Facial Plastic Surgery Questions and Answers: Part 05

Question: Should I get rhinoplasty and any other surgeries?
Answer: The decision to undergo a rhinoplasty is a personal one, and only you should be making that decision. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, lifting your nasal tip, refining the nasal tip cartilages and narrowing the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required, no painful packing is required either. Digital computer imaging of your nose upon your facial features would be helpful to stand what can be accomplished with the procedure.

Question: Collapse/deviation after rhinoplasty? Should I get a 2nd rhinoplasty?
Answer: There does appear to be a convex right upper lateral cartilage and a concave left upper lateral cartilage in the midportion of the nose above the tip. First start by having your original surgeon place a few steroid shots into the convex side, and then if that does not work, you are are going to need to have that surgically shaved down and add a spreader graft to the concave left side.

Question: Am I a good candidate for face or neck lift?
Answer: The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, remove the fat in the neck with liposuction, and lift the jowls to give a very natural look. From the limited photographs, you do appear to be a good candidate for the procedure as long as you are in excellent medical health.

Question: Is rhinoplasty after nasal cauterisation possible?
Answer: The Cauterization that you had done for nosebleeds was located on the nasal septum, and is totally acceptable to undergo a cosmetic rhinoplasty.

Question: Can I get a nose job for just my nose bump and overprojected nostrils?
Answer: The photographs demonstrates a dorsal hump which is composed of bone and cartilage, and a hanging columella. A closed rhinoplasty approach can accomplish trimming back the excess skin and cartilage to reduce the hanging columella which will also shorten the nostrils and make them less noticeable. The dorsal hump can be shaved down, and then osteotomies are going to be required to be placed in the nasal bones to close the open roof created from the hump removal itself. All incisions are placed on the inside of the nose. 

Question: Would filler in my nose benefit me?
Answer: The photos demonstrate an overly projecting nose and an under projecting chin. Consider placement of a chin implant to augment the chin forward for a permanent improvement. Placement of an implant in the chin will be helpful for facial balance and proportions from the side profile, especially with respect to the nose. A closed rhinoplasty procedure can accomplish shaving down the dorsal hump, narrowing the bridge line, refining the nasal tip and decreasing the overall projection of the nose. All incisions are placed on the inside of the nose. 

Question: Would rhinoplasty help remove the bump from the bridge of my nose and reduce the bulbous tip?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of the bulbous nasal tip, and narrowing the bridge line and decreasing the overall projection of the nose. All of the incisions are placed on the inside of the nose. No external incisions are required. For our current price list, please see the link below.

Question: What procedure would be best for me?
Answer: From the limited photographs, there is a dorsal hump present, drooping nasal tip cartilages, A hanging columella and an active depressor septi ligament. A closed rhinoplasty approach can accomplish reduction of the hanging columella, shaving down the dorsal hump, refining the nasal tip, and releasing the depressor septi ligament which dynamically pulls your nasal tip downward when you smile. In our practice we do not recommend fillers placed in the nose. 

Question: Facial plastic surgeon or oral maxillary surgeon for chin implant?
Answer: In our practice, we have been performing chin implants for over 30 years. We use Implantech brand of solid silicone chin implants placed through a submental incision. We definitely do not recommend going through the mouth because of the chance of displacement and infection. No screws are necessary. Chin Implants can be performed under local anesthesia as an outpatient procedure. Look for a surgeon who has a large before and after portfolio chin implant results.

Question: Would I be a good candidate for a nose filler job? Non surgical nose job
Answer: You are not a good candidate for nose job filler, since it will only make the nose bigger, not smaller, it is not FDA approved, and can have significant complications. A closed surgical rhinoplasty can accomplish shaving down the dorsal hump, and reducing the projection of the nose.

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