The Portland Rhinoplasty Center THe Portland Rhinoplasty CEnter

Facial Plastic Surgery Questions and Answers: Part 07

Question: Will a brow lift smooth out scar tissue between my brows caused by extractions?
Answer: From this one photograph, the scar tissue is not evident, and the height of your eyebrows looks perfect. You’re not a candidate for a brow lift procedure. If you get a brow lift, you will look very surprised permanently.

Question: Would I benefit from a brow bone reduction? Or just a brow lift?
Answer: The central part of your eyebrows are certainly low compared to the outer portion of your eyebrows, therefore a brow lift would be of some benefit. Also important to evaluate how strong your corrugator muscles are just above the inner part of your eyebrows which dynamically pull down the central component of your eyebrows themselves when scowling. 

Question: Am I a good candidate for an Alarplasty?
Answer: If you’re having breathing difficulties, you’re not a candidate for an alar-plasty since that procedure Will make your breathing problems worse. If your septum is straight, then make sure your turbinates are not enlarged, and make sure that you don’t have internal nasal valve collapse.

Question: Is there any non invasive way to hide a columella?
Answer: Is there any non-invasive way to hide a hanging columella
you have a hanging columella which is excess skin and cartilage in that area. A surgical rhinoplasty is going to be required to remove that excess skin and cartilage. The procedure is called a columella – plasty and can be performed under local or general anesthesia.

Question: Filler, lipo, or something else to get a more defined jawline and chin?
Answer: The photographs demonstrate a recessive mandible and chin profile for which a chin implant is required to permanently augment your chin forward. This also gives additional support for the soft tissues in the neck. Regarding your neck, you have significant fat deposits located both above and below the platysma muscle in your neck. A surgical neck lift is required to remove both compartments of fat. This also includes a platysma – plasty to significantly improve your jawline. No skin removal is required. Liposuction alone will be ineffective, since most of your fat is located below the muscle. A neck lift is performed under general anesthesia, while a standalone chin implant can be performed under local anesthesia. 

Question: Should I consider getting a revision rhinoplasty?
Answer: The limited photographs demonstrate a residual dorsal hump, a hanging columella, and wide nasal tip which can be improved with a revision rhinoplasty procedure. Thick skin in the tip of the nose prevents refinement in that area, so it’s important have realistic expectations. When patients have thick skin in the nasal tip, it’s important to follow-up with steroid shots in that area for the first several months to reduce swelling and scar tissue formation.

Question: Am I a good candidate for African American rhinoplasty? Are my wishes achievable?
Answer: A full set of facial photographs from all angles are going to 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 on your nose. A closed rhinoplasty approach can accomplish narrowing the bridge line with osteotomy’s, and refining the nasal tip. Thick skin in the tip of the nose prevents refinement in that area, so is important to have realistic expectations. An alar-plasty can accomplish narrowing wide nostrils. 

Question: What procedure(s) would you recommend to correct a profile with no chin, extra  skin and fat, and no jawline?
Answer: A full set of facial photographs from all angles in a chin neutral position are going to be required to make a determination about how best to proceed. The limited photographs demonstrate a recessive chin profile for which a chin implant can improve. The fat deposits in the neck are usually located above and below the platysma muscle, therefore a neck lift procedure most likely be required. At age 33 your skin tone should be acceptable, however if there’s very loose skin present, that will need to be tightened as well.

Question: Do I have a low radix? Advice?
Answer: You do not have a low radix, there’s a small dorsal hump which is composed of both bone and cartilage. In addition, there’s a hanging columella present. A closed Rhinoplasty approach can accomplish improvement of your nose from the side profile. All the incisions are placed on the inside of the nose.

Question: Is my nose too thick for a successful rhinoplasty? Is it possible to narrow my nostrils?
Answer: A closed rhinoplasty approach can accomplish refining your nasal tip, narrowing the bridge line and shaving down the hump with all the incisions placed on the inside of the nose. Open rhinoplasty is not required. An alar-plasty is performed to narrow wide nostrils which involves placement of incision at the base of the nostrils and removing a small wedge of skin in that area. 

Leave a Reply

Your email address will not be published. Required fields are marked *

Highlights

We are here to help you. Learn more about who we are and what we do.

Patient
Resources

Ask Us A Question About Nose Surgery Make An Appointment New Patient Forms

    Schedule a Rhinoplasty Consultation Today