Facial Plastic Surgery Questions and Answers: Part- 10

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 difficult than a primary rhinoplasty, so it’s important to have realistic expectations. You should be able to get another conservator improvement by narrowing your bridge line and performing an alar plasty to narrow your nostrils. The thick skin and the tip of your nose is going to prevent refinement in that area.

Question: What is my nose shape , is it big, and does it need a nose job?
Answer: From the limited photographs, you have a dorsal hump, which is composed of both bone and cartilage on the bridge line of your nose. A closed rhinoplasty can accomplish removal of the dorsal hump with all of the incisions placed on the inside of the nose. You also have a recessive chin profile, so strongly consider placement of a chin implant for better facial balance and proportions, especially with respect to your nose from the side profile.

Question:  What would be the best treatment for my chin?
Answer: From the one very limited photograph, you have fat deposits located both above and below the platysma muscle in your neck. Noninvasive treatments simply aren’t going to work. A surgical neck lift involves liposuction of the fat deposits above the muscle, and surgical extraction of the fat deposits below the muscle, which also includes a platysma-plasty to significantly improve the jawline.

Question: Ok to lipo jowls as part of chin/jawline lipo?
Answer: In our practice, we never liposuction the jowls because you’ll get irregularities which will be quite visible in that location. If you have jowls, you’re a candidate for some sort of facelift procedure.

Question: Seeking aggressive revision. Neck tended to form adhesions over time and a wrinkled appearance after 1st neck lift
Answer: More information is needed Other than that what was presented. Please submit a full set of facial and neck photographs. Your next plastic surgeon is also going to require a copy of the operative report to find out what was accomplished in the first procedure. It’s important to know whether or not you’ve had a platysma-plasty long with myotomy performed in the first procedure. You can try Botox injections into the one platysmal cord present prior to any revision surgery.

Question: No functional problems, would I be a good candidate for a sliding genioplasty?
Answer: Since you have no functional problems with your teeth, you are a candidate for a chin implant, which can be placed under local anesthesia as an outpatient procedure which takes about 30 minutes. In our practice, we placed them through a small incision underneath the chin to augment the chin forward for better facial balance, and proportions.

Question: Male, 5’8, 34 I don’t find my nose right for my face. What do you suggest?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refinement of the nasal tip, and straightening the nose with all the incisions placed on the inside of it. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can be accomplished with the procedure.

Question: Am I a good candidate for upper eyelid surgery?
Answer: A conservative skin only upper eyelid surgery can accomplish, lifting the crease on your upper lids, especially on your right side, where your more hooded. This procedure can be performed under local anesthesia as an outpatient procedure, and usually takes about 30 minutes.

Question: Which procedure should I get first – veneers or rhinoplasty revision/chin augmentation?
Answer: It does not matter in which order that you undergo these three procedures. A revision rhinoplasty can accomplish shaving down the residual dorsal hump, narrowing the bridge line and refining the nasal tip. A closed rhinopasty can accomplish this with all the incisions placed on the inside of the nose. The current chin implant can be removed and an additional implant placed through a submental approach. Both of these procedures can be performed under general anesthesia simultaneously.

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