Facial Plastic Surgery Questions and Answers: Part 09

Question: Temporal Brow Lift with Blepharoplasty?
Answer: If you are just trying to improve the upper eyelid area, then consider a stand-alone upper blepharoplasty procedure to remove the hooded skin on upper lids. This procedure can be performed under local anesthesia. If you all are looking to raise the entire eyebrow and lower the hairline, then a pre-trichial coronal brow lift can accomplish not only lifting the eyebrow, but lowering the hairline and softening the frontalis muscle and the corrugator muscles.

Question: Really want rhinoplasty but I like my frontal view. Advice about my nose?
Answer: The photographs demonstrate an overly projecting nose, and an under projecting chin. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reducing the hanging columella, and decreasing the overall projection of the nose. All the incisions are placed on the inside of the nose. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions.

Question: My dentist told me my nose isn’t center. I feel like with some work I could be finally do runway. Advice on work I need?
Answer: Everyone has some degree of facial asymmetry, which is normal. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, reduction of the bulbous tip and narrowing and straightening the bridge line. There’s no perfect nose, just significant improvements. It’s also important to release the depressor septi ligament which dynamically pulls your tip downwards when smiling. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure. Choose your rhinoplasty specialist wisely based on extensive experience.

Question: What options do I have for slimming bulbous nose 24 years after original rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish further narrowing of your bridge line and probably some improvement in the bulbous tip. Thick skin in the tip of the nose prevents refinement in that area, so it is important to have realistic expectations. An alar-plasty can accomplish narrowing wide nostrils. Revision rhinoplasty is more difficult than a primary rhinoplasty, so its imperative to choose your plastic surgeon wisely based on extensive experience.

Question: Was I botched? How could I go about fixing this?
Answer: As long as been at least a year, It is possible to entertain the idea of a revision rhinoplasty. It is also important to know how much cartilage is left over on the inside of the nose for grafting purposes, since you will most likely require a cartilage graft placed across the supratip area of the nose to build up the bridge line. A closed rhinoplasty can accomplish your goals by placement of all incisions on the inside of the nose. No external incisions are required. 

Question: How can I fix my nose to make it smaller and straight? Will I need to have my nose rebroken to straighten it out?
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip, straightening the nasal bones, and placement of spreader grafts in the midportion of the nose for your crooked in addition to lifting the nasal tip and shaving down the dorsal hump. All incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. The osteotomies placed in the nasal bones are going to be required to straighten the nasal bones. 

Question: Questions about nose filler hyaluronic acid?
Answer: In our practice, we do not recommend fillers placed in the nose because of the potential for skin necrosis. It is not FDA approved for that application, and is only temporary. A closed rhinoplasty approach can accomplish straightening the nose.

Question: Can you reduce the width of a nose with a closed rhinoplasty?
Answer: A closed rhinoplasty can certainly accomplish narrowing a wide nose with all of the incisions placed on the Inside of the nose. Osteotomies accomplished narrowing the bridge line, and a conservative trimming excess nasal tip cartilages accomplished narrowing the tip, and an alar -plasty, accomplishes narrowing wide nostrils. For many examples, please see our closed rhinoplasty photo gallery.

Question: Complicated rhinoplasty? Deviated septum and cartilage?
Answer: A septoplasty is performed in the back of the nose to improve airflow dynamics and is performed only for functional purposes to breathe better. A cosmetic rhinoplasty is performed to improve the look of your nose. Both procedures can be performed together when necessary. A closed rhinoplasty can accomplish reduction of the bulbous nasal tip, placement of spreader grafts underneath the concave upper lateral cartilages in the midportion of the nose, shaving down the dorsal hump, and narrowing the bridge line with all of the incisions placed on the inside of the nose. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Rhinoplasty. Is it possible to correct my nose bridge?
Answer: The dorsal hump is composed of both bone and cartilage and can be shaved down. Osteotomies placed in the nasal bones can accomplish narrowing the bridge line after the hump removal. The tip of the nose can be tilted up slightly, but it is very important not to over rotate it upwards, since it will look unnatural. Digital computer imaging of your nose upon your facial features were help you understand what can and cannot be accomplished with the procedure.

 

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