Facial Plastic Surgery Questions and Answers: Part 9

Question: I was told I need an eyelid surgery and blepharoplasty. Should I use an ocular surgeon?
Answer: Much more information is needed, such as a full set of facial photographs from all angles looking straight into the camera( Not smiling) and why were told you needed eyelid surgery? Cosmetic or functional purposes?? Plastic surgeons, facial plastic surgeons and oculoplastic surgeons all perform eyelid surgery depending upon what you need. Regarding jowls, facial aging and considering a facelift, that should be performed by a facial plastic surgeon.

Question: Nasal wall is very high. Can this be fixed and how?
Answer: Your nasal sidewalls are very wide, especially on your right side. Low lateral osteotomies should be able to accomplish improvement in this area. Since it’s a revision rhinoplasty, an in-person examination is usually required because this is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.

Question: Facial massage/exercise after facelift. What is and isn’t safe to do and when?
Answer: In our practice, we allow patients to start exercising at two weeks after the procedure. Regarding facial massaging, it’s probably best to wait at least 3 to 4 weeks. Also important to post a full set of facial photographs to make sure you’re a candidate for the procedure.

Question: What can help me achieve a balanced profile?
Answer: The side profile photograph demonstrates a recessive chin, so consider placement of a small chin implant which can be performed under local anesthesia as an outpatient procedure.

Question: How can I fix my nose tip?
Answer: Much more information is needed, such as a full set of facial photographs from all angles that are in focus, in addition to a copy of the operative report to find out what was accomplished in the first procedure. It’s important to wait at least one year before embarking on another procedure.

Question: Will there be any long term effects if I drink alcohol after rhinoplasty?
Answer: No, drinking alcohol 2 1/2 weeks after a rhinoplasty will not affect upon the results of your rhinoplasty procedure. Just keep it in moderation.

Question: Kybella post submental lipo?
Answer: Unfortunately, your provider didn’t explain to you that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposits above the muscle. Kybella Will be totally ineffective. You still have residual fat deposits below your platysma muscle, which is going to require a neck lift procedure to remove that fat in addition to a platysma plasty to significantly improve your jawline. No skin removal is required, and this can be performed through a 1 inch incision underneath your chin. You also have a recessive chin profile which makes the sub platysmal fat more apparent. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions, and will also give better structural support for the soft tissues in the neck.

Question: Horrible rhinoplasty results/complications. How can this be improved?
Answer: Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery. Besides, a deviated septum, there are several other issues on the inside of the nose it can cause nasal obstruction, so an in- person consultation is probably going to be required. Choose your second surgeon wisely based on extensive experience producing natural results. Digital computer imaging would also be helpful to understand what can be accomplished with your nose upon your facial features.

Question: What would you recommend to fix my side profile?
Answer: The side profile photograph demonstrates an overly projecting nose with a dorsal hump, and a recessive chin profile. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the nose from the side profile. A small Silastic chin implant can be placed through an incision underneath the chin simultaneously. This allows one anesthesia with one recovery for both procedures. Digital computer imaging would also be helpful to understand what can be accomplished with both procedures upon your facial features.

Question: Would I benefit from a rhinoplasty?
Answer: A closed rhinoplasty procedure can accomplish reduction of the bulbous nasal tip, narrowing The bridge line and placement of spreader grafts in the midportion of the nose where it is pinched. All of this can be performed with the closed rhinoplasty approach with all the incisions placed on the inside of the nose. Thick skin in the tip of the nose is going to prevent refinement in that area, and this must be determined at the time of consultation.

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