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Facial Plastic Surgery Questions and Answers: Part 03

Question: Is getting a finesse rhinoplasty worth it? 
Answer: Much more information is needed, such as a full set of facial photographs from all angles to make a better determination. Rhinoplasty is more difficult than a septoplasty, so it’s important understand what can and cannot be accomplished with your nose. Considered digital computer imaging to help make your decision. Since rhinoplasty is one of the most difficult procedures to perform correctly, Study your prospective surgeon’s before and after rhinoplasty photo Gallery to make sure that it is extensive, and with natural results that you like. In our practice, a touch-up revision rhinoplasty occurs approximately 10% of the time.

Question: Age 62, will I get wrinkles sleeping on side after facelift?
Answer: Whatever sleeping position you are going to be in after your plastic surgery is irrelevant to developing wrinkles. It is Important just Keith your head above your heart when sleeping for the first week or so to reduce swelling. In our practice, we place drains underneath the skin in the neck to reduce the amount of bruising and swelling from the procedure itself. Choose your surgeon wisely by studying their before and after facelift photo gallery which should be extensive with lots of natural results. 

Question: I want my face to look sharper & have a better side profile – would genioplasty pull skin tighter?
Answer: From the side profile photographs, you have a very mild recessive chin, and your mandible just didn’t grow quite far enough forward. Consider placement of a chin implant under local anesthesia as an outpatient procedure which takes about 30 minutes. A sliding genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and is much more invasive. 

Question: How can I fix my fallen nose tip in the least invasive way?
Answer: A closed rhinoplasty approach is less invasive than an open rhinoplasty approach. All of the incisions are placed on the inside of the nose. A closed Rhinoplasty approach can accomplish lifting the nasal tip, shaving down the dorsal hump and narrowing and straightening the bridge line where the nasal fracture occurred. Also very important to release the depressor septi ligament which pulls your tip down dynamically when smiling. 

Question: Can you advise on raised alar cartilage?
Answer: From the photographs presented, you appear to have a convex lower lateral cartilage on your right side, and a concave lower lateral cartilage on your left side. You also have a collapsed upper lateral cartilage on your right side as well. All of this can be improved with a closed rhinoplasty approach. Choose your rhinoplasty specialist wisely based on extensive experience.

Question: Wide bridge Rhinoplasty. Am I a good candidate for Rhinoplasty?
Answer: From the Photographs presented, it appears that there is thick skin present in the nasal tip which is going to prevent refinement in that area. Very important to have realistic expectations with respect to the thick skin present, since rhinoplasty just accomplishes making changes to the cartilaginous and bony structure of the nose. It is not possible to make the skin thinner.

Question: Can I have rhinoplasty if I have Crohn’s disease?
Answer: It is possible to have a rhinoplasty with Crohn’s disease, but you cannot be on any and immunosuppression medications which might cause an infection. Also best to check with your Crohn’s disease specialist for medical management while undergoing elective nasal cosmetic surgery.

Question: Should I get a nose job, chin implant or both?
Answer: A full set of facial photographs from all angles are going to be required to make a determination about the combination of a rhinoplasty and chin implant. Both procedures are frequently performed together when patients have an overly projecting nose with a dorsal hump, and an under projecting chin. Placement of a chin implant improves the projection of the chin and gives additional width and vertical height. A closed rhinoplasty approach can accomplish decreasing the overall projection of the nose and shaving down the dorsal hump.

Question: Would liposuction take care of this double chin?
Answer: The photographs are rather limited, but it appears that there is a recessive chin profile for which a chin implant can improve projection of the chin itself. The fat deposits in the neck are located above AND below the platysma muscle in the neck which is going to require a neck lift procedure with a platysma-plasty. Liposuction and only remove the fat deposits above the platysma muscle which not be very effective.

Question: Do I not qualify for a neck lift (not a facelift nor a lower facelift)?
Answer: In our practice, a neck lift procedure does not address removal of excess skin in the neck, just fat removal above and below the platysma muscle and a platysma-plasty. To tighten loose facial and neck skin is going to require a lower face and neck lift.

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