Cosmetic Surgery Blog

Facial Plastic Surgery Blog | Facial Rejuvenation Procedures

Question: What is my nose shape , is it big, and does it need a nose job? Answer: From the limited photographs, you have a dorsal hump, which is composed of both bone and cartilage on the bridge line of your nose. A closed rhinoplasty can accomplish removal of the dorsal hump with all of the incisions placed on the inside of the nose. You also have a recessive chin profile, so strongly consider placement of a chin implant for better facial balance and proportions, especially with respect to your nose from the side profile. Question: What would be the best treatment for my chin? Answer: From the one very limited photograph, you have fat deposits located both above and below the platysma muscle in your neck. Noninvasive treatments simply aren’t going to work. A surgical neck lift involves liposuction of the fat deposits above the muscle, and surgical extraction
Question: How much would a rhinoplasty be for a very small hump on my nose? Answer: The photographs demonstrate an overly projecting nose with a dorsal hump, and wide nasal bones and inverted upper lateral cartilages in the midportion of the nose. A full and closed rhinoplasty is going to be required. The price of rhinoplasty includes the operating room, surgeon’s fees, and the anesthesiologist fee. For more information and our current price list, please see link below. Question: I am thinking about getting a Alar Reduction. What techniques would I use to narrow my nose? Answer: An alar plasty is performed to narrow wide nostrils. This procedure involves removal of a wedge of skin at the base of the nostrils under local anesthesia. Question: Spreader grafts for valve collapse? Answer: Spreader grafts widen the mid vault of the nose when there is a inverted upper lateral cartilages in the
Question: How soon after a neck lift can I schedule a brow lift with forehead contouring?  Answer: It would be helpful if you posted a full set of facial photographs from all angles to make sure your candidate for two different surgical procedures. If you’re undergoing both procedures under general anesthesia, probably best wait at least one month. Question: How long does it take the depressor septi muscle to heal if it was cut? Answer: In our practice, we only release the depressor septi ligament as part of rhinoplasty procedure. Healing on rhinoplasty is one year, and the upper lip into go back to normal functioning in a month. Question: Am I a good canadate for tip plasty? Answer: Due to your anatomy, and do not appear to be a good candidate for performing only a tip-plasty. You have very thick skin in the tip of your nose, which is
Question: I want my nose shortened and narrowed. Is what I want achievable? Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip somewhat, and narrowing the bridge line. All the incisions are placed on the inside of the nose. The side profile photograph demonstrates an overly projecting nose and an under projecting chin. A closed rhinoplasty approach can accomplish decreasing the overall projection just a few millimeters. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the projection of the nose from the side profile. Thick skin in the tip of the nose will prevent refinement in that area, so it’s important to have realistic expectations. Question: How do I fix my side profile? Answer: A full set of facial photographs are require to make a determination about how best to proceed regarding two
Question: Did my surgeon ruin my nose? What are my options? Answer: You have multiple complicated issues going on with your nose currently. Make sure you obtain a copy of your operative report for the next surgeon, since it’s very important to know how much cartilage is left over on the inside of your nose for grafting purposes. To reduce the ski slope, you’re going to require a graft of cartilage across the bridge of the nose. You will also require osteotomies to narrow the nasal bones, and spreader grafts placed underneath the concave upper lateral cartilages creating the inverted V deformity. A composite graft harvested from the ear placed inside the right nostril help with asymmetry, but your nostrils will never be symmetrical. Question: Deep plane incision – what is the best option? Answer: An intra oral incision for a facelift is not necessary. Facelift incisions are typically placed
Question: My nose is getting crooked. Can it be fixed with a nonsurgical rhinoplasty? Answer: There are twisted nasal bones and a concave upper lateral cartilage in the mid portion of my nose in addition to a twisted nasal tip. A surgical revision rhinoplasty can accomplish straightening the nose. In our practice, we do not recommend fillers placed in the nose for a variety of reasons. It’s also important to know how much cartilage is left over on the inside of the nose for grafting purposes. Question: I’m interested in chin/neck lipo. Will the fat grow back shortly after? Answer: Once the fat cells have been removed, they will not come back after liposuction. This procedure can be performed under local anesthesia. Question: I have a deviated septum. Would I need septoplasty or rhinoplasty to fix the crookedness? Answer: A deviated septum can only be determined by a thorough internal
Question: I am hearing that a lot of facelifts don’t last past 5 years. Is this true? Answer: In our practice, that’s not true. We perform a high SMAS, comprehensive lower face and neck lift procedure, which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits above and below the platysma muscle in the neck, in addition to a platysma plasty to significantly improve the jawline. We typically revise our own facelift patients between 10 and 20 years after their initial Face and neck lift. You may be referring to as to what a mini lift can accomplish, which gives only mini results. Study your prospective surgeon’s before and after facelift photo gallery. Question: Can an Alarplasty decrease the size of my nose? Answer: Yes, indeed, an alar plasty involves removing a small wedge of skin, typically about a
Question: What procedures are best to reduce a wide face, big cheeks, and a big nose? Answer: Consider a closed rhinoplasty procedure to reduce the large nose. The dorsal hump can be shaved down, the tip refined in the bridge line narrowed 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 features would be helpful to understand what can be accomplished with the procedure. Best to leave the rest of your face alone. Question: Is revision rhinoplasty recommended to correct asymmetry, deproject the tip and shorten the nose? Answer: A revision rhinoplasty can get some improvement to the nose, such as straightening it from the frontal profile, however only a small amount of shortening of the nose can be accomplished from the side profile. There’s always going
Question: Is it true that noses gets hard after rhinoplasty? If that’s the case, will I still be able to pinch and move my nose Answer: Even after a simple primary rhinoplasty, your nose will be rather hard and stiff for the first several months after the surgery because of the fluid retention in your nose. If you’ve had additional cartilage grafts added to the nasal tip, especially from the ear, then you’ll have permanent stiffness in the nose. Question: When will I be able to go swimming after rhinoplasty? Answer: In our practice, we would allow you to go swimming after rhinoplasty at two weeks after the procedure. We perform closed rhinoplasty with all the incisions placed on the inside of the nose, and no painful packing is required either. Choose your surgeon wisely based on extensive experience. Question: Would a mini face and neck lift address my issue?
Question: Would I be an acceptable rhinoplasty candidate? Answer: As long as you’re in excellent health, and have reasonable expectations, then you’re Excellent candidate for a rhinoplasty procedure. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip, shaving down the small dorsal hump, and narrowing the bridge line.No external incisions are required and no painful packing is required either. Question: Chin lift? Lipo? Kybella? What’s the best option for me? I’m 5’6″ and 155 LBs. Answer: The photographs demonstrate a recessive chin profile For which a chin implant can improve the projection of the mandible and give better structural support for the soft tissues in the neck. In the neck itself, you have fat deposits located both above and below the platysma muscle in the neck. Liposuction can only remove the fat deposits above the muscle. A neck lift includes liposuction of the fat deposits above the

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