Facial Plastic Surgery Questions and Answers: Part 08

Question: Why isn’t ultrasonic rhinoplasty practiced in the United States?
Answer: Ultrasonic rhinoplasty does not offer any advantages whatsoever than traditional osteotomies is placed in nasal bones. It is simply a cutting tool and a method to cut bone like any other tool. In addition, there is significant aerosolization of blood products into the air with ultrasonic rhinoplasty and it’s probably not a good idea during a pandemic do use this technique. In addition, ultrasonic rhinoplasty is very slow and adds significant additional Time under anesthesia and in the operating room.

Question: Can I have an upper bleparoplasty done if I have dry eyes that are controlled with retasis?
Answer: It is possible to undergo an upper blepharoplasty under local anesthesia with dry eyes. Your surgeon should be a little conservative on the amount of skin removal for patients with dry eyes.

Question: Coulda facelift give me similar results to this?
Answer: Much more information is needed, such as a full set of facial and neck photographs from all angles, and your age to make the proper determination about the right procedure for you. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, remove fatty deposits in the neck with liposuction, in addition to a platysma plasty and lifting the jowls. Most patients undergoing a facelift in our practice are between 50 and 70 years of age.

Question: Which surgery method for brow lift?
Answer: In our practice we use the coronal approach to accomplish lifting the entire forehead and eyebrows as a unit. The Incision is located back in the hairline Area. Eve if you lift your eyebrows, you may still require a conservative upper eyelid skin blepharoplasty, since you have very hooded eyelids in addition to low set eyebrows.

Question: Would a sliding genioplasty help correct my receding / weak chin?
Answer: A sliding genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay. It is much more invasive, and it’s usually done with the teeth are significantly out of alignment. If you are purely looking for a cosmetic improvement, then consider placement of a small chin implant under local anesthesia as an outpatient procedure done in the office setting.

Question: What more am I needing? Neck lift vs lower face lift vs mini lift?
Answer: Much more information is needed, such as a full set of current facial photographs from all angles demonstrating what’s going on with your neckcurrently. In addition, copies of the operative reports, your height, weight and age but will also be determining factors on which procedure to perform. In our practice, a neck lift procedure involves removing fat located below the muscle, since you probably already had most of the fat removed above the muscle with previous liposuction. A neck lift also includes a platysma – plasty to significantly improve the jawline.

Question: Procedures needed to get my lower face and jawline back?
Answer: The current photos demonstrate fat deposits in the neck, most likely located both above and below the platysma muscle in your neck. You also appear to have a recessive chin profile, but only in the current photos. If you have a recessive chin, then consider placement of a chin implant. At age 40, your skin tone should be acceptablein the neck, therefore a neck lift procedure can accomplish removal of the fat deposits above and below your platysma muscle in addition to a platysma-plasty. No skin removal is required for a neck lift. If your skin is inelastic in the neck, then a lower face and neck lift would be required. Your skin tone will determine which procedure you’re going to need.

Question: How can I help not have no neck when I laugh or smile?
Answer: A full set of facial and neck photographs will be required to make a better determination about what is going on with your neck. From the very limited photographs, it appears that you have significant fat deposits located both above and below your platysma muscle in the neck. A surgical neck lift accomplishes removal of both compartments of fat. This consists of liposuction to remove the fat compartments above the muscle, and surgery to remove the fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline. No skin removal is required.

Question: My nose is the one on the left. Right is what I would like. Would this be hard to achieve?
Answer: A closed rhinoplasty approach can accomplishe decreasing the overall projection of the nose, shaving down the dorsal hump, reducing the bulbous nasal tip and narrowing the bridge line. All incisions are placed on the inside of the nose. No external incisions are required. A full set of facial photographs from all angles are required to make a determination about how best to proceed, since the nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions. When there is a recessive chin profile present, consider placement of a chin implant.

Question: Will a rhinoplasty procedure negatively affect my recent Sculptra treatments/injections?
Answer: No, sculptra treatments are placed in the cheeks, and a rhinoplasty is performed on the nose. A rhinoplasty procedure will not affect your injections.


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