Facial Plastic Surgery Questions and Answers: Part 01

Question: Rhinoplasty and blepharoplasty timing?
Answer: It would be better to find a board-certified facial plastic surgeon who can perform both a blepharoplasty and rhinoplasty simultaneously under one anesthesia with one recovery period. Otherwise, you will need two anesthetics and two weeks of recovery for each procedure. Study your perspective surgeon’s before and after blepharoplasty and rhinoplasty photo Gallery to make they sure producing natural results.

Question: Would someone be able to show me what my anticipated outcome could possibly look like?
Answer: Digital computer imaging is only communication tool and not a guarantee of results. Study your prospective surgeon’s before and after Rhinoplasty Photo Gallery. In addition to reduction of the bulbous tip, it is also important to reduce the hanging columella and narrow the bridge line.

Question: Will a endoscopic mid face lift, fat transfer and lower eyelid skin pinch help me correct hollowing and crows feet?
Answer: From the one photograph presented, you do not need any surgical procedures whatsoever. In our practice we do not perform a mid facelift and fat injections for a long variety of reasons. At age 36, you do not need a pinch of the lower lid skin. Consider Botox for your crows feet.

Question: Is my skin too thick for Rhinoplasty — Could this be Rhinophyma?
Answer: ou have very thick skin in the tip of your nose, so do not expect any refinement in that area. You can certainly shave down the dorsal hump and narrow the bridge line. Expect cortisone shots placed in the tip of the nose to reduce swelling in that area for the first several months after the procedure.

Question: Crooked nose help, any suggestions on how to improve my side profile?
Answer: The photographs demonstrate crooked nasal bones, inverted upper lateral cartilages, and a dorsal hump. A closed rhinoplasty approach can accomplish addressing all of these issues by straightening the nose and shaving down the dorsal hump so that it looks good from all the different angles. All the incisions are placed on the inside of the nose. No external incisions and no painful packing is required. In our practice, we do not recommend fillers placed in the nose since they are only temporary, are not FDA approved for that application, and can have significant complications. 

Question: Would I benefit from chin lipo or do I need another procedure to get a nice and “snatched” jawline?
Answer: The limited photographs demonstrate fat deposits in the neck and a recessive chin profile. Liposuction can accomplish improvement of fat deposits located above the platysma muscle in the neck, and a platysma-plasty will significantly improve the jawline if that is what you are trying to accomplish. Also consider placement of a chin implant augment the chin forward for better facial balance and proportions.

Question: Normal CT scan but still cannot breathe?
Answer: To make the diagnosis of a deviated septum a CAT scan is not required, rather a simple internal examination of the nose is required. There are many issues on the inside of the nose that can cause breathing difficulties such as a deviated nasal septum, turbinate hypertrophy, valve collapse, vestibular stenosis, allergies, and chronic sinusitis with polyps. Probably should seek out a consultation with ENT doctor if your only issue is breathing. Seek out a double board-certified ENT/facial plastic surgeon if you are considering both functional and cosmetic nasal surgery. 

Question: I just need some guidance on buccal fat removal, chin lipo, chin fillers?
Answer: Start with just placement of a chin implant which will improve the recessive chin profile present and also give you width to the chin as well from the frontal profile. There is not enough fat in your neck to consider liposuction. Fillers placed in the chin do not work very well, and are only temporary. A Chin implant can be placed under local anesthesia as an outpatient procedure which takes about 30 minutes.

Question: Is your initial reaction rhinoplasty or septoplasty?
Answer: A closed rhinoplasty approach can accomplish straightening your nose from the frontal profile, and shaving down the dorsal hump and refining the nasal tip minimally. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. A septoplasty is performed in the back of the nose to only improve airflow dynamics. A septoplasty is only performed for medical necessity to improve airflow, and this must be documented at the time of examination. Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience. 

Question: What are my options for a rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip and narrowing the nasal bones. All the incisions are placed on the inside of the nose. Thick skin in the tip of the nose is going to prevent refinement in that area, so it is important have realistic expectations if that is the case. It is also not possible to make nostrils symmetrical. From the limited photographs presented, your nose does not appear crooked. A thorough internal examination of the nose is going to be required to make a determination about what may be causing any nasal obstruction symptoms. Sinus related issues will need to be sorted out with a CAT scan of the sinuses. 

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