Facial Plastic Surgery Questions and Answers: Part 1

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 rhinoplasty procedure. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip, shaving down the small dorsal hump, and narrowing the bridge line.No external incisions are required and no painful packing is required either.

Question:  I have a really bad jawline/chin the side but fine in the front. What can I do about it?
Answer: The side profile photographs demonstrate the recessive chin profile for which a chin implant can improve. The chin, the mandible, and the implants are three-dimensional, and the augmentation occurs in all three dimensions. Most of the augmentation occurs in the forward projection, but there’s also some additional width and very small amount of vertical height that occurs. Chin implants can be placed through a small incision underneath the Chin under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

Question: BBL or facelift surgery first? How far apart? 
Answer: It does not really matter which procedure comes first, but you should separate two general anesthetics for plastic surgery at least one month apart to give yourself time to recover from either procedure.

Question: Would I benefit from a chin implant or chin filler? What else could I get to improve my jawline?
Answer: The side profile photograph demonstrates a recessive chin, and no fat in the neck. Consider placement of just a chin implant to augment the chin forward. Liposuction in the neck would be unnecessary. Placement of a chin implant can be performed under local anesthesia through a submental approach , which would take about 30 minutes. Fillers do not work very well.

Question:  Mid facelift, brow lift, what would be the best approach to avoid any problems?
Answer: we do not perform a mid facelift due to the fact that the mid-face looses volume, and does not descend vertically with aging process. For mid face rejuvenation, we place small cheek implants in the midface to augment the lost volume. The implants are placed thru an intra-oral approach under a brief general anesthesia. The height of your eyebrows is more than acceptable, and a brow lift be unnecessary. Also important to see a full set of facial and neck photographs to see if you are a candidate for a lower face and neck lift.

Question: Chin implant? Or lipo as well? I’m 5’4 and 116lbs, so fairly thin.
Answer: The Side profile photographs demonstrate a recessive chin profile for which a chin implant can improve. The implants can be placed through a small incision underneath the chin under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

Question: Crooked nose after an injury. What do you think should be done?
Answer: Trauma to the nose can cause a variety of the issues, such as a deviated septum blocking airflow. A CAT scan of the sinuses is required to document chronic sinus infections. Straightening the crooked nose is considered cosmetic and not covered by medical insurance. Functional surgery such as breathing difficulty and endoscopic sinus surgery can be submitted to medical insurance once medical necessity has been documented and preauthorization has occurred with your medical insurance. Anticipate co-pays and deductibles.

Question:  Chin lift? Lipo? Kybella? What’s the best option for me? I’m 5’6″ and 155 LBs.
Answer: The photographs demonstrate a recessive chin profile For which a chin implant can improve the projection of the mandible and give better structural support for the soft tissues in the neck. In the neck itself, you have fat deposits located both above and below the platysma muscle in the neck. Liposuction can only remove the fat deposits above the muscle. A neck lift includes liposuction of the fat deposits above the muscle and surgical removal of the significant fat deposits below the muscle and also includes a platysma-plasty to really improve the jawline. A chin implant and a neck lift are performed under general anesthesia as an outpatient surgical procedure. No skin removal is required.

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