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Facial Plastic Surgery Questions and Answers: Part 3

Question: Lip lift before or after open rhinoplasty? 
Answer: In our practice, we do not perform a lip lift lift for variety of reasons. The incision tends to heal very poorly in that location. A full set of facial photographs from all angles are Required to do make a determination about performing nasal surgery, since the nose is a three-dimensional structure. An open rhinoplasty would not be necessary. Shaving down the hump, placement of cartilage spreader grafts, refining the nasal tip and performing osteotomies in the nasal bones can all be performed with the closed rhinoplasty. All the incisions placed on the inside of the nose. No external incisions are required. No painful packing is required either.

Question: Will I be able to watch a zoom class on my laptop starting the day after my surgery? 
Answer: Yes indeed, you can certainly watch a zoom class on your laptop the day after a rhinoplasty surgery. It’s also important understand that you’re going to have a cast on the bridge of your nose for one week, and visible bruising and swelling for two weeks.

Question: What is possible with my nose?
Answer: Digital computer imaging of your nose upon your facial features would be helpful understand what can be accomplished with a rhinoplasty procedure. A closed rhinoplasty procedure can accomplish decreasing the overall projection of the nose, shaving down the dorsal hump, straightening the nose, and refining the nasal tip with all of the incisions placed on the inside of the nose. An alar-plasty is performed to narrow wide nostrils.  At this time, we are only doing virtual consultations with computer imaging.

Question: Can a revision rhinoplasty fixed my nose?
Answer: Revision rhinoplasty was more difficult than a primary rhinoplasty due to the fact that there have been previous alterations to the normal anatomy, and scar tissue present. Thick skin in the tip of the nose is going to prevent refinement in that area, so it is important have realistic expectations. There is no perfect nose, however just significant improvements when performing a revision rhinoplasty. With respect to the concave upper lateral cartilage in the midportion of the nose, a spreader graft can be inserted underneath that concave side to make it look like the opposite side. It is important to know how much cartilage is left over on the inside of the nose for grafting purposes, sinceyou already had a septoplasty.

Question: Can I reduce Nostril size in my profile view with alar reduction? 
Answer: The digitally altered pictures are not realistic. An alar-plasty only reduces the width of the nostrils, not the length. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, modifying the tip as needed, and narrowing the bridge line and refining the overall nose. All of the incisions are placed on the inside of the nose itself. No external incisions or painful nasal packing are required.  Closed rhinoplasty is less invasive than open rhinoplasty. You are going to require a full closed rhinoplasty, not just a tip-plasty. Digital computer imaging of your entire nose from the side, front, and three-quarter profile would be helpful to understand what can be accomplished with your nose upon your facial features. Rhinoplasty is a difficult endeavor, so choose your plastic surgeon wisely based on extensive experience.

Question: Please help! Will this go away? Will I need a revision rhinoplasty? 
Answer: Sincere the injury was 5 weeks ago, there is still swelling present. It really depends on how deep the injury was, and whether it involved just the skin or cartilage. Trauma to the nose can cause a variety of issues such as deviated nasal septum, a displaced nasal fracture, non-displaced nasal fracture, and dislocation of the cartilages off the nasal bones. X-rays would probably not be helpful at this point. It is probably best to have an evaluation next month or 2 once the swelling has subsided.

Question: What is the best type of revision rhinoplasty incision?
Answer: A closed rhinoplasty approach can accomplish making all the required incisions on the inside of the nose. No external incisions are required.

Question: What potential method would be done to achieve my desired results? 
Answer: Much more information is as a full set of facial photographs from all angles to make a determination about how best to proceed. In addition, a thorough internal examination of the nose is required to make a determination about what’s causing your nasal obstruction. A closed rhinoplasty, and a closed septoplasty can accomplish improvement of air flow through your nose in addition to the cosmetic changes you are wanting to accomplish. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either.

Question: Would I be a good candidate for chin liposuction? 
Answer: From the photographs presented, you appear to have fat deposits located both above AND below the platysma muscle in the neck. Liposuction can only accomplish removal of fat deposits above the muscle. Consider a surgical neck lift to remove the fat deposits below the platysma muscle in addition to liposuction above the platysma muscle and a platysma-plasty to significantly improve the jawline. No skin removal is required. Liposuction alone will only give you minimal benefit.

Question: Am I a good candidate for a rhinoplasty? 
Answer: It is possible to undergo rhinoplasty, however you do appear to have thick skin in the tip of the nose. Thick skin and a tip of the nose is going to prevent refinement in that area. You have to have reasonable expectations with what can be accomplished with your tip itself. It’s also possible to narrow the bridge line, reduce the projection of the nose and narrow the nostrils.

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