Facial Plastic Surgery Questions and Answers: Part 5

Facial Plastic Surgery Questions and Answers: Part 5

Question: What kind of doctor to see for a facelift: a plastic surgeon or facial plastic surgeon?
Answer: What kind of doctor to see for a facelift
Both plastic surgeons and facial plastic surgeons perform face lifting procedures. Make sure your surgeon is board certified. More importantly, study your prospective surgeon’s before and after facelift photo Gallery, and make sure that the photo gallery is extensive with many examples of the results that he/ she has performed. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, and removing fat deposits in the neck along with a platysma plasty, and lifting the jowls to give it a very natural rejuvenation appearance.

Question: I have a long, asymmetrical and wide nose. What work should be done to make it more ‘attractive’?
Answer: I have a long, asymmetrical droopy and wide nose
A closed rhinoplasty approach can accomplish lifting your nasal tip, shaving down the dorsal hump, and narrowing the bridge line with all incisions placed on the inside of the nose. Also important to release the depressor septi ligament which dynamically pulls your tip down when smiling. Thick skin in the tip of the nose is going to prevent refinement in that area, so it is important have realistic expectations regarding the width of the tip of your nose. An alar-plasty can accomplish narrowing wide nostrils.

Question: Am I candidate for a blepharoplasty or fillers?
Answer: Am I a candidate for upper blepharoplasty?
The photographs demonstrate hooded and excess skin on the upper lids, and you’re an excellent candidate for an upper blepharoplasty procedure. The procedure can be performed under local or general anesthesia. You do not appear to be a candidate for lower eyelid surgery.

Question: 65 year old with aging neck and jaw line – what type of Facelift, Neck Lift, or procedure would be lasting for me?
Answer: 65 year old with aging neck and jaw line, what type of face and neck lift procedure would be best
A lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits and neck which also includes a platysma plasty. Study your prospective surgeon’s before and after facelift photo Gallery.

Question: I got head butt in the face during soccer and now have a bump on my nose?
Answer: I got head butted in the face, and now I have a bump on my bridge
Since it’s been at least 2 months after your injury, the bump is most likely permanent. The bump is composed of both bone and cartilage which must be shaved down in order to remove it. Osteotomy’s placed in the nasal bone then required to close the open roof created from the hump removal itself. This can be accomplished with a closed rhinoplasty procedure, with all of the incisions placed completely on the inside of the nose. Digital computer imaging would also be helpful understand what your new nose would look like from the side profile.

Question: Should I consider a Mini FL or Full FL? Can laser resurfacing help with sagging skin and jowls?
Answer: Should I consider a mini facelift or a full facelift
At 38 years of age, you’re rather young to undergo a facelift procedure, however the only way to get rid of excess and loose skin in the neck is to do a lot lower face and neck lift procedure. The loose and inelastic skin in the neck can be tightened, along with tightening loose facial and neck muscles, and removal of the small amount of fat in the neck to improve the jawline as well. It would certainly be acceptable to wait five years.

Question: I know I need a blepharoplasty, but do I need a brow lift also?
Answer: I know I need a blepharoplasty, but do I need a brow lift also?
The photograph demonstrates adequate position of your outer eyebrows, only very mild brow ptosis centrally closer to your nose. It wwould be best to just perform an upper and lower blepharoplasty to rejuvenate the eyelid area. The primary goal of upper eyelid surgery is to remove mostly skin to improve the hooded look, while the primary goal for lower lid surgery is to remove the fat bags creating the puffy look.

Question: How long do I need to wait to have upper and lower blepharoplasty after dissolving with hyaluronidase to tear troughs?
Answer: How long till I need to wait to have upper and lower blepharoplasty
You should probably wait at least 2 to 3 weeks after dissolving any reversible filler placed in the eyelids, before undergoing an upper and lower blepharoplasty. Choose your surgeon wisely, based on producing very natural results.

Question: Am I candidate for a rhinoplasty? I feel pretty, but then wonder if all people see is my huge nose ?
Answer: Am I a candidate for a rhinoplasty?
The decision under go a rhinoplasty is very personal, and only you, the patient can make that decision. While it is possible to give some refinement to your nasal tip, thick skin tip tip of the nose is going to prevent refinement in that area.

Question: Am I candidate for a non-surgical or regular rhinoplasty?
Answer: Am I a candidate for nonsurgical rhinoplasty or regular rhinoplasty
A full set of facial and nasal photographs are required to make a determination about how best to proceed, since the nose is a three-dimensional structure. Temporary fillers are only going to make the nose bigger, not smaller and more refined. A closed rhinoplasty approach can accomplish, shaving down the dorsal hump, refinement of the nasal tip, and narrowing the bridge line. All in surgeons replaced on the inside of the nose.

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