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Facial Plastic Surgery Questions and Answers: Part- 10

Question: Would a mini facelift help define my jaw better? Answer: A mini facelift does not address your neck. You need a neck lift procedure, which includes removal of the fat deposits located both above and below your platysma muscle, in addition to a platysma plasty to significantly improve the jawline. At age 32, your skin tone is fine, and no skin removal is necessary. You also have a recessive chin profile, so give some consideration to placement of a small chin implant to augment your chin forward, which will also help improve your jawline and be complementary to the neck lift procedure. Question: After 1st Rhinoplasty everyone thinks I have cheek filler now. What should my next steps be? Answer: From the photographs presented, it does appear from the frontal profile that you had a nice conservative improvement to your nose that looks very natural. Revision rhinoplasty is more…

Facial Plastic Surgery Questions and Answers: Part 09

Question: Can my nasal tip be corrected for better symmetry? Answer: From the photos presented, there appears to be a very crooked nose including the nasal tip. Osteotomy’s placed in the nasal bone to accomplish straightening the bridge line. Spreader graft placement accomplishes improvement on the concave side to make the midportion of the nose more symmetrical. The columella and tip can be improved, but it may not be completely perfect. Question: Would I be a good candidate for a chin implant? Answer: The Side profile photograph demonstrates a recessive chin profile, and a chin implant would be beneficial. The digitally altered photographs do appear realistic. In our practice, Chin implants are placed through a submental incision under local anesthesia as an outpatient procedure. We have used Implantech brand of solid silicone chin implants for over 25 years with an excellent success rate. Question: Spreader grafts for valve collapse? Answer:…

Facial Plastic Surgery Questions and Answers: Part 08

Question: I am considering a neck lift. Should I remove the large gland in my neck?  Answer: Much more information is needed, such as your age and a full set of facial photographs from all angles to make a determination about which procedure is best for you. If you’re over age 50 and your skin tone is in elastic in the neck, you’re going to need a lower face and neck lift. It is important to understand that there are two compartments of fat in the neck, and they’re located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat compartment above the muscle, while a surgical neck lift is required to remove the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. If you are referring to the submandibular glands, a partial excision can be performed, when…

Facial Plastic Surgery Questions and Answers: Part 07

Question: Chin lipo & FaceTite or neck lift? Answer: Much more information is needed such as your age, and a full set of facial surgery to make a determination about how best to proceed. In our practice, a necklift removes fat deposits above and below the platysma muscle in addition to a platysmal plasty. When there’s loose and inelastic skin in the neck which is probably the issue in these limited photographs, then a lower face and neck lift is going to be required to tighten loose and inelastic facial and neck skin. Question: I want my nose shortened and narrowed. Is what I want achievable? Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip somewhat, and narrowing the bridge line. All the incisions are placed on the inside of the nose. The side profile photograph demonstrates an overly projecting nose and an under projecting chin. A…

Facial Plastic Surgery Questions and Answers: Part 06

Question: Does lipo of neck and jawline always use microcannulas?  Answer: Much more information is needed, such as your age, and a full set of facial and neck photographs to make a determination about how best to proceed. It’s also important to understand that there are two compartment of fat in the neck, and they are located both above and below the platysma muscle itself. Liposuction can only accomplish removal of the fat deposits above the muscle, while a surgical neck lift is required to remove the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. Question: Did my surgeon ruin my nose? What are my options? Answer: You have multiple complicated issues going on with your nose currently. Make sure you obtain a copy of your operative report for the next plastic surgeon, since it’s very important to know how much cartilage…

Facial Plastic Surgery Questions and Answers: Part 05

Question: My nose is getting crooked. Can it be fixed with a nonsurgical rhinoplasty? Answer: There are twisted nasal bones and a concave upper lateral cartilage in the mid portion of my nose in addition to a twisted nasal tip. A surgical revision rhinoplasty can accomplish straightening the nose. In our practice, we do not recommend fillers placed in the nose for a variety of reasons. It’s also important to know how much cartilage is left over on the inside of the nose for grafting purposes. Question: I’m interested in chin/neck lipo. Will the fat grow back shortly after? Not overweight: 5’5″ 122 lb Answer: Once the fat cells have been removed, they will not come back after liposuction. This procedure can be performed under local anesthesia. Question: I have a deviated septum. Would I need septoplasty or rhinoplasty to fix the crookedness? Answer: A deviated septum can only be…

Facial Plastic Surgery Questions and Answers: Part 04

Question: I am hearing that a lot of facelifts don’t last past 5 years. Is this true? Answer: In our practice, that’s not true. We perform a high SMAS, comprehensive lower face and neck lift procedure, which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits above and below the platysma muscle in the neck, in addition to a platysma plasty to significantly improve the jawline. We typically revise our own facelift patients between 10 and 20 years after their initial Face and neck lift. You may be referring to as to what a mini lift can accomplish, which gives only mini results. Study your prospective surgeon’s before and after facelift photo gallery. Question: Can an Alarplasty decrease the size of my nose? Answer: Yes, indeed, an alar plasty involves removing a small wedge of skin, typically about a…

