Facial Plastic Surgery Questions and Answers: Part 07

Question: Would a 9mm anatomical chin implant be too big for my face?
Answer: A small anatomical chin implant would be the appropriate size for your petite facial features. Placement of a chin implant can be done under local anesthesia as an outpatient procedure which takes approximately 30 minutes. In our practice, we place the implant through a small submental incision.

Question: Over extracted bridge and nostril flare, can I achieve my goals?
Answer: Revision rhinoplasty is more difficult than a primary rhinoplasty, so much more information is needed, such as your previous operative reporton your nose, a full set of facial photographs from all angles, and make sure that it’s been at least one year since your previous surgery. The nose is a three-dimensional structure, and revision rhinoplasty is performed all three dimensions. Choose your second surgeon very wisely based on extensive experience.

Question: How long do I need to wait after a tracheal shave to have a face and neck lift?
Answer: Best to wait at least three months to allow full healing in the neck before undergoing a face and neck lift procedure.

Question: Can malar implants be placed to add forward projection but not facial width?
Answer: Malar implants are designed to be placed directly underneath the orbit and give forward projection. They are not placed at the outer corner of the eyelids which will widen the face. Best to talk with your operative surgeon, since the implants are manufactured in a large variety of sizes, thicknesses, and shapes.

Question: What is the best option for tightening the skin in the chin area? I’m not sure if I have fat or loose skin.
Answer: The photographs appear to demonstrate fat deposits in the neck and a recessive chin profile. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. The fat deposits in the neck can be removed with liposuction if they are located above the platysma muscle. A surgical neck lift is going to be required to extract the fat below the platysma muscle which also includes a platysma-plasty. At age 38, no skin removal will be required.

Question: Is blepharoplasty my only option for sagging upper eyelids, or are there non surgical options like threads, fibroblast?
Answer: Yes, an upper blepharoplasty procedure and accomplish removal of extra skin creating the hooded look in addition to a small amount of fat as well. The procedure can be performed under local or general anesthesia.

Question: I am debating between a chin implant, chin fat transfer, or chin fillers – what would be best for me?
Answer: Placement of a chin implant is best option since your bony mandible is deficient. Placement of a chin implant is permanent, and can add projection and additional width to your chin area. We do not recommend fat injections because they are very inconsistent and fillers are only temporary.

Question: Possible treatment options for multiple lower face concerns? Early 30’s, athletic and a low body fat percentage.
Answer: The photographs demonstrate fat deposits in the neck and a recessive chin profile. Consider placement of a chin implant to augment the chin forward which will offer better structural support for the soft tissues in the neck. Liposuction can accomplish removal of fat deposits above the platysma muscle, while a surgical neck lift is required to remove fat deposits below the platysma muscle which is most likely the case based on your photographs. A platysma plasty will also be required which significantly improves the jawline. An in-person consultation will be required to make a determination about the best way to proceed.

Question: What is the best procedure for my face jowls? I’m 47.
Answer: Photographs demonstrate a recessive chin profile and fat deposits in the neck along with loose and inelastic facial and neck skin. Consider a face/necklift along with a small chin implant.

Question: Is jawline filler enough? Or is it lift time?
Answer: From the very limited photos, there appears to be jowls, fat deposits in the neck and inelastic skin in the face and neck itself. You appear to be an excellent candidate for a lower face and neck lift procedure.


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