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Facial Plastic Surgery Questions and Answers: Part 10

Question: Is this a broken nose?
Answer: Trauma to the nose can cause a variety of issues such as a non-displaced fracture, a displaced nasal fracture, dislocation of the upper lateral cartilages from the nasal bones, and a deviated nasal septum. A thorough internal and external evaluation of the nose in-person is going to be required to make that determination. A closed cosmetic rhinoplasty can accomplish shaving down the dorsal hump, narrowing the nasal bridge and straightening the nasal bones. All incisions are placed on the inside of the nose. 

Question: Can a deviated septum influence to position/asymmetry?
Answer: In most instances, a septoplasty is performed in the back of the nose when there’s a deviated septum present that is blocking airflow. If you have had significant trauma to the nasal tip, sometimes the dorsal septum can be deviated. It’s very difficult to straighten this part of the septum out, since it is structural cartilage. A full set of facial photographs from all angles are required to make a determination about how best to proceed, in addition to a internal examination the nose to determine how deviated your septum is.

Question: What’s the best way to reduce the fat under my chin and define my jawline?
Answer: The side profile photographs demonstrate a recessive chin profile, and fat deposites in the neck. The fat deposits in the neck are most likely located above and below the platysma muscle. Consider placement of a chin implant augment the chin forward for better jawline definition. Liposuction can only remove the fat deposits above the muscle which will be an incomplete removal. Consider a neck lift procedure which accomplishes removal of fat deposits above and below the platysma muscle which also included a platysma-plasty. No skin removal is required at your age. 

Question: Is kybella a good option for me?
Answer: No, Kybella is not going to solve your issues. Much more information is needed, such as you age, skin tone, and a full set of the facial photographs from all angles. The fat deposits in your neck are located above AND below the platysma muscle which will require a neck lift to remove both compartments of fat which also includes a platysma plasty. Skin removal is usually not required for patients under age 50.

Question: I have a hereditary double chin, I am a healthy 27 years old. What are my options for treating this?
Answer: The fat deposits in the neck are located above and below the platysma in the neck. A neck lift can accomplish removal of these fat deposits which also includes a platysma-plasty. No skin removal is required.

Question: Revision Rhinoplasty – can my tip be straightened?
Answer: While there is no perfect nose, there is some areas of improvement which can be accomplished for your nose. You also have facial asymmetry, such important to have realistic expectations. You have a concave upper lateral cartilage on your left side which can be improved with a cartilage spreader graft to give more symmetry. It’s important to know how much cartilage you have leftover on the inside of your nose for grafting purposes. 

Question: Revision eyebrow lift. Would scar tissue interfere with new surgery?
Answer: Even after a Direct brow lift, you still have brow ptosis, therefore a coronal approach brow lift would be a better solution.

Question: Ok to do both SkinTyte and Fotona Tightsculpting for loose skin?
Answer: A full of facial and neck photographs are required to make a determination about how best to proceed. From the limited photographs presented, you appear to have significant laxity of the skin in the neck, fat deposits, and a platysma muscle cord, Minimally invasive treatments simply will not accomplish your goals in this area. Talk to facelift specialist about a lower face and neck lift procedure to properly rejuvenate your neck.

Question: How can I disguise my dorsal bump?
Answer: A surgical closed rhinoplasty can accomplish shaving down the dorsal hump. All the incisions replaced on the inside of the nose. No external incisions are required, and no painful packing is required either.

Question: Would a closed revision rhinoplasty straighten my nose?
Answer: A closed rhinoplasty and certainly improve your nose, but it may not be completely straight to do a variety of factors present already. A full set of facial photographs and a copy of the previous operative report would be helpful. It’s important to know how much cartilage is left over on the inside of your nose for potential grafting purposes.

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