Facial Plastic Surgery Questions and Answers: Part 03

Question: What procedures are best to reduce a wide face, big cheeks, and a big nose? Answer: Consider a closed rhinoplasty procedure to reduce the large nose. The dorsal hump can be shaved down, the tip refined in the bridge line narrowed with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure. Best to leave the rest of your face alone.  Question: Is revision rhinoplasty recommended to correct asymmetry, deproject the tip and shorten the nose? Answer: A revision rhinoplasty can get some improvement to the nose, such as straightening it from the frontal profile, however only a small amount of shortening of the nose can be accomplished from the side profile. There’s always going…

Facial Plastic Surgery Questions and Answers: Part 02

Question: Is it true that noses gets hard after rhinoplasty? Answer: Even after a simple primary rhinoplasty, your nose will be rather hard and stiff for the first several months after the surgery because of the fluid retention in your nose. If you’ve had additional cartilage grafts added to the nasal tip, especially from the ear, then you’ll have permanent stiffness in the nose. Question: When will I be able to go swimming after rhinoplasty? Answer: In our practice, we would allow you to go swimming after rhinoplasty at two weeks after the procedure. We perform closed rhinoplasty with all the incisions placed on the inside of the nose, and no painful packing is required either. Choose your surgeon wisely based on extensive experience. Question: Would a mini face and neck lift address my issue? Answer: A mini facelift will not address your issue, since mini facelifts give mini results….

Facial Plastic Surgery Questions and Answers: Part 1

Question: Best way to slim my face and double chin? Answer: The side profile photograph demonstrates a recessive chin profile and only minimal fat deposits in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. Liposuction of the minimal fat deposits in the neck will probably be unnecessary. Question: Time for a mini lift? 45 and not liking my mid/lower face. Want lower/mid face lifted and the jowls and saggy under skin gone. Answer: The photograph is rather limited, so a full set of facial photographs would be more helpful. A lower face and neck lift is going to be required to tighten loose and inelastic skin in the neck and lift the jowls. Question: Would I be an acceptable rhinoplasty candidate? Answer: As long as you’re in excellent health, and have reasonable expectations, then you’re Excellent candidate for a…

Neck Lift Surgery Pacific Northwest

Understanding Neck Lift Surgery Why Consider a Neck Lift? Many individuals seek neck lift surgery, also known as platysmaplasty, to address various concerns regarding the appearance of their neck. Common reasons include: Loose neck skin Neck bands Double chin Loss of jawline contour The Procedure Explained Surgical Technique A neck lift procedure aims to enhance the neck’s appearance by addressing excess fat and sagging skin. Our surgeons employ a meticulous approach tailored to each patient’s unique anatomy and aesthetic goals. The procedure typically involves: Preoperative Assessment: Before the surgery, you will undergo a comprehensive evaluation to ensure optimal health and suitability for the procedure. Anesthesia: Neck lift surgery is performed under general anesthesia to ensure your comfort throughout the procedure. Incision Placement: Incisions are strategically placed to minimize visible scarring. Depending on the extent of correction needed, incisions may be concealed within natural creases or behind the ears. Fat Removal:…

Facial Plastic Surgery Questions and Answers: Part 10

Question: Facelift concerns – what are signs a person has had a facelift? What should I look for in results? Answer: It’s very important to study your perspective surgeon’s before and after facelift photo gallery, looking for detectability of the incisions. Make sure that the hair is pulled back over the ears so that you can see the incisions in front of the ear. Also look for a pixie ear lobes, elevated hairlines, wide scars or an over pulled look. In addition, study how well the neck looks rejuvenated from all angles. Question: Which procedure would help correct my under eye bags and upper eyelids? Answer: The primary goal for upper eyelid surgery is to remove the hooded and excess skin creating the tired look. The incision is located directly in the upper eyelid crease. The primary goal for lower eyelid surgery is to remove the fat bags creating the…

Facial Plastic Surgery Questions and Answers: Part 9

Question: Do I need a neck lift? 33 years old? Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. A necklift procedure involves removal of fat deposits in the neck and a platysmaplasty. In addition, have you had a massive weight loss, which may change the Procedure necessary to address your issues.? The skin tone in your neck Will need to be evaluated in-person to determine your best procedure. Question: Can nasal bridge rasping/shaving be done under local anesthesia instead of a full blown rhinoplasty? Answer: A Full set of facial photographs from all angles are required to make a determination about how best to proceed. Once you have removed 3 mm of cartilage and bony dorsal hump on the bridge line, that will create a flat top, open roof deformity. Medial and lateral osteotomies of…

