Facial Plastic Surgery Questions and Answers: Part 2

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?
Answer: It’s very important to do both of these procedures together, especially, so if you need cartilage for grafting purposes during the cosmetic rhinoplasty. If you have the septoplasty first, you may not have any cartilage leftover for grafting purposes in the future. Look for a double board-certified ENT/facial plastic surgeon with extensive rhinoplasty experience. Rhinoplasty is much more difficult than a septoplasty, so choose your surgeon wisely. Study your surgeon’s before and after rhinoplasty photo gallery.

Question: Trying to get a more symmetrical look ?
Answer: There’s no such thing as perfect facial symmetry, since there is a left half of the face, and a right half of the face when they come together in the embryo phase in the womb. You do have a recessive mandible and chin profile, so consider placement of a small chin implant to augment your chin forward for better facial balance and proportions. This procedure can be performed under local anesthesia is an outpatient procedure, which takes about 30 minutes.

Question: Planning on having facelift/neck lift/blepharoplasty. Does this pin need to come out first?
Answer: Planning on having a facelift neck lift and blepharoplasty. Does this pin need to come out first? If you’re undergoing general anesthesia for any other procedures, you should probably wait at least one month between the two general anesthetic’s. It’s probably best to have that pin removed from your foot so it does not get dislodged while you’re asleep under anesthesia and being moved around in the recovery room.

Question: Loose skin in lower face 12 mos after deep plane facelift. What are my options to correct this?
Answer: You have a very natural look after your facelift however, you do have additional laxity in the neck, which would require a revision face neck lift procedure. Very important not to look too stretched, pulled, or wind tunneled. A facelift does not address the mid-face.

Question: Use of staples for lifestyle lift?
Answer: It’s probably best that you interview at least three different, experienced facelift surgeons, and study their before, and after facelift photo gallery. Especially look for the detectability of the incisions in the after photos.

Question: Would a revision rhinoplasty help correct drooping tip 18 years post initial rhinoplasty ?
Answer: A revision rhinoplasty can accomplish many different maneuvers in the nose, including elevating the droopy tip. Also important to release the depressor septi ligament, which dynamically pulls the tip downward when smiling. Digital computer imaging of your nose currently would be helpful to understand what can and cannot be accomplished by an experienced revision rhinoplasty specialist.

Question: Unilateral descent of eyebrow – is it reasonable to have an eyebrow lift on just one side?
Answer: The height of your eyebrows is acceptable, and if you did a brow lift, you would look much too surprised. You could try placing a little Botox on the higher eyebrow. A fat transposition can be done on the just the upper lids to reduce the puffiness on the inner corners of your upper eyelids, and fill in more central upper eyelid hollowness. In our practice, we remove the fat bags on the lower lids to rejuvenate them. We also do not recommend fat injections into the face for a variety of reasons. Choose your facial plastic surgeon wisely based on lots of experience producing natural results. Study your prospective surgeon’s before and after photo gallery for all the procedures you’re interested in and make sure that that gallery is extensive with results that you like. 

Question: Can I attend a major social event 3 months after deep plane facelift, fat graft, upper/lower eyelid surgery, endo brow lift?
Answer: In our practice, you should be ready to attend a social event at three weeks after 3 major surgeries, not three months. Study your prospective surgeon’s before and after photo gallery for all the procedures you’re interested in and make sure that there’s lots of example photographs that look very natural.

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