Facial Plastic Surgery Questions and Answers: Part 04

Question: Is it unreasonable to return to work the next day after rhinoplasty?
Answer: It is possible to do some limited work the next day after your rhinoplasty procedure working from home. Your concentration level may not be in hundred percent, but you can respond to emails on your computer. Important that you’re not doing any exercise. Also important to Make sure that you don’t have any painful packing placed on the inside of your nose after the procedure. 

Question: My right ear is pulled down at the ear lobe from facelift surgery. Can it be fixed?
Answer: You have what is called a pixie earlobe, and this can be repaired under local anesthesia to shorten the earlobe and shorten the incision from your previous facelift which will minimize the detectability much better from where it is now.

Question: Do I need neck lipo, a neck lift, or a mini face lift?
Answer: The photographs demonstrate genetic fat deposits located both above and below the platysma muscle in your neck. A necklift procedure can accomplish removal of the fat deposits above the muscle with liposuction while Surgical removal of the fat deposits below the muscle is required. A platysma plasty is also performed to significantly improve the jawline. Liposuction alone won’t be very effective because most of your fat deposits are located below the muscle. It also appears that you may have a recessive chin profile, so if that’s the case, consider placement of a small Chin implant to Augment your chin forward which will be complementary to the neck lift.

Question: Would I be a good candidate for a rhinoplasty for evening out my face?
Answer: Much more information is needed, such as a full set of facial and nasal photographs from all angles, since the nose is a three-dimensional structure. Digital computer imaging of your nose also be helpful to understand what can and cannot be accomplish with the procedure.

Question: Can a deviated septum affect the inferior turbinates?
Answer: Turbinate surgery is only performed when they are significantly enlarged, and blocking airflow, and you have failed medical management with nasal sprays, antihistamines, and decongestants. An Internal examination of your nose will be required. The turbinates tend to give patients bilateral obstruction symptoms, while a deviated septum usually gives patients unilateral breathing problems.

Question: Is shortening the septum a viable maneuver to make the nose look shorter?
Answer: A full set of facial photographs from all angles, especially the side profile to see if you have what’s called a hanging columella. Reducing the hanging columella can give the appearance of a shorter nose. It’s important to remember the nose is a three dimensional structure, and rhinoplasty is performed in all three dimensions, and the nose heals three-dimensionally. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure. 

Question: Female, 20 & ski slope nose is my ideal, is it possible to change the shape of a nose bridge?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, and refining the nasal tip with all the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either. It is certainly possible to give you more of a slope to the bridge line, but it’s also very important not to overdo it, since your nose will look unnatural. Digital computer imaging of your nose from the side profile would be helpful to understand what can be accomplished with the procedure. Choose your plastic surgeon wisely based upon lots of experience producing natural results.

Question: What facial procedures for symmetry & a balanced face?
Answer: A full set of facial photographs from the side and three-quarter angles are required to make determination about how best to proceed. Chin implants are only placed when there is a recessive chin from the side profile.

Question: Can this facelift be improved?
Answer: A full set of facial photographs from all angles including both side profiles and your three-quarter profiles are necessary to make a determination about how best to proceed. You’re also going to need to wait at least a year after your recent facelift before embarking on another one to allow full healing first.

Question: Would FaceTite, Liposuction, Morpheus8, Ulthera, Exilis, or Thermage rejuvenate my jawline?
Answer: Your side profile photograph demonstrates significant genetic fat deposits located both above and below the platysma muscle in your neck. Liposuction will only remove the fat compartment above the muscle, while a surgical neck lift is going to be required remove the fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline. The minimally invasive treatments cannot address your issues a deep neck fat. 

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