Facial Plastic Surgery Questions and Answers: Part 6

Facial Plastic Surgery Questions and Answers: Part 6

Question: Is it better to do all face procedures at the same time?
Answer: Is it better to do all facial procedures at the same time?
Yes, indeed, it’s certainly possible to undergo a lower face/ neck, lift, a brow lift along with upper and lower eyelids all done at the same time under one anesthesia with one recovery period. A full set of facial photographs are required to make a determination about being a candidate for all of these procedures. For many examples from our practice of all of these procedures done together and separately, please see the link below.

Question: Deep plane face lift, Neck lift & platysmal resection?
Answer: Deep plane, face and neck lift
Your photos are still rather limited, but it does appear that you have a recessive chin, residual fat deposits in your neck, and probably submaxillary gland enlargement. Placement of a chin implant along with a lower face and neck lift can accomplish improvement of all of these issues. Choose your second plastic surgeon wisely based on extensive experience. 

Question: Chin help – what can be done to fix my chin?
Answer: Chen help, what can be done to fix my chin
From the limited photographs, or appears at the projection of your chin is just fine. If you’re interested in widening your chin only from the front profile, then you can consider placement of a pre-Jowl implant, since you have a prominent pre-Jowl sulcus on each side, but only from the front profile.

Question: Do I need a revision?
Answer: Much more information is needed such as a full set of facial photographs from all angles, and a copy of the operative report to find out exactly what was accomplished in the first procedure. You appear to have fat deposits in the neck, which are located both above and below the platysma muscle, and a bit of a recessive chin. Consider placement of a chin implant to augment your chin forward for better facial balance and proportions, in addition to better structural support for the soft tissues in your neck. As long as your skin tone is acceptable, a revision neck lift alone should accomplish your goals of removing the fat deposits in the neck, in addition to a platysma plasty to significantly improve your jawline.

Question: 3 procedures and no change for better or worse. What can I do?
Answer: Three procedures and no change
Much more information is needed, such as a full set of facial and neck photographs from all angles in a chin neutral position to make a determination about how best to proceed. Copies of the operative reports would also be helpful find out exactly what was accomplished in your first three procedures. You may need a neck lift procedure to address fat deposits below the platysma muscle.

Question: My neck connects straight to my chin! Procedure options?
Answer: My neck connects straight to my chin
From the one limited photograph, you have significant fat deposits, located both above, and below the platysma muscle in your neck. A surgical neck lift is required. This involves liposuction to remove 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 your jawline. Before undergoing a procedure like this, your BMI should be 32 or less for best results.

Question: Facelift compression and claustrophobia – Is it possible to skip the compression garment?
Answer: Facelift compression and claustrophobia
In our practice, we have not used compression garments after a facelift in over 25 years. We have also seen skin necrosis from the compression garment from other practices. We use Jackson Pratt drain’s there left in place for two days

Question: Do I need a revision rhinoplasty?
Answer: Much more information is needed, such as an internal examination of your nose to make sure there’s not other issues besides internal valve collapse, that may be causing nasal obstruction. These could also include a deviated septum, turbinate hypertrophy, and allergies. It’s also best to try and fail medical management first. Also important to have a copy of the operative report to find out what was accomplished in the first procedure. If you decide to undergo a revision rhinoplasty, it’s very important to know how much cartilage is left over on the inside of your nose after the first procedure. At a minimum, it looks like you probably need a spreader graft on your right side where your nose is collapsing.

Question: What are recommended procedures for better jaw definition, improving nose wing symmetry and facial symmetry?
Answer: What are recommended procedures for better jawline definition
The Photographs demonstrate a recessive chin profile and fat deposits in the neck located above and below the platysma muscle. Consider placement of a chin implant to augment the chin forward and a neck lift procedure to remove fat deposits above and below the muscle in addition to a platysma-plasty to significantly improve the jawline.

Question: Under 100lbs, 33, would a chin implant or mini neck/facelift help with submandibular glands?
Answer: Under 100 pounds with a chin, implant or neck lift help
The photographs demonstrate a recessive chin profile and fat deposits located both above, and mostly below the platysma muscle in your neck. You may also have enlarged submaxillary glands as well. Consider placement of a chin implant to augment your chin forward for better structural support for the soft tissues in the neck. A neck lift procedure can accomplish removal of both compartments of fat above and below the muscle in addition to a platysma plasty. If the glands are enlarged, which is determined at the time of surgery, then a conservative partial removal can also be accomplished as well if needed. Both a chin implant and neck lift procedure can be accomplished in about an hour and a half under general anesthesia as an outpatient procedure.

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