Facial Plastic Surgery Questions and Answers: Part 8

Question: Why wouldn’t rhinoplasty raise my lip? Answer: To make sure you’re even a candidate for a rhinoplasty would require a full set of pictures from all angles, since the nose is three-dimensional, and rhinoplasty is performed three-dimensionally. Trying to raise your upper lip with a rhinoplasty procedure will simply not work because your muscles in your upper lip will pull the nasal tip downward. Question: Facelift nerves. What are the chances of it causing my to have a droopy lip? Answer: Facelift nerves. What are the chances of it causing to have a droopy lip If you have fat deposits located below the platysma muscle in your neck, you are at a higher chance of having a temporary lower lip that is droopy. The facial nerve branch that runs the lower lip is located in that area. A full set of facial photographs from all angles would be required…

Facial Plastic Surgery Questions and Answers: Part 7

Question: Does a deep plane facelift include tightening of the neck? Answer: It may or may not depending upon what your individual plastic surgeon is performing. Sometimes a deep necklift is required when fat deposits are located underneath the platysma muscle in the neck. Study your prospective surgeon’s before-and-after facelift photo Gallery. In our practice, the goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles lift the jowls, and remove fat deposits located above and below the platysma muscle in the neck. Question: Interested Chin Implant – is my desired “after” look attainable with procedures listed? Answer: Interested in the chin implant and necklift To obtain the results in the digital image photograph, that’s going to require placement of a small chin implant to augment the recessive chin profile forward. A neck lift procedure involves removal of…

Facial Plastic Surgery Questions and Answers: Part 6

Question: Is it better to do all face procedures at the same time? Answer: Is it better to do all facial procedures at the same time? Yes, indeed, it’s certainly possible to undergo a lower face/ neck, lift, a brow lift along with upper and lower eyelids all done at the same time under one anesthesia with one recovery period. A full set of facial photographs are required to make a determination about being a candidate for all of these procedures. For many examples from our practice of all of these procedures done together and separately, please see the link below. Question: Deep plane face lift, Neck lift & platysmal resection? Answer: Deep plane, face and neck lift Your photos are still rather limited, but it does appear that you have a recessive chin, residual fat deposits in your neck, and probably submaxillary gland enlargement. Placement of a chin implant…

Facial Plastic Surgery Questions and Answers: Part 5

Question: What kind of doctor to see for a facelift: a plastic surgeon or facial plastic surgeon? Answer: What kind of doctor to see for a facelift Both plastic surgeons and facial plastic surgeons perform face lifting procedures. Make sure your surgeon is board certified. More importantly, study your prospective surgeon’s before and after facelift photo Gallery, and make sure that the photo gallery is extensive with many examples of the results that he/ she has performed. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, and removing fat deposits in the neck along with a platysma plasty, and lifting the jowls to give it a very natural rejuvenation appearance. Question: I have a long, asymmetrical and wide nose. What work should be done to make it more ‘attractive’? Answer: I have a long, asymmetrical droopy and…

Facial Plastic Surgery Questions and Answers: Part 4

Question: Do I need to pay 500k for a facelift? Answer: There are many excellent facial plastic surgeons, who perform natural appearing facelifts without spending 500 K. Study your prospective surgeon’s before and after facelift photo gallery, which should be extensive with natural appearing results. Closely study the after photos for detection of the incisions along with. Question: Upper bleph at 30? I just want bigger eyes without looking fake? Answer: The goal of an upper blepharoplasty is to remove the extra skin and fat deposits in the upper lids to give you a more refreshed look and rejuvenate the upper eyelids. It’s not gonna make your eyes any bigger. Question: Brow, bleph or filler? Answer: The height of your eyebrows is perfect, so you do not need a brow lift. To remove the extra folds of skin on your upper eyelids, consider an upper blepharoplasty, which can be performed…

Facial Plastic Surgery Questions and Answers: Part 3

Question: How much pain is involved in “awake sedation” for a facelift? Answer: In our practice,a facelift takes anywhere from 2 1/2 to to 3 hours, and it’s very difficult to keep patients comfortably sedated for that period of time. In addition you’ll also have conscious awareness the surgery itself and injections throughout the entire face and neck to get it numb to perform the procedure. In our practice we place patients under general anesthesia for this procedure monitored by a board certified physician anesthesiologist patient safety and comfort.  Question: Can I get a neck lift without doing a mini facelift? Answer: In our practice,A necklift is only done on patients less than 45 years of age and accomplishes removal of fat deposits above and below the platysma muscle in addition to platysmal plasty. When patients are over 50 years of age, the Skin tone usually needs to be tightened…

