Facial Plastic Surgery Questions and Answers: Part 3

Facial Plastic Surgery Questions and Answers: Part 3

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 to be some little nuances, you have to weigh the risk versus reward ratio for a revision. Also important to know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: Would my nose be a difficult case for rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish shaving down the Dorsal hump, decreasing the overall projection of the nose, refining the nasal tip and narrowing the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Rhinitis is treated medically, not surgically so your nose will continue to run even after any type of functional or cosmetic surgery. Functional turbinate surgery can be performed simultaneously with a rhinoplasty procedure under one anesthesia which allows for one recovery period. Consider performing digital computer imaging to see what your new nose would look like upon your facial features. Thick skin in the tip of the nose is going to prevent refinement in that area, so it is important have realistic expectations.

Question: What can I expect from the rhinoplasty to fix my crooked nose?
Answer: A close rhinoplasty approach can accomplish straightening the crooked nose. This is accomplished with Osteotomies placed in the nasal loans to straighten them, and a spreader graft placed in the midportion of the nose where the upper lateral Cartilage is significantly concave. Also important to determine if there’s a deviated septum on the inside of the nose which is most likely the case whenLooking at a nose that is this crooked.

Question: Would blep or filler help my bags?
Answer: A trans-conjunctival lower blepharoplasty can accomplish removal of the fat bags from your lower lids. The incision is completely located on the inside of the lower lids. In our practice, we do not recommend fillers placed In that area For multiple reasons.

Question: Is it preferable to have eyelid surgery (upper, lower blepharoplasty, eyebrow lift) after I’m done nursing?
Answer: It is probably best to wait at least 3 to 4 months postpartum before looking to undergo cosmetic eyelid surgery.A full set ofUpper and lower eyelids photographs Are required to make A determination about how best to proceed.

Question: What can be done about a weak lower jaw?
Answer: The very limited photograph demonstrates a recessive chin profile for a which a chin implant can improve. Chin implants replaced under local anesthesia through a small incision underneath the chin which takes approximately 30 minutes as an outpatient procedure. If you’re teeth are significantly out of alignment, then consider a sliding genioplasty performed by oral surgeon under general anesthesia in a hospital setting.

Question: How would you make my nose look better and profile?
Answer: No, a lower face and neck lift procedure is going to be required to tighten loose facial and neck muscles, tighten the significant loose facial and neck skin, lift the jowls, and remove the fat deposits in the neck located above and below the platysma muscle in the neck itself. A platysma plasty is also performed.

Question: Piezo in lieu of osteotomes?
Answer: Piezo is just another cutting tool like an osteotome, and really offers no surgical advantages. Revision rhinoplasty is probably the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience producing natural results. Study your perspective surgeon’s before and after rhinoplasty photo gallery to make sure that it is extensive with natural results that you like. Piezo is not the gold standard in rhinoplasty.

Question: Is it possible to increase the length of my nose from the front?
Answer: The nose is a three-dimensional structure, therefore, a full set of facial photographs from all angles are required to make a determination about how best to proceed with a rhinoplasty procedure. Digital computer imaging of your nose would also be helpful to understand what can and cannot be accomplished with your nose.


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