Facial Plastic Surgery Questions and Answers: Part 01

Question: How can my nose be fixed after a terrible rhinoplasty?
Answer: A formal revision rhinoplasty will be required, which includes osteotomies placed in the nasal bones. A copy of the operative report would also be helpful. Also important to know how much cartilage is left over inside the nose.

Question: Am I a candidate for revision and is my revision case difficult?
Answer: All revision cases are more difficult than a primary rhinoplasty, and rhinoplasty is the most difficult of all cosmetic surgical procedures. To reduce the alar retraction on your left nostril will require a composite graft from the ear. The hanging columella can be reduced by trimming excess cartilage and skin inside the nostrils.

Question: Is a wider front view something you have to deal with after a closed rhinoplasty with hump removal only?
Answer: Shaving down the dorsal hump automatically creates an open roof, flat-top nasal deformity which gives the appearance of a flat-top and wide nose. This occurs with either a closed or open rhinoplasty. Medial and lateral osteotomy’s placed in the nasal bones are mandatory to close the open roof deformity and narrow the.

Question: Does my nose need a minor job specifically the tip of my nose and maybe the side nostrils? Please I need honest answers
Answer: A full closed rhinoplasty approach can accomplish making the required changes to your nose such as reducing overall projection of the nose, shaving down dorsal hump, and refining the nasal tip. All incisions are placed on the inside of the nose. No external incisions are required and no painful packing is required. It’ s very important to release the depressor septi ligament which pulls the tip down dynamically when smiling. Because of the thick skin present in the tip of your nose, you will most likely require a few steroid shots within the first few months after the procedure to ensure the nose heels properly and prevent a poly beak deformity from occurring. Digital computer imaging would be helpful to understand what can be accomplished with your nose. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience producing natural results.

Question: Cheek fillers or is there a better option?
Answer: Fillers offer a temporary augmentation to the mid-face and cheek area, while cheek implants offer a permanent augmentation. The nasolabial folds are best treated with fillers.

Question: Am I a good candidate for under eye surgery and what results can I expect?
Answer: The photographs looking upward make the fat pads in lower lids more prominent, therefore a full set of facial photographs from looking straight into the camera going to be required. If you still have fat bags present while looking straight ahead, a conservative trans-conjunctival approach can accomplish removal of those fat pads with the incision locating completely on the inside of the lower lids.

Question: Can inflammation along with bones healing improperly cause cranial/facial pressure with a deviated septum?
Answer: Trauma to the nose can cause a variety of issues including displaced nasal fracture, and a deviated nasal septum, Which causes nasal obstruction. A septoplasty can help improvement of airflow when that happens. A rhinoplasty required to straighten the crooked nose. Facial pressure can be caused from chronic sinusitis. To make this diagnosis required a CAT scan of your sinuses. Functional endoscopic sinus surgery is performed to remove polyps creating chronic sinus infections and facial pressure.

Question: I would like to confirm if these changes are possible for my nose?
Answer: A closed rhinoplasty approach can accomplish refining the bulbous nasal tip in addition to shaving down the small hump and narrowing the bridgeline with osteotomies. All of the incisions are placed on the inside of the nose. An alar-plasty involves removal of a wedge of skin at the base of the nostrils.

Question: Earlobe repair for 10 year old. Should I take her to a pediatric doctor or a regular cosmetic surgeon?
Answer: The torn earlobe can be repaired under local anesthesia in the office setting as long as your child is mature enough to undergo a small numbing shot in that location. About four or five stitches would be required to close the ear lobe.

Question: Would like to rid double chin and lift lower face ?
Answer: A full set of facial and neck photographs are required from all angles that are in focus demonstrating the anatomy of your neck. If you’re fat deposits in the neck are located above the platysma muscle, liposuction can be effective. When the fat deposits are located below the muscle, a neck lift is required which also includes a platysma-plasty to significantly improve the jawline.


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