Facial Plastic Surgery Questions and Answers: Part 08

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 only but only when necessary for contouring.

Question: What type of nose do I have?
Answer: You have a large dorsal hump and a bulbous nasal tip. A closed rhinoplasty procedure can accomplish shaving down the dorsal hump, and refinement of the nasal tip cartilages. Osteotomies accomplish narrowing your bridge line. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can be accomplished with the procedure.

Question: Weight Loss Post Chin Lipo? 
Answer: It is very important to post a full set of facial and neck photographs from all angles to make a determination about how best to proceed with the appropriate neck procedure. Probably best to post those pictures after your 20 to 40 pound weight loss. At 37 years old, your skin tone should be just fine. It’s also important to understand that here are two compartments of fat in the neck, they’re located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposits above the muscle, while a surgical neck lift with a platysma– plasty is required to remove the fat compartment below the muscle.

Question: Nostril flare and tip over-projection
Answer: A rhinoplasty can accomplish narrowing the bulbous tip, narrowing the bridge line, and an alar plasty accomplishes narrowing wide nostrils. You also have a hanging columella with an over rotated tip. The projection of the nose can be brought back a few millimeters along with reducing the hanging columella. If there is a recessive chin present, then consider placement of a chin implant for better facial balance, and proportions, especially with respect to the nose.

Question: Would I need just a chin implant or also a sliding genioplasty?
Answer: A sliding genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and it is much more invasive and expensive. It’s A sliding genioplasty is usually performed when the teeth are significantly out of alignment. Placement of a chin implant is performed only for cosmetic purposes, and is performed under local anesthesia as an outpatient procedure.

Question: What can I achieve with a rhinoplasty? Would I benefit from deprojection?
Answer: The reason that you’re seeing two different profiles, is because you’re right nasal bone is higher than your left creating a lot of asymmetry in the bridge line. A closed rhinoplasty approach can accomplish Not only shaving down your dorsal hump, but refinement of the nasal tip, and reducing the hanging columella, and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing his required either. Digital computer from different angles would also be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Is it safe to have a rhinoplasty done years after tear trough implants? 
Answer: Performing a rhinoplasty should not affect your teardrop implants one bit. It is totally safe to go the procedure. Very important to pick your rhinoplasty specialist widely based on extensive experience.

Question: Am I a good canadate for tip plasty?
Answer: Due to your anatomy, and do not appear to be a good candidate for performing only a tip-plasty. You have very thick skin in the tip of your nose, which is just the opposite of the model pictures you presented. Digital computer imaging of your nose but also be helpful. You will Need to have reasonable expectations regarding your tip due to the thick-skin present.

Question: How long does it take the depressor septi muscle to heal if it was cut?
Answer: In our practice, we only release the depressor septi ligament as part of rhinoplasty procedure. Healing on rhinoplasty is one year, and the upper lip into go back to normal functioning in a month.

Question: How soon after a neck lift can I schedule a brow lift with forehead contouring?
Answer: It would be helpful if you posted a full set of facial photographs from all angles to make sure your candidate for two different surgical procedures. If you’re undergoing both procedures under general anesthesia, probably best wait at least one month.

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