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Facial Plastic Surgery Questions and Answers: Part 08

Question: Will my doctor be able to know whether or not I broke my nose 6 years ago?
Answer: The fact that you may or may not have broken your nose years ago is basically irrelevant at this point since the nasal bones have healed. A rhinoplasty procedure can accomplish straightening the crooked nose, and shaving down the dorsal hump. Also important to evaluate the internal portion of the nose to make sure you don’t have a deviated nasal septum causing nasal obstruction.

Question: What are the best non-surgical options for face, jaw, and neck tightening?
Answer: The photographs demonstrate significant inelasticity of the skin of the neck, along with fat deposits and Jowls. The noninvasive procedures simply won’t work. Consider dermabrasion to the acne scars. A lower face and neck lift can accomplish lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles which also includes a platysma plasty and removal of fat deposits in the neck with liposuction.

Question: Will a SMAS facelift and platysmal neck lift change the shape or size of the ear canals?
Answer: A properly performed face/ necklift will not change the ear canals or the tragus. Study your prospective surgeon’s before and after facelift photo gallery.

Question: Ultherapy or MACS Facelift to refresh my face?
Answer: In our practice, we do not perform a MACS facelift for a variety of reasons. Ultherapy Is very minimally effective, at best. Much more information is needed, such as a full set of facial photographs from all angles including the side profile, and your age. A lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck along with the platysma-Plasty.

Question: I have a little nose but my septum goes to one side. Is this something that is fixable?
Answer: Much more information is needed, such as a full set of facial photographs from all angles both smiling and relaxed. It appears from the limited photographs that you have a crooked nose, and a crooked caudal septum along with a droopy nasal tip. A closed Rhinoplasty approach can accomplish reduction of the hanging columella, straightening the crooked columella, straightening the nose, and releasing the depressor septi ligament which pulls the tip down dynamically when you smile.

Question: 37 y/o previously had chin liposuction and fillers done, looking for a more defined chin. What are my options?
Answer: The limited photographs demonstrate a recessive chin for which a chin implant can augment your chin forward for better facial balance and proportions in addition to better structural support for the soft tissues in your neck. Since you’ve already had liposuction to remove fat deposits above the plasma muscle, you probably have fat deposits located below the platysma muscle which will require a neck lift procedure. This procedure accomplishes fat removal both above and below the muscle in addition to a platysma – plasty to significantly improve the jawline. Both procedures can be performed together under one anesthesia with a one recovery. 

Question: How can I achieve a more balanced face without looking unnatural ? 
Answer: First of all, you do not need any type of facelift. If you are interested in performing a rhinoplasty, and your nose bothers you a lot, then give that some consideration. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, straightening the nose, refinement of the nasal tip with all the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging of your nose upon your facial features would also be helpful in the education process to understand what can be accomplished.

Question: Does this look like ptosis or just more excess skin on one eye?
Answer: You do not have ptosis in your eyelids. You have significant asymmetry of your eyelids due to one eyebrow being lower than the other. A conservative upper blepharoplasty procedure performed under local anesthesia should be all that is required to improve the asymmetry.

Question: Would I need a rhinoplasty if I want to make changes to my columella or are there less invasive options?
Answer: It is possible to only perform a columella – plasty to reduce the hanging columella. You could do computer imaging for just a columella-plasty, versus a full rhinoplasty with reduction of your dorsal hump. Then you can make your decision.

Question: Lower face wrinkles & skin laxity, age 71, what’s my best option?
Answer: The wrinkles around the mouth are best treated with either laser, or dermabrasion. Dermabrasion tends to heal faster than laser treatments. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the Jowls, and remove fat deposits in the neck which also includes a platysma – plasty to significantly improve the jawline. 

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