Question: Endoscopic (trichophytic) browlift, any advantage to having this done under general anesthesia?  Answer: In our practice, we perform all brow lift procedures under general anesthesia monitored by a board-certified physician anesthesiologist for patient safety and comfort. We also perform mostly coronal approach brow lift procedures which can not only raise the eyebrows, but a address asymmetries, and soften both of horizontal and vertical frown lines in addition to raising or lowering the hairline. Question: Is it possible to get alar wedge excision to reduce the flare? Answer: To make a determination about whether your candidate for an alar wedge excision, a set of photos looking up your nostrils will be necessary, especially since you already had some type of alar-plasty already. If you are a candidate, the procedure can be performed under local anesthesia as an outpatient procedure. Question: Can I get a…

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…

Question: When the nasal tip of a nose is lifted will asymmetrical tip cartilage be less obvious? Answer: A full set of nasal photographs from all angles without your sunglasses on would be required to make a determination about how best to proceed, since the nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. If you have a symmetrical tip cartilages, those need to be addressed with either grafting techniques or suture techniques. Simply lifting the tip of the nose is not going to address asymmetries. Digital computer imaging of your nose would also be helpful to understand what can be accomplished with your nose upon your facial features.  Question: Full rhinoplasty under local anesthesia (pill sedation) only in the US? Answer: It’s a bad idea did try to undergo a full rhinoplasty under local anesthesia. Patient simply will not…

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…

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…

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…

Question: Is it unreasonable to return to work the next day after rhinoplasty? Answer: It is possible to do some limited work the next day after your rhinoplasty procedure working from home. Your concentration level may not be in hundred percent, but you can respond to emails on your computer. Important that you’re not doing any exercise. Also important to Make sure that you don’t have any painful packing placed on the inside of your nose after the procedure.  Question: My right ear is pulled down at the ear lobe from facelift surgery. Can it be fixed? Answer: You have what is called a pixie earlobe, and this can be repaired under local anesthesia to shorten the earlobe and shorten the incision from your previous facelift which will minimize the detectability much better from where it is now. Question: Do I need neck lipo,…

Question: Can a rhinoplasty deepen my nasion, lower my radix, and reduce my nostril size? Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump up into the rhinion which will deepen the radix. The nostrils can only be reduced in width from the frontal profile with an alar-plasty. Also important to release the depressor septi ligament which pulls the tip down dynamically when smiling. Question: What can be done to fix the way my chin/jawline looks? Answer: The photographs of the side profile demonstrate a recessive chin profile for which a chin implant can improve. Chin implants are manufactured in a large array of sizes, thicknesses, and shapes which is best determined with computer imaging and a consultation. Chin implants can be placed under local anesthesia as an outpatient procedure. Question: Should I do a nostril reduction or just fix the…

Question: Worried that correcting crooked nose will ruin aesthetically pleasing side? Answer: When the nose is very crooked, there is a convex and a concave side. When straightening the crooked nose, osteotomies are placed in the nasal bones, and any dorsal hump is shaved down to make the nose symmetrical from both 3/4 views. You may also require a spreader graft composed cartilage placed on the concave side as well. The nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions, so make sure the surgeon that you had chosen is a very experienced rhinoplasty surgeon. Look at that surgeon’s before and after Photo Gallery for crooked nose repair.  Question: What can I fix to have a balanced face? Answer: A full set of facial photographs from all angles and his chin neutral position are going to be required to make…

Question: Rhinoplasty and blepharoplasty timing? Answer: It would be better to find a board-certified facial plastic surgeon who can perform both a blepharoplasty and rhinoplasty simultaneously under one anesthesia with one recovery period. Otherwise, you will need two anesthetics and two weeks of recovery for each procedure. Study your perspective surgeon’s before and after blepharoplasty and rhinoplasty photo Gallery to make they sure producing natural results. Question: Would someone be able to show me what my anticipated outcome could possibly look like? Answer: Digital computer imaging is only communication tool and not a guarantee of results. Study your prospective surgeon’s before and after Rhinoplasty Photo Gallery. In addition to reduction of the bulbous tip, it is also important to reduce the hanging columella and narrow the bridge line. Question: Will a endoscopic mid face lift, fat transfer and lower eyelid skin pinch help me…