Facial Plastic Surgery Questions and Answers: Part 2

Question: Facelift, lip lift, neck lift – ballpark pricing? Answer: Face neck lift, and lip lift ballpark pricing A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. For many before and after examples, and our current price list for these procedures, please see the link below. Question: Would an endoscopic brow lift smooth out of the wrinkles on my forehead? Answer: Much more information is needed, such as a full set of facial photographs, especially of your hairline and eyebrows, to make a determination if you’re a candidate for the endoscopic or coronal approach with hair lowering. The only way to smooth out forehead wrinkles is to soften the muscles in the forehead itself, especially the frontalis muscle. This is best done with a coronal approach. Question: Is it easier to get a rhinoplasty with a septoplasty?…

Facial Plastic Surgery Questions and Answers: Part 1

Question: Is it important to have a Board Certified Plastic Surgeon? Answer: Yes, indeed, it is important to make sure that your plastic surgeon is board-certified in plastic surgery, or facial plastic surgery. It’s also very important to study your prospective surgeon’s before and after facelift photo gallery to make sure that it is extensive with lots of natural results. Question: Facelift, lip lift, neck lift – ballpark pricing?  Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. For many before and after examples, and our current price list for these procedures, please see the link below. Question: Would an endoscopic brow lift smooth out of the wrinkles on my forehead? Answer: Much more information is needed, such as a full set of facial photographs, especially of your hairline and eyebrows, to make a determination if…

How do I prepare for eyelid surgery recovery?

Pre-operative consultation with your surgeon During your pre-operative consultation with your surgeon, it is crucial to discuss all pertinent medical history, including any previous surgeries, current medications, and any known allergies. Be prepared to ask questions and share any concerns you may have about the upcoming procedure. Your surgeon will carefully examine the area to be treated and discuss the expected outcomes of the surgery, as well as potential risks and complications. It is important to have a clear understanding of what to expect before, during, and after the surgery to ensure a smooth and successful recovery process. Furthermore, the pre-operative consultation is an opportune time to discuss any lifestyle modifications or preparations you may need to make leading up to the surgery. Your surgeon may provide specific instructions on medications to avoid, dietary restrictions, and guidelines for physical activity. This consultation also serves as a valuable opportunity to address…

Can I eat normally after eyelid surgery?

Eating habits after eyelid surgery It is crucial to pay attention to your eating habits after eyelid surgery to promote optimal healing. Eating a well-balanced diet rich in nutrients can aid in the recovery process and help reduce swelling and bruising. Foods high in vitamins A, C, and E, as well as zinc and protein, can support tissue repair and immune function, accelerating the healing process. Additionally, avoiding salty and processed foods can help minimize water retention and inflammation, which are common side effects following eyelid surgery. Opt for whole, fresh foods such as fruits, vegetables, lean proteins, and whole grains to provide your body with the essential nutrients it needs to heal efficiently. Remember to stay hydrated by consuming an adequate amount of water throughout the day to support the body’s natural healing mechanisms. Recovery period and dietary restrictions Following eyelid surgery, it is crucial to adhere to the…

What are cons of eyelid surgery?

Risk of complications Blepharoplasty, like any surgical procedure, carries potential risks of complications. These could include infection, bleeding, or adverse reactions to anesthesia. While these complications are relatively rare, patients must be aware of the possibility and discuss any concerns with their surgeon before proceeding with the surgery. Additionally, there is a risk of asymmetry or drooping of the eyelids post-surgery. This can be addressed with follow-up procedures, but it is important for patients to understand that achieving perfect symmetry is not always possible. It is crucial to have realistic expectations and open communication with the surgeon to minimize the risk of dissatisfaction or disappointment. • Infection, bleeding, or adverse reactions to anesthesia are potential risks of blepharoplasty • Patients should discuss any concerns with their surgeon before undergoing the surgery • Asymmetry or drooping of eyelids post-surgery is a risk that can be addressed with follow-up procedures • Achieving…

What is the success rate of eyelid surgery?

Overview of Eyelid Surgery Success Rates Eyelid surgery, also known as blepharoplasty, is a common cosmetic procedure aimed at enhancing the appearance of the eyelids. Success rates for eyelid surgery are generally high, with a large majority of patients reporting satisfaction with the results. The success of the procedure often depends on factors such as the expertise of the surgeon, the patient’s overall health, and realistic expectations. Research indicates that the success rates for eyelid surgery are around 85-90%, with most patients experiencing a noticeable improvement in the appearance of their eyelids. It is essential for individuals considering this procedure to consult with a qualified and experienced surgeon to ensure the best possible outcome. By following pre-operative and post-operative instructions, patients can help maximize the success of their eyelid surgery and achieve the desired results. Factors Affecting the Success of Eyelid Surgery Factors that can significantly influence the success of…

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