Facial Plastic Surgery Questions and Answers: Part 3

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 therefore a lower face and neck lift procedure.

Question: 8 month post-op rhinoplasty – will I need a revision?
Answer: It’s best to wait at least a year before contemplating undergoing a revision rhinoplasty. In the meantime, follow up with your operative surgeon if there’s thick scar tissue in the tip of the nose which may require steroid shots. To Straighten the crooked nose is going To require a revision rhinoplasty which may require osteotomy’s placed in the nasal bones, rasping down the regular bridge line, and placement of a spreader graft on the concave side and shaving excess cartilage on the convex side.

Question: Does a rhinoplasty and jaw/chin implants age well?
Answer: Placement of a chin implant and performing rhinoplasty are permanent results To both the mandible and the nose. They both Age very well.

Question: Do I have a low radix or nasal hump? What surgery is recommended to correct this?
Answer: The photographs demonstrate a low radix and dorsal hump. A closed rhinoplasty can accomplish building up the low radix with a cartilage graft, and shaving down the dorsal hump with all the incisions based on the inside of the nose. Osteotomy’s placed in the nasal bones and minor cartilage nasal tip adjustments will also be necessary.

Question: Would I be a good candidate for rhinoplasty?
Answer: The photographs are very limited, therefore a full set of facial photographs from all angles are required to make a determination about how best to proceed. From the limited photographs, it appears that you have very thick skin in the nose which is going significantly reduce any narrowing that can occur. Osteotomies placed in the nasal bones can accomplish narrowing the bridge line, and an alar plasty can accomplish narrowing wide nostrils, and a columella plasty can accomplish reduction of the hanging columella. Removing a conservative amount of cartilage in the tip of the nose will only give minimal benefit due to the thick skin.

Question: How can I fix the loose skin under my neck at age 28?
Answer: At age 28, the skin tone and your neck is going to be acceptable, nothing will need to be done for the skin. It isn’t it important to know that there are two compartments of fat in the neck, above and below the platysma muscle. Liposuction can only accomplish removal of the compartment of fat above the muscle, while a surgical neck lift is required to remove of the fat below the muscle which also includes a platysma plasty to significantly improve the jawline. No skin removal is necessary.

Question: Surgeon didn’t touch or examine my nose during Rhinoplasty consultation. Is this normal?
Answer: It’s important to remember that Covid- 19 lives in the nose, and rhinoplasty surgeons are just being ultra careful at this point. In our practice, we perform our consultations through zoom or facetime at this point, and then patients are vaccinated and PCR nasal swab tested negative prior to looking in the nose, or having surgery.

Question: Should a person travel to have a Facelift/Rhinoplasty?
Answer: Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so it is very common for patients travel long distances to seek out a rhinoplasty specialist. A full set of facial photographs from all angles are required to make a determination about how best to proceed. At age 66, you’re most likely require a full face and neck lift. In our practice, this accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck and which also includes a platysma-plasty. Mini facelifts give mini results, and we don’t perform them.

Question: Should I do a chin lipo or chin filler to get rid of double chin?
Answer: Liposuction can accomplish removal of the fat deposits in the neck, however the photograph from the side demonstrates a recessive chin profile for which a chin implant can improve. Both procedures can be performed together under local anesthesia as an outpatient procedure.

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