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Facial Plastic Surgery Questions and Answers: Part 5

Question: Would my nose be a good candidate for a rhinoplasty? What would you suggest? 
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line, and refinement of the nasal tip with all of the incisions placed on the inside of the nose. No external incisions are required. No painful packing is required either. Digital computer imaging 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 based on extensive experience producing natural results.

Question: Will my brow bone be too pronounced after rhinoplasty? Will my philtrum become too long? 
Answer: Performing a rhinoplasty procedure will not have a bearing on your eyebrow bone or your philtrum. The dorsal hump that is present in the photographs is located high on the bridge line of the glabella, therefore the hump removal will extend into that area. The nasal tip cartilages can be refined, and spreader grafts will be required in the midportion of the nose where you are currently pinched, to prevent the hourglass appearance. Digital computer imaging would be helpful to understand what can be accomplished with the procedure upon your nasal and facial features. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience producing natural results.

Question: I am losing hope to find a rhinoplasty surgeon that does not give people slightly pinched noses?
Answer: A full set of facial photographs be required to make a determination about how best to proceed. In addition, digital computer imaging of your nose upon your facial features would be helpful to understand what you’re trying to accomplish, and what you are trying to avoid. Spreader grafts placed in the upper lateral cartilages prevent pinching in that area.

Question: Should I have laser hair removal for nose and nostril area before or after rhinoplasty?
Answer: It’s probably best to separate out both procedures by approximately two months. Technically it might be rather difficult to get a hair removal laser inside the nose. At the time of the rhinoplasty surgery, we trim the nasal hairs to visualize but we’re trying to accomplish.

Question: Would I be a good candidate for rhinoplasty? Will my thick skin make it more difficult to get desired results? 
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip cartilages, shaving down the dorsal hump, narrowing the bridge line and refining the nose. All of the incisions are placed on the inside of the nose. No external incisions are required. If your tip droops dynamically when smiling, then it is also important to release the depressor septi ligament. Thick skin will be a bit of an impediment to seeing refinement in the nasal tip, so you’ll require steroid shots placed in that area for the first several months after the procedure. The follow-up appointments for the steroid shots are just as important as the surgery itself.

Question: What rhinoplasty should I get?
Answer: A full set of facial photographs are required to make a determination about how best to proceed. In our practice, we perform closed rhinoplasty with all of the incisions placed on the inside of the nose. No external incisions are required.

Question: Which procedure should be done first: facelift or rhinoplasty?
Answer: A full set of facial photographs from all angles are required to make a determination about how best to proceed with these two procedures, and make sure your a candidate for both procedures. Both procedures can be performed simultaneously under one anesthesia with one recovery period. A facelift will not widen your nose.

Question: Which surgery should I do first: nose job or breast augmentation?
Answer: It really doesn’t matter which procedure comes first, as long as you separate the two procedures by at least a month apart to allow yourself recovery time between the two procedures, since they’re both performed under general anesthesia. Alternatively, if you could find a rhinoplasty specialist and a breast augmentation specialist to work together, then you can have both procedures performed at same time under one anesthesia.

Question: Can rhinoplasty fix my dynamic tip droop? 
Answer: Yes, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, reducing the hanging columella and narrowing the bridge line with all the incisions placed on the inside of the nose. It’s also important to release the depressor septi ligament which dynamically pulls the tip downward when smiling. An open rhinoplasty with an external incision across the columella would not be necessary.

Question: Should I just get my nose tip done or do a rhinoplasty? 
Answer: Most patients must undergo a full rhinoplasty to ensure all the components of the nose are balanced with themselves, and the entire new nose balances with patient’s facial features in a three-dimensional fashion. A closed rhinoplasty approach can accomplish refinement of the nasal tip cartilages, narrowing the bridge line, and reducing the hanging columella. This will accomplish shortening of the nose. An alar-plasty can accomplish narrowing wide nostrils. Our current price list is located on the link below.

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