Facial Plastic Surgery Questions and Answers: Part 3

Question: Should I get a chin implant?
Answer: The limited photograph demonstrates a recessive chin profile for which a chin implant can augment forward for better facial balance and proportions. In our practice for over 25 years, we have used Implantech brand of solid silicone chin implants with an excellent success rate. The implants are placed through a small incision underneath the chin under local anesthesia as an outpatient procedure.

Question: Why does my nose look like this? Is it possible maxilla & mandible will go back way it was?
Answer: You have a slight dorsal hump, and a significant hanging columella. A closed rhinoplasty approach can address these two issues with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose would be helpful to understand what can be accomplished with the procedure.

Question: Looking at lower face and sunspots – Best procedure for me?
Answer: To rejuvenate the lower face, consider a lower face and neck lift. In our practice, this procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck which also includes a platysma- plasty to significantly improve the jawline. We no longer perform Chemical peels since there are much better alternatives today. The wrinkles on your upper and lower lips can be treated with dermabrasion or laser resurfacing. The sunspots are treated by dermatologists in the office setting.

Question: Do I have to dissolve filler in my nose before rhinoplasty?
Answer: Placement of filler in the nose distorts the anatomy of the nose itself, so it’s best to dissolve the filler several weeks ahead of time. Rhinoplasty is a procedure that is performed in millimeters, so it’s best to go in to the procedure with your normal anatomy, not an artificial anatomy.

Question: What procedures would balance my side profile?
Answer: The photograph from the side profile demonstrates a recessive chin, and fat deposits in the neck located both above and below the platysma muscle in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. A neck lift procedure can accomplish removal of 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.

Question: 46 contemplating a neck lift, any suggestions?
Answer: The limited photographs demonstrate platysmal bands in the neck, with loose and inelastic skin in the neck. A neck lift procedure can accomplish tightening the neck bands, and removal of fat deposits in the neck with liposuction. A lower face and neck lift is required if the skin tone is very loose and there is lots of excess skin in the neck itself.

Question: What is the best scarless option for lifting the cheeks? 37 y/o
Answer: Consider placement of cheek implants placed through the mouth to augment your flat cheeks and maxilla. No external incisions are required.

Question: I’m 5’6, 34 and 143lbs. I have some jowling and a double chin. Chin/jaw lipo?
Answer: From the photographs presented, you do not have any jowls. It’s also very important to understand there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in your neck. Liposuction can only accomplish removal of the fat deposits above the platysma muscle, which will be ineffective for you. You have a significant fat compartment below the platysma muscle, which is going to require a neck lift procedure with a platysma-plasty to significantly improve your jawline. This can be performed under a brief general anesthesia with one incision underneath the chin. Your skin tone should be just fine at age 34, so no skin removal is required and you’re not a candidate for a mini- facelift.

Question: Lipodissolve before surgery? 
Answer: Probably best to undergo the functional surgery first, heal up from that, and then consider undergoing any type of cosmetic procedure. A full set of facial and neck photographs are required to make a bet the best determination for what is the appropriate procedure for you. It’s also very important to understand that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in your neck. Liposuction can only remove the fat compartment above the muscle, while a surgical neck lift is required to remove the compartment fat below the muscle. This also includes a platysma plasty to significantly improve the jawline.

Question: Is it safe to combine a facelift and brow lift with liposuction? 43 year old healthy male who is fit physically.
Answer: In our practice, a male facelift and brow lift would take approximately 5 hours of surgery/ anesthesia time. Adding body liposuction would add additional hours depending upon what you’re try to accomplish. It’s probably best to separate your facial work from the body work and have them done separately, since this is done as an outpatient surgical procedure, not inpatient at a hospital. Please post full set of facial photograph to make a determination about being a candidate for both the facelift and brow lift procedures.

Leave a Reply

Your email address will not be published. Required fields are marked *

    Contact Dr. William Portuese