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Facial Plastic Surgery Questions and Answers: Part 8

Question: Should I request alarplasty as well? What do you think about my morph?
Answer: An internal alar plasty can accomplish a small refinement and narrowing of your nostrils with the incisions placed completely on the inside of the nose. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line, reducing the hanging columella and refinement of the nasal tip. The photo shop after photo demonstrates over rotation of the nasal tip along with the hanging columella which will make your nose look very unnatural. Make sure you address that with your plastic surgeon before the surgery.

Question: Would a revision rhinoplasty improve my result?
Answer: When thin skin is present, every little nuance can show through, as you come to find out. The area you have circled in the lower left part of your nasal tip is probably going to be normal, since that is probably your nasal tip cartilage. The upper circle area on your right could potentially be shaved down. More importantly is the fact that the nasal bones are still excessively wide, and there is a hanging columella present. Revision rhinoplasty is more difficult than primary rhinoplasty, therefore in-person examination is going to be required. This is because there has been previous alterations to the normal anatomy and scar tissue present. Is also important to understand there is no perfect nose, just improvements, especially when there’s thin skin present.

Question: Would I achieve my desired results with just a tip-plasty?
Answer: To Obtain a nose that is completely balanced will require a full rhinoplasty, otherwise your nose will most likely be unbalanced. It’s very important that all components of the nose balance with themselves, and the entire new nose balances with your facial features in a three-dimensional fashion. The bulbous tip can be reduced, the hanging columella addressed, and the bridge line can be narrowed with a closed rhinoplasty approach. All incisions are placed on the inside of the nose.

Question: Could my nose become narrower smaller and pointier? Is that realistic? What kind of results should I expect?
Answer: A rhinoplasty procedure can accomplish narrowing the entire nose. Osteotomies accomplish Narrowing the bridge line and the upper lateral cartilages, a tip-plasty can accomplish narrowing wide nasal tip cartilages. An alar-plasty can accomplish narrowing wide nostrils. Thick skin in the tip of the nose is going to prevent refinement, so you will not get a very pointy nose. Digital computer imaging would be helpful to understand what can be accomplished with the procedure.

Question:  Is combination rhinoplasty with chin reduction possible? 
Answer: From the limited photographs you presented, it does not appear that you need a chin reduction, so best leave that alone. A rhinoplasty procedure can accomplish narrowing the bridge line, refining the nasal tip, and an alar-plasty an accomplish narrowing wide nostrils. Digital computer imaging would be helpful for you tounderstand what can and cannot be accomplished with the procedure on your facial features.

Question: I’m an exotic dancer who wants a nose job. How soon can I go back to work?
Answer:In our practice, we ask patients refrain from exercise for two weeks after the surgery. Intense workouts should probably be postponed for three weeks after A rhinoplasty procedure.

Question: I’ve heard fixing a crooked nose is more complicated, is this true?
Answer: Yes, fixing a crooked nose can be rather tricky, that’s why it is very important go to a Rhinoplasty specialist. It’s also important to make sure there’s not a deviated septum which is very common when you have crooked nose present. A closed rhinoplasty approach can accomplish straightening the nose with osteotomy’s placed in the nasal bones and Usually a cartilaginous spreader graft placed on the concave side in the midportion of the nose. Sometimes nasal tip cartilages are also adjusted as well. All of the incisions are placed on the inside of the nose with Closed rhinoplasty.

Question: I’m new to the Asian rhinoplasty research. What do you think is the best procedure method for me? 
Answer: A full set of facial photographs from all angles that are in focus are required to make a determination about how best to proceed. A closed rhinoplasty approach can accomplish making the required changes to your nose, such as refinement of the nasal tip, and narrowing the bridge line and shaving down a dorsal hump. An alar plasty is performed to narrow wide nostrils. It’s also important to have realistic expectations when there’s thick skin present in the nasal tip. If you’re having breathing difficulties, a thorough internal examination of the nose is required to see if you have a deviated septum or some other issue creating breathing problems. Both functional and cosmetic nasal surgery can be performed simultaneously when needed. Digital computer imaging would be helpful at the time of a consultation to understand what Can and cannot be accomplished.

Question: Am I a good candidate for African American Rhinoplasty? 
Answer: A closed rhinoplasty approach can accomplish refinement of your nasal tip, lifting the droopy tip, and refining the bridge line with all the incisions placed on the inside of the nose. An alar plasty is performed to narrow wide nostrils. Also important to release the depressor septi ligament which dynamically pulls the tip downwards when smiling. Choose your surgeon wisely based on extensive experience, since rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.

Question: Would I benefit from Rhinoplasty or Chin Augmentation? 
Answer: From the pictures presented, a chin implant is not necessary. A closed rhinoplasty approach can accomplish Refinement of the nasal tip, shaving down the dorsal hump, and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required. Thick skin in the tip of the nose will prevent refinement in that area, so it’s important have realistic expectations.

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