Facial Plastic Surgery Questions and Answers: Part 06

Question: 9 months post op rhinoplasty. How do I ask for a revision?
Answer: There is probably some room for improvement, but much more information is needed such as the Operative report to find out what was accomplished in the first procedure, and to determine the thickness of your skin in the tip of the nose which is going to prevent refinement in that area. Also an important understand there’s no perfect nose, since everyone has an asymmetrical nose, and an asymmetrical face. Best to have a discussion with your original surgeon.

Question: Do I need a revision rhinoplasty? If so, what do you think needs fixed about my nose? Do I have a deviated septum?
Answer: Your nose looks excellent, other than the hanging columella that you currently have. A columella-plasty can certainly accomplish reduction of the excess skin hanging below your nostrils. A thorough internal examination of the nose going to be required to make a determination about what is causing your breathing issues which can be valve collapse, a deviated nasal septum, or your turbinates that are enlarged.

Question: Should I get a blepharoplasty for the bags under my eyes?
Answer: A trans-conjunctival lower blepharoplasty procedure can accomplish removal of those bags and rejuvenate your lower lids. The incision is located completely on the inside of the lower lid. No external incisions are required at your age. Choose your surgeon wisely based on extensive experience with this technique producing natural results.
Question: Would I be a good candidate for a chin implant?
Answer: Yes indeed, you have a recessive chin, and a slight over projection of your nose. Placement of a chin implant will give you better facial balance and proportions from the side profile. In our practice, we placed chin implants under local anesthesia as an outpatient procedure which takes about 30 minutes.

Question: Will another round of Kybella fix this?
Answer: Your side profile photograph demonstrates a recessive chin profile for which a chin implant can improve. You also have extensive fat deposits located both above and below the platysma muscle in your neck. This is going to require a neck lift procedure. This involves liposuction of the fat deposit above the muscle and surgical extraction of the significant fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline.

Question: Looking for details on what is possible with a rhinoplasty
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, and narrowing the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging is also helpful to understand what can be accomplished with the procedure upon your facial features. Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience producing natural results.

Question: Is deep plane facelift includes temporal lift or it’s normally separate procedures with separate prices?
Answer: A brow lift and a facelift are two completely separate operations that can be performed together, or separately depending upon the issues. A full set of facial and neck photographs are required to make a determination about being a candidate for two procedures.

Question: Dorsal hump – will shaving down the nasal bone make my nose skinnier? 
Answer: Revision rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, therefore a full set of facial and nasal photographs from all angles are required in additional copy of your operative report to find out what was accomplished during your first procedure. Shaving down the dorsal hump Doesn’t make your bridge on any skinnier, but it could make your bridge wider, and can create a flat top, and open roof deformity.

Question: Do I only need neck lipo? Would it help the heavy bottom of my face?
Answer: A full set of facial photographs in a chin neutral position are required to make a better determination about how to proceed. Neck liposuction will only remove the fat deposits above the platysma muscle, while a surgical neck lift is required to remove the fat deposits above and below the platysma muscle which also includes a platysma plasty. The platysma plasty significantly improves the jawline. If you are over 50 years of age, then consider a lower face and neck lift which also accomplishes as lifting the jowls and tightening loose facial and neck skin as well.

Question: How much will insurance typically cover for a septorhinoplasty?
Answer: A septoplasty and rhinoplasty two completely different procedures, however both can be performed together under one anesthesia with one recovery. A septoplasty is only performed for medical necessity once preauthorization has been performed with your medical insurance. There are many factors to consider with your medical insurance which include in-network versus out of network surgeon, surgery center and anesthesia providers. You will also be responsible for co-pays and deductibles.


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