Facial Plastic Surgery Questions and Answers: Part 02

Question: What procedures (surgical and non-surgical) would be recommended for softer/youthful appearance? Mini-lift? Rhinoplasty?
Answer: A full set of facial photographs from all angles Are required to make a determination about two different surgical procedures. Mini facelifts give mini results, and we rarely perform them. At age 40, it’s doubtful that you would require a lower face and neck lift. From the front view, a closed rhinoplasty approach can accomplish narrowing your bridge line and refining the nasal tip. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can be accomplished with the procedure.

Question: Can filler improve a low bridge and uneven nostrils while I wait to have a revision?
Answer: At this point, probably best to just wait to undergo your revision. There’s no sense in artificially inflating the anatomy with fillers at this point if you’re contemplating undergoing revision rhinoplasty surgery. There are real risks associated with injectables placed in the nose .It’s also important to understand there is no perfect nose, and the nostrils won’t be perfect afterwards either. It’s also important to know how much cartilage is left over on the inside of your nose for potential grafting purposes for repairing the Crookedness of your bridge line from the frontal profile. Best to obtain a copy of the operative report which would be helpful for your next surgeon, to find out what was accomplished in the first procedure.

Question: What parts of the nose are included in a tip rhinoplasty?
Answer: A tip-plasty only adjusts the lower lateral cartilages. It’s very rare for a person to only undergo a tip plasty alone, since the nose is a three-dimensional structure. It’s also important to understand all the components of the nose must be balanced and are proportional three dimensionally.

Question: Should I wait to lose weight for chin/neck liposuction?
Answer: You should always be at your ideal body weight before undergoing any type of neck surgery. From that one limited photograph, you have fat deposits located both above and below the platysma muscle in your neck. Liposuction can only accomplish removal of the fat deposits above the muscle. A surgical neck lift is required to remove the fat below the muscle which also includes a platysma-plasty to significantly improve the jawline. We also place Chin implants for patient to have a recessive chin profile when needed.

Question: Is it time for a facelift?
Answer: At age 37, you’re most likely not needing a facelift at that age. In our practice, most facelift candidates are usually in their 50s and 60s. A full set of facial and neck photographs from all angles are required to make a better determination about what’s the appropriate procedure for you. The noninvasive procedures cannot accomplish what a surgical facelift can do.

Question: Is it possible to set a date for surgery after only a virtual consultation?
Answer: Yes indeed, in our practice we do virtual consultations after patients have sent us excellent quality photographs from all angles and all their healthcare demographics. We also perform Digital computer imaging and send that back to the patients prior to the virtual consultation. If you’re having any nasal instructive symptoms and have failed medical management, you may need functional breathing surgery as well, in addition to the cosmetic rhinoplasty. You may need to be seen ahead of time for an in person and an internal examination of the nose to address any breathing issues. Whether virtual or in person consultations, choose your rhinoplasty specialist very wisely based on extensive experience producing natural results, since rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery.

Question: Direct brow lift before mini facelift?
Answer: Much more information is needed, such as a full set of facial photographs, and your age to determine which is the appropriate procedures for you. A brow lift is only performed for patients who have a low set eyebrows, and we make the incision in the forehead behind the hairline in order to raise the low set eyebrows. In addition, we also soften the corrugator muscles to prevent the eyebrows from being pulled down by the corrugator muscle. Mini facelifts tend to give mini results, and we rarely ever perform them. The goal of a lower face and neck lift procedure is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits in the neck which also includes a platysma plasty to significantly improve the jawline. A facelift and a brow lift are two completely separate procedures that can be performed separately, or together under one anesthesia with one recovery.

Question: Will you still get pregnant nose during pregnancy after rhinoplasty?
Answer: Yes indeed when you’re pregnant, you’ll have more fluid retention in the body including the nose, and Especially during your third trimester. You should also wait at least three months after your pregnancy to get a rhinoplasty to make sure that all year hormones you’re back to normal before embarking on a surgical procedure.

Question: Is Dorsal Rasping the answer?
Answer: No, there is a crooked nose present which requires a full revision rhinoplasty procedure to straighten the nose. Osteotomies accomplish straightening the nasal bones, while spreader graft placement is performed to straighten the midportion of the nose. Revision rhinoplasty for the crooked nose is a very difficult endeavor, so choose your plastic surgeon wisely based on extensive experience.

Question: Can a wide nose with bumps on the side be narrowed and flattened in rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, removing the dorsal bumps, decreasing the overall projection of the nose, and narrowing the bridge line with osteotomy’s. All incisions are placed on the inside of the nose. No external incisions are required. Thick skin in the tip of the nose is going to prevent refinement in that area, so it’s important to have realistic expectations. `


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    The Idaho Center for Facial Plastic Surgery ®

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    Ketchum, ID 83340

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