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Facial Plastic Surgery Questions and Answers: Part 10

Question: Does it look like I have saddles nose? Options?Answer: Much more information is needed, such as a full set of facial photographs from all angles, a copy of the operative report and an in-person examination. A rhinoplasty can accomplish shaving down the dorsal hump, and possibly adding small cartilage graft to the depressed area, if needed. Also important to know how much cartilage is left over on the inside of the nose for potential grafting …

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Facial Plastic Surgery Questions and Answers: Part 09

Question: Getting deep plane facelift & neck lift, do I also need a chin implant?Answer: Your photographs are rather limited, but it does appear that you have a recessive chin, therefore, a chin implant would be of some benefit to give you a better jawline results from your face and neck lift procedure. Question: Looking for ways to fix my chin, preferably permanent, any suggestions?Answer: The photographs demonstrate a recessive chin profile which chin implant can improve. …

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Facial Plastic Surgery Questions and Answers: Part 08

Question: How do plastic surgeons fix a bulbous nose and it more narrow?Answer: The Bulbous nasal tip to be reduced with a conservative amount of cartilage removed from the lower lateral cartilages in the nasal tip. When there is a significant wide nasal tip cartilages, then suture techniques are used to narrow the tip cartilages. Thick skin in the tip of the nose is going to prevent refinement in that area, so that must be sorted …

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Facial Plastic Surgery Questions and Answers: Part 07

Question: Should I get a septoplasty when I’m getting my rhinoplasty?Answer: Most of the time when there is a crooked nose, there is a deviated septum present. A septoplasty is only performed to improve airflow dynamics, and will not change the shape of the nose. A rhinoplasty is performed to change the shape of the nose. If your deviated septum is blocking airflow, that meets medical necessity and can be billed to the patient’s medical insurance …

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Facial Plastic Surgery Questions and Answers: Part 06

Question: Am I a good candidate for lower eyelid surgery?Answer: From the one very limited photo, there does appear to be herniated fat in the lower lids. A full set of eyelid and facial photographs are going to be required to make a better determination. When the fat bags are present in the lower lids, a transconjunctival approach on the inside of the lower lid can accomplish removal. This is performed under a brief general anesthesia …

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Facial Plastic Surgery Questions and Answers: Part 05

Question: Advice requested, neck lift results. Should I seek a revision?Answer: Much more information is needed, such as a full set of facial photographs from all angles that are unadulterated to make a determination about what your next best step should be. You appear to have resistant platysmal bands, which can be treated with a combination of Botox, and a myotomy placed in the band themselves during a lower face and neck lift procedure. Question: Can I …

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Facial Plastic Surgery Questions and Answers: Part 04

Question: I’m turning 50, is it time for a facelift?Answer: The Photographs demonstrate early onset jowling, and inelastic skin in the neck. A lower face and neck lift can accomplish improvement by tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls and removing a small amount of fat present in the neck itself with liposuction. Question: Would I be able to have a closed rhinoplasty to fix the asymmetry in my …

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Facial Plastic Surgery Questions and Answers: Part 03

Question: How do I get jaw definition – do I need a mandible implant?Answer: More information is needed, such as your age and the amount of extra skin in your neck. As long as your skin tone is acceptable, then you can undergo a neck lift procedure which accomplishes removal of the fat deposits above and below the platysma muscle in the neck along with it platysmal-plasty. No skin removal is required with a neck lift …

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Facial Plastic Surgery Questions and Answers: Part 02

Question: Primary or Revision Rhinoplasty cost? Answer: Since you’ve not had rhinoplasty, it should be the cost of the primary rhinoplasty. The bigger question is whether or not you need any cartilage grafting during your primary rhinoplasty procedure, so it this point you may not have any cartilage left over on the inside of your nose due to previous nasal surgeries. Ear cartilage may have to be an option, which is just a little more complicated. Question:  …

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Facial Plastic Surