Facial Plastic Surgery Questions and Answers: Part 10

Question: Rhinoplasty for biracial male?
Answer: A rhinoplasty procedure can accomplish narrowing your bridge line, refinement of the nasal tip and narrowing the nostrils. Your nostrils can be narrowed with an alar plasty. The thick skin in the tip of your nose is going to prevent refinement in that area, so it is important have realistic expectations about how much refinement can be accomplished in the nasal tip area.

Question: Would alarplasty and tip plastic help me achieve this look?
Answer: A conservative alar-plasty can accomplish narrowing wide nostrils. Very important not to reduce your nostrils so much that it causes a airway obstruction. A tip-plasty will be only a minimal benefit due the fact that You have very thick skin in the tip of your nose which is different than your ideal wish pick who has thin skin. Also consider placement of a chin implant for the recessive chin from your side profile.

Question: Rhino gone wrong? What are my options?
Answer: Much more information is needed, such as a frontal view photograph, and a copy of the operative report to find out what was accomplished in the first procedure. It’s important to also know how much cartilage you have leftover on the inside of your nose for potential grafting purposes. You also appear to have thick skin in the tip of the nose, so give consideration to placement of a steroid shot in that supratip area. Best to wait at least one year before undergoing any revision surgery.

Question: Do you have to get Fillers dissolved before Brow lift and Upper Eyelid Surgery?
Answer: Depending upon how much filler material is present, you might want to consider getting the filler dissolved in the eyelids and forehead, since you have inflated the normal anatomy. The temporal filler does not need to be dissolved.

Question: What is needed to get done to improve my side profile?
Answer: Your side profile photograph demonstrates a recessive chin profile, for which a chin implant can improve. Placement of a chin implant is done through a small incision underneath the chin under local anesthesia as an outpatient procedure.

Question: What treatments can be combined? Can a mini facelift and lipo in several areas be performed together?
Answer: We frequently combine facelift procedures with other facial cosmetic procedure such as a forehead lift, eyelid surgery or rhinoplasty. Depending on what you’re trying to accomplish, it’s always best to make a consultation with three different surgeons in your area. Study your prospective surgeon’s facelift photo Gallery to make sure that it is extensive with natural results that you like. Also important to ask how long you’ll be placed under general anesthesia to accomplish your goals.

Question: Is it better to do open or closed rhinoplasty to reduce the chance of visible scarring?
Answer: Closed rhinoplasty completely avoids the visible scar across the columella. All incisions are placed on the inside of the nose.

Question: Can I get a neck/jawline lift without a facelift?
Answer: A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. In our practice, a neck lift only involves removal of fat deposits above and below the platysma muscle which also includes a platysma-plasty. This procedure is usually performed on the patient’s less than 50 years of age. A neck lift does not include skin removal. When patients are older than 50, skin tightening is required which will consist of a lower face and neck lift. 

Question: Can a lower facelift address just the lower face and not cheek shape?
Answer: The goal of the lower face and neck lift is to tighten loose facial and neck skin, tightened loose facial And neck muscles, lift the jowls, and remove any fatty deposits in the neck.

Question: Do I have a weak jaw and would a rhinoplasty ir nose / chin filler deliver the best results?
Answer: The limited side view profile photograph demonstrates an overly projecting nose and an under projecting chin. Fillers in the chin are very temporary, however a chin implant will give you a permanent augmentation to the chin area to give you better facial balance and proportions from the side profile with respect to your nose. Placement of the chin implant can be done under local anesthesia as an outpatient procedure. 

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