Facial Plastic Surgery Questions and Answers: Part 03

Question: Can a rhinoplasty deepen my nasion, lower my radix, and reduce my nostril size?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump up into the rhinion which will deepen the radix. The nostrils can only be reduced in width from the frontal profile with an alar-plasty. Also important to release the depressor septi ligament which pulls the tip down dynamically when smiling.

Question: What can be done to fix the way my chin/jawline looks?
Answer: The photographs of the side profile demonstrate a recessive chin profile for which a chin implant can improve. Chin implants are manufactured in a large array of sizes, thicknesses, and shapes which is best determined with computer imaging and a consultation. Chin implants can be placed under local anesthesia as an outpatient procedure.

Question: Should I do a nostril reduction or just fix the droopy tip and small hump?
Answer: A closed rhinoplasty approach can accomplish all of your goals which include shaving down the dorsal hump, lifting the nasal tip statically, and preventing the tip from drooping dynamically when you smile, in addition to narrowing the nostrils with an alar-plasty.

Question: Should I do septoplasty separate from revision rhinoplasty? 
Answer: It is very important to undergo a septoplasty at the same time as a revision rhinoplasty, because the cartilage in the nose may be required for grafting purposes for the revision rhinoplasty procedure.

Question: Do I have caudal septal deviation and can this be corrected?
Answer: Yes indeed, you have caudal septal deviation. It’s probably not deviated enough to create nasal obstruction at that point unless you have further deviation of your septum in the back of the nose. A deviated septum is only repaired when their significant airflow restrictions, and you have failed medical management. From a cosmetic standpoint, this would only need to be reduced if you have a hanging columella from the side profile.

Question: How to fix uneven nostril show due to uneven alar position?
Answer: A closed rhinoplasty approach can accomplish inserting a composite graft harvested from the ear to bring the nostril rim down to match the opposite side.

Question: How long should I wait to get surgery (septorhinoplasty) after microneedling with PRP? 
Answer: It is probably best to separate a rhinoplasty and microneedling by 1 month to allow full healing before undergoing the procedure. Always best to ask your operative surgeon.

Question: Could I get these results through a nose job only on the tip?
Answer: No, a full rhinoplasty is going to be required to shave down the dorsal hump, narrow the bridge line, and refine the nasal tip. Digital computer imaging would be helpful in understanding what can and cannot be accomplished with a closed rhinoplasty approach.

Question: Looking for a revision. What exactly is the problem and what should I ask for?
Answer: There is only very mild amount of ala retraction, and what appears to be mostly a hanging columella with an overrotated nose. A revision closed rhinoplasty procedure can accomplish reduction of the hanging columella, shaving down the residual small dorsal hump, de- rotating the nose downward and improving the supratip break as well. to All the incisions were on the inside of the nose. Reduction of the hanging columella will also help improve the visibility of the open rhinoplasty scar. 

Question: Should I get Smart Lipo for a neck that blends into the jaw?
Answer: The photographs demonstrate a recessive chin profile and Fat deposits in the neck located above and below the platysma muscle. Placement of a chin implant can augment the chin forward for better structural support for the soft tissues in the neck and improve your jawline and help with facial surgery and proportions. A neck lift procedure can accomplish liposuction of the fatty deposits above the muscle, and surgical removal of the fat deposits below the platysma muscle in addition to a platysma-plasty. 

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