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…

Question: How can my nose shape be improved? Do I have a deviated septum? Answer: A closed rhinoplasty approach can accomplish straightening the nose, narrowing and straightening the bridge line, refining the nasal tip, and shaving down the dorsal hump with all of the incisions placed on the inside of the nose. You will also require spreader grafts placed in the midportion of the nose where it is pinched and asymmetrical. A thorough internal examination of the nose going to be required to make the diagnosis of a deviated nasal septum. Question: Could a revision actually fix any of these issues and what exactly needs to be done? Answer: A revision rhinoplasty can give some improvement to the nose, but there will be no perfect result. It is very important to know how much cartilage is left over on the inside of your nose…

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,…

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…

Question: 30, Caucasian, female, 110lbs, fair skin, what surgery to lengthen top lip? Answer: Consider performing a Closed rhinoplasty procedure to reduce the overall projection of your nose by shaving down the dorsal hump, reduce the hanging columella and nasal spine which is creating a tension upper lip. A properly performed rhinoplasty improve the look of your upper lip. Digital computer imaging would also be helpful see what your new nose would look like upon your facial features. Choose your rhinoplasty specialist very carefully based on producing natural results. Question: Can I have rhinoplasty with Ehlers-Danlos syndrome & how to find a surgeon who specializes in this? Answer: Yes you can have a rhinoplasty procedure with Ehlors-Danlos syndrome. It’s important to look for a rhinoplasty specialist, since rhinoplasty is the most difficult procedure to perform correctly in the in the entire field of cosmetic…

Question: Is the removal of a chin implant a difficult process? Answer: Your chin implant can be simply removed, or replaced with another one under local anesthesia. An in-person exam would be required to choose another implant, since there are many options. Also important to know what size and style of implant was placed. Question: Would a chin Implant give me ideal results? Answer: From the limited photographs, it does appear that your candidate for a chin implant to augment your chin forward for cosmetic purposes. A sliding genioplasty is performed when the teeth are significantly out of alignment. Placement of the chin implant can be performed under local anesthesia as an outpatient procedure. Question: Hi there, I just want to understand what is *wrong* with my jawline, any ideas? Answer: The limited photographs demonstrate a recessive chin profile and fat deposits in the…

Question: My polly beak keeps returning. Will 5FU shots help, or is revision rhinoplasty the only way? Answer: Poly beak can be caused by residual cartilage left behind, or thick skin. Revision rhinoplasty is required to remove residual cartilage, while Kenalog mixed with 5-FU can treat thick skin. Best to follow up with your operative surgeon for those shots. Question: Loose skin and fat on chin, neck, jaw. How can this be treated? Answer: Congratulations on your first 50 pounds of weight loss. You need to lose the additional 50 pounds before contemplating any type of lower face and neck lift procedure. Your BMI should be less than 32 for optimal results. You have significant fat deposits in the neck located both above and below the platysma muscle. The goal of a lower face and neck lift is to tighten loose facial and neck…

Question: I’m 50 years old, would you recommend a facelift? Answer: The photos demonstrate early jowls, fat deposits in the neck and platysma muscle cords in the neck. In our practice , we perform a high SMAS lower face/neck lift which accomplishes lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles, and removing fat deposits in the neck above and below the platysma in addition to a platysma-plasty to improve the jawline.  Question: Can I get similar results to the pictures attached? Answer: A rhinoplasty can accomplish narrowing the nasal bones and refining the tip. Thick skin in the nasal tip will prevent refinement, so its important to have realistic expectations. An alar-plasty can accomplish narrowing wide nostrils. Digital imaging of your nose upon your face would be helpful in the communication process. Question: What type of rhinoplasty…

Question: Look good from left side, wonky on right. What procedures can I get to fix this?  Answer: A full set of facial photographs from all angles are required to make a determination about how best to proceed with a rhinoplasty procedure. The nose is a three dimensional structure, and surgery is performed in all three dimensions. A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, and narrowing the bridge line. Releasing the depressor septi ligament will prevent the tip of the nose from drooping down dynamically when smiling. Question: What can I do to correct my asymmetrical nose? Answer: A closed rhinoplasty approach can accomplish improvement the symmetry of your nose, but it’s important to understand that there is no perfect nose. You have a very small dorsal hump which can be shaved down. There’s a…

Question: Will rhinoplasty help to fix a long midface? Answer: A closed rhinoplasty approach can accomplish shortening your nose give the appearance of a better midface balance. The dorsal hump can be shaved down, the hanging columella reduced and refinement of the nasal tip. All incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Also consider placement of a small chin implant for the recessive and short Chin projection that you have. Both procedures would improve your facial balance and proportions. Digital computer imaging would also be helpful understand what either one or both procedures would look like upon your facial features. Question: Can I change my nose tip with surgery? Answer: approach accomplish her goals. Consider a chin implant to augment a weak and recessive chin forward for better facial Balance…