, therefore consider placement of a small chin implant to increase the projection of your chin forward for better facial balance and proportions, in addition to better structural support for the soft tissues in your neck. You also have significant fat deposits located BOTH above and below the platysma muscle in your neck. A neck lift procedure involves making three small access underneath the chin and behind the ears to remove the fat deposits above the muscle with liposuction, and surgical extraction of the fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline. No skin removal is required at age 44. Liposuction alone will be ineffective, since most of your fat deposits are located below the muscle.

Question: Are the ligaments that are cut re-attatched during a Deep Plane Facelift?
Answer: In our practice, we do not perform a deep plane facelift procedure for multiple reasons. We perform a high SMAS lower face and neck lift procedure which accomplishes tightening the facia layers in addition to tightening loose skin, and removing fat deposits in the neck, lifting the jowls and tightening the platysma muscle in three locations in the neck to improve the jawline. 

Question: Is it LLC or ULC that needs fixing? 
Answer: A full set of facial photographs of your nose that are in focus from all angles are required to make a determination about how best to proceed.

Question: How long after deep plane facelift, endoscopic brow lift, and quad blepharoplasty can I put in beaded row hair extensions?
Answer: A month after your surgery should be an adequate amount of time to Start using hair extensions again. Always best to check with your operative surgeon.

Question: Is it possible to further straighten nose and balance profiles?
Answer: From the photographs presented, you have a Beautiful result and it is probably best to leave well enough alone. The amount of change you are requesting is not worth the risk undergoing a complete revision rhinoplasty. There is no perfect nose, just improvements.

Question: Brow lift or blepharoplasty?
Answer: From the limited photograph presented, the eyebrow position is normal, and a brow lift is unnecessary. Just consider an upper blepharoplasty procedure to get rid of the excess skin touching the eyelashes.

Question: For what reasons would a doctor recommend general anesthesia, instead of local anesthesia for chin liposuction?
Answer: There are many factors are going to that decision of general anesthesia versus local anesthesia. Some patients cannot tolerate local anesthesia because of anxiety. Liposuction will only remove fat deposits above the platysma muscle which can be performed under local anesthesia. When the fat deposits are located below the platysma muscle, surgical extraction with a neck lift procedure and a platysma plasty are going to be required. In this procedure should be performed under general anesthesia. A full set of pictures and an in-person examination going to be required to make that determination.

Question: Do I need chin lipo again or a neck lift?
Answer: Much more information is needed, such as a better set of photographs from all angles, in addition to your height and weight. If you have excess fat deposits below the platysma muscle, then a surgical neck lift is going to be required to Remove that compartment of fat which liposuction cannot accomplish. A platysma- plasty is also performed to significantly improve the jawline. At age 23, your skintone is acceptable and no skin removal is required.

Question: What is the best age for rhinoplasty?
Answer: As long as you’re an excellent health, you can perform rhinoplasty at any age. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. Study your perspective surgeon’s before and after rhinoplasty photo gallery to make sure that it is extensive with natural results that you like. 

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