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Facial Plastic Surgery Questions and Answers: Part 09

Question: Side profile feels flat – am I a candidate for rhinoplasty?
Answer: Rhinoplasty is never performed for what patients feel on their nose, only what you see. You have a small dorsal hump present from the side profile which can be shaved down. You also have A slightly bulbous tip which can be reduced and refined. Your nasal bones can be narrowed a bit. The amount of change you would expect from a rhinoplasty would be be very minimal. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: When did they start doing submaxillary reduction & what are the long term risks? 
Answer: In our practice, we have been performing a partial removal of the sub maxillary gland for cosmetic purposes for over 30 years. Not everyone needs this, and it’s only performed when the glands are significantly hypertrophic creating significant neck bulges. There are no long-term complications, since only part of gland is removed.

Question: What kind of rhinoplasty should I get?
Answer: Your pre-existing nose looks very nice, so only extremely minimal improvements could be made regarding your nose. It might be best to just leave well enough alone, since the risk may be too great.

Question: Should I get eyebrow lift or blepharoplasty on my upper lids?
Answer: You do have facial and orbital asymmetry which is quite normal. Everyone has some degree of asymmetry. The position of your eyebrows is great, therefore an eyebrow lift is not necessary. Consider an upper blepharoplasty procedure to remove the extra skin creating the hooded look along with some fat deposits on the inner corners of your upper eyelids. This can be performed under local anesthesia in the office setting. 

Question: Nose too narrow after rhinoplasty, how do I add width/volume back?
Answer: It’s important to wait at least one year after your primary rhinoplasty before embarking on another procedure. A full set of facial photographs from all angles are required to make a determination about how best to proceed, in addition to a copy of the operative report to find out what maneuvers were performing during the first surgery. It’s critical to know how much cartilage you have left over on the inside of your nose for grafting purposes for use as spreader grafts to give you additional width. 

Question: What should I do to get a defined jaw?
Answer: The side profile photograph demonstrates a recessive chin profile for which a chin implant can improve. Liposuction can accomplish removal of fat deposits in the neck which would accentuate the jawline.

Question: I’m a 19 year old female looking to improve my side profile which I have been insecure about?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, lifting the tip, reduction of the hanging columella, and preventing the nasal tip from drooping dynamically when you smile. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Chose your Surgeon wisely based on extensive experience.

Question: Order of Operations: Rhinoplasty before Lip Lift? or Lip Lift before Rhinoplasty?
Answer: In our practice, we do not recommend the lip lift procedure for a variety of reasons. Both procedures should be probably separated by 6 months between operations. A septoplasty is performed to fix a deviated septum and a turbinate-plasty is performed to reduce enlarged turbinates which are blocking airflow. A rhinoplasty is performed for purely cosmetic purposes. 

Question: Do I need to have a Blepharoplasty with an oculoplastic surgeon and facelift with a doctor that specializes in facial surgery?
Answer: An upper and lower blepharoplasty With a face/necklift can be performed by a facial plastic surgeon with extensive experience in both procedures. Study your prospective surgeon’s before and after photo gallery.

Question: How would you deal with this result from chin lipo?
Answer: More information is needed, such as exactly what type of procedures that you had done and the skin tone in your neck. From the limited photographs, it appears that there is residual fat deposits located underneath the platysma muscle which will require a surgical neck lift procedure with a platysma-plasty to give you a significant jawline improvement. 

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