Facial Plastic Surgery Questions and Answers: Part 07

Question: Can I get a nose job and fix my side profile but keep my front profile looking the same? 
Answer: The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions, so you’re going to get changes from both the side and the front profile. A closed rhinoplasty approach can accomplish narrowing your bridge line, refining the nasal tip, giving you more of a slope from the side profile, and reducing the significant hanging columella. All the incisions are 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 features from both side and the front views would be helpful to understand what can be accomplished with your nose upon your facial features. 

Question: What procedure make a nose look longer and narrower?
Answer: A closed rhinoplasty approach can accomplish narrowing the nose with all the incisions placed on the inside of the nose itself. No external incisions are required. It is possible to release the sidewall attachments to the nose, so that when he is dynamically smile, the nose will not widen as much. To narrow the entire Bridgeline required osteotomies, and to refine the nasal tip usually requires conservative cartilage removal or suture techniques to narrow the nasal tip cartilages. 

Question: Is it the case cartilage grafts would make it noticeably bigger?
Answer: Any time your adding cartilage grafts to the nose, its going to make to the nose bigger, not smaller. The Photographs demonstrate a deviated caudal nasal septum, and a dorsal hump. A rhinoplasty can accomplish improving the shape of the nose, While a septoplasty will improve airflow dynamics. Both procedures can be performed together under one anesthesia with 1 recovery period. 

Question: Can these humps on the side of my nose be removed in a non-invasive manner?
Answer: The photographs demonstrate a combination of a bony dorsal hump, and inverted lower lateral cartilages of the nose. The dorsal hump needs to be removed in addition to placement of spreader grafts to give much better dorsal aesthetic lines to correct both the convex nasal bony hump and the concave and inverted upper lateral cartilages. This can be performed through a closed surgical rhinoplasty.

Question: Why won’t cosmetic surgeons give a price range prior to consult?
Answer: In our practice, we believe it is very important to be very transparent about rhinoplasty pricing, therefore our price list is located directly on our website prior to making an consultation.

Question: Can bleph pinch, facial fat transfer and lower Blepharoplasty be done at the same time with good results?
Answer: A full set of Eyelid photographs are required to make a determination about how best to proceed. The primary goal of upper eyelid surgery is to remove mostly skin to improve the tired and hooded look. The primary goal for lower lids is to remove the fat bags creating the puffy look.

Question: Would a chin/neck liposuction help?
Answer: The photographs demonstrate fat deposits in the neck most likely located above and below the platysma muscle in the neck. You also have a recessive chin profile for which a chin implant could offer much better structural support for the soft tissues in the neck. Liposuction alone will only remove fat deposits above the platysma muscle, while a neck lift procedure accomplishes removal of fat deposits below the platysma muscle and a platysma-plasty which significantly improves the jawline.

Question: What is the best solution to have a beautiful jawline and get rid of my double chin?
Answer: The limited photographs demonstrated significant fatty deposits located above AND below the platysma muscle in the neck. A surgical neck lift is going to be required to remove the fat deposits below the platysma muscle which also includes a platysma plasty. Liposuction alone will only remove the fat deposits above the platysma muscle which will only give minimal improvement. The platysma plasty itself significantly improves the jawline, after the sub-platysmal fat has been removed. 

Question: What can I do to treat my jowls?
Answer: At age 32, you do not have jowls. You have a narrow chin relative to your wide cheekbones and forehead in addition to a moderate pre–jowl sulcus. Consider placement of a pre-jowl implant to augment your chin to make it wider in the pre-jowl sulcus. Chin implants can be performed under local anesthesia as an outpatient procedure. You do not need a facelift.
Question: What kind of rhinoplasty should I expect?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, lifting the nasal tip and narrowing the bridge line with all the incisions placed on the inside of the nose. Also important to release the depressor septi ligament which pulls the nasal tip down dynamically when you are smiling. The thick skin in the tip is going to prevent refinement in that area, so is very important to have realistic expectations regarding the nasal tip refinement.


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