Facial Plastic Surgery Questions and Answers: Part 06

Question: What lab tests are done for facelift & tummy tuck & is my blood pressure too high?
Answer: As long as you’re in excellent health, no blood work is typically performed. Much more important is to check your blood pressure 2 to 3 times a day and get that blood pressure normal to prevent a hematoma following two surgical procedures. That’s your biggest risk factor. If your blood pressure is too high on the day of the surgery, the anesthesiologist might likely cancel your plastic surgery. Choose your facelift surgeon wisely based on extensive experience. Study their before and after facelift photo Gallery to make sure that it it is extensive with natural results that you like.

Question: 54 year old female & always had small dent on nose but it’s gotten worse, what can I do?
Answer: From the very limited photograph presented, you have a concave lower lateral cartlidge in your nasal tip. To make this much more symmetrical to the opposite side will require a cartilage graft harvested from inside the nose to add additional cartilaginous support for both functional and cosmetic purposes to make the nose tip look much more symmetrical. A closed rhinoplasty approach can accomplish improvement with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing as required either. 

Question: I have wanted rhinoplasty for years now and I’m finally able to do it…would this be an easy fix? 
Answer: The photo shop results do appear realistic, so make sure you show them to your rhinoplasty specialist. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so it is imperative to choose your surgeon very wisely based on extensive experience. A closed rhinoplasty approach can accomplish decreasing the overall projection of the nose, shaving down the dorsal hump, and reduction of the hanging columella with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. A septoplasty is performed internally to improve airflow dynamics through the nose and can be combined with a rhinoplasty when needed.

Question: Mini Facelift with old (8 or more years) existing contour threads?  
Answer: In our practice for over 30 years, we have removed many these contour threads when performing a facelift procedure. Most experienced facelift surgeons have dealt with the same issue. Removing the threads should not create any nerve damage, since nerve damage would usually be caused by placement when putting them in, not when removing them.

Question: Adding tip lift to Septoplasty?
Answer: A full rhinoplasty will be required if you decide you want to change the shape of your nose. You will not be able to perform a tip-plasty only. This would include shaving down the dorsal hump, reducing the overall projection of your nose, reducing the bulbous nasal tip, and reducing the hanging columella and prominent nasal spine. A closed rhinoplasty approach can accomplish your goals with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial surgery features would also be helpful to understand what can be accomplished with the procedure. Rhinoplasty is much more difficult than a septoplasty, so choose your rhinoplasty specialist very wisely based on extensive experience producing natural results.

Question: Is it time for a facelift/neck lift?
Answer: Before making a decision on facelift or a necklift, probably best to lose that 20 pounds that you gained first. Then reevaluate. Rather doubtful that you would need any work in your neck at age 39. With respect to your nose, you have a residual hanging columella which can be reduced along with a mild amount of de- rotation can be accomplished as well. 

Question: 8 months post op. My nose is now very straight and has lost that curve. What are my options?
Answer: At one year, you can consider undergoing revision rhinoplasty if you are wanting to reduce the bridge line and give you more of an inward curve. This can be accomplished with the closed rhinoplasty approach with all of the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either. 

Question: Looking for ways to improve the appearance of my chin
Answer: The photograph from the side profile demonstrates a recessive chin profile because your mandible bone simply did not grow far enough forward. Consider placement of a chin implant which accomplishes a bony augmentation for a permanent improvement to your chin. Fillers are only very temporary in that area and don’t work very well for that issue. 

Question: I have a nose that is too big for my face. What are my options?
Answer: A closed rhinoplasty approach can accomplish narrowing the bridge line with osteotomy’s, and refining the bulbous nasal tip. Thick skin in the tip of the nose is going to prevent refinement in That area, such important have realistic expectations. An alar plasty is performed to narrow wide nostrils.

Question: Would a nose job make my chin look bigger?
Answer: No, a nose job is not going to make your chin look bigger, it will just make your nose look smaller by reduction of the dorsal hump. A closed rhinoplasty approach can accomplish your goals by making all of the incisions on the inside of the nose. No external incisions are required, and no painful packing is required either. Rhinoplasty is the one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

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