Facial Plastic Surgery Questions and Answers: Part 1

Question: Am I suitable for a mini face lift?
Answer: In our practice, we rarely perform a mini lift because they tend to give mini results and are not very effective. A full set of facial photographs from all angles are required to make a determination about how best to proceed. We also perform a high-SMAS lower face and neck lift which accomplishes lifting the jowls, tightening loose facial and neck skin, tightening the loose facial and neck muscles, lifting the jowls, and removing any fatty deposits in the neck when present.

Question: Neck wrinkles and creping neck skin 2 months after neck lift and facelift. Do I need a revision? Would thermage work?
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and a copy of the operative report to know what type of procedure you had done in the past.

Question: Would I see a plastic surgeon for a deviated septum?
Answer: An ENT surgeon can Perform a septoplasty procedure to improve airflow through the nose. Nasal dripping is treated medically. Sinus headaches are treated with endoscopic sinus surgery, only after a CAT scan of the sinuses has been performed. A rhinoplasty changes the shape of the nose.

6 months post face, brow and neck lift. Unhappy with neck and face lift results.
Answer: A full set of facial photographs from all angles with your head in a chin neutral position are required to make a determination about what’s going on. The very limited photographs appear to have a bulging submandibular gland, but that will also need to be confirmed on physical examination.

Question: 1.73cm, 80kg, male, 28 years old, brown skin – I want to know if have ptosis or not? 
Answer: Your photographs are rather limited, but it does appear that you may have ptosis on your upper eyelids, which is a weakness of the eyelid muscle. Ptosis repair is usually performed by a ocular plastic surgeon. A cosmetic blepharoplasty procedure will not help with this issue.

Question: Would an endoscopic brow lift smooth out of the wrinkles on my forehead?  
Answer: Much more information is needed, such as a full set of facial photographs, especially of your hairline and eyebrows, to make a determination if you’re a candidate for the endoscopic or coronal approach with hair lowering. The only way to smooth out forehead wrinkles is to soften the muscles in the forehead itself, especially the frontalis muscle. This is best done with a coronal approach.

Question: Unilateral descent of eyebrow – is it reasonable to have an eyebrow lift on just one side? 
Answer: The height of your eyebrows is acceptable, and if you did a brow lift, you would look much too surprised. You could try placing a little Botox on the higher eyebrow. A fat transposition can be done on the just the upper lids to reduce the puffiness on the inner corners of your upper eyelids, and fill in more central upper eyelid hollowness. In our practice, we remove the fat bags on the lower lids to rejuvenate them. We also do not recommend fat injections into the face for a variety of reasons. Choose your facial plastic surgeon wisely based on lots of experience producing natural results. Study your prospective surgeon’s before and after photo gallery for all the procedures you’re interested in and make sure that that gallery is extensive with results that you like.

Question: Can I attend a major social event 3 months after deep plane facelift, fat graft, upper/lower eyelid surgery, endo brow lift? 
Answer: In our practice, you should be ready to attend a social event at three weeks after 3 major surgeries, not three months. Study your prospective surgeon’s before and after photo gallery for all the procedures you’re interested in and make sure that there’s lots of example photographs that look very natural.

Question: Brow, bleph or filler? 
Answer: The height of your eyebrows is perfect, so you do not need a brow lift. To remove the extra folds of skin on your upper eyelids, consider an upper blepharoplasty, which can be performed under local anesthesia as an outpatient procedure. We do not recommend fillers around the eyes.

Question: Droopy brows after blepharoplasty – should I get a brow lift?
Answer: Much more information is needed, such as a full set of facial and eyebrow photographs from all angles to make sure you’re a candidate for a brow lift procedure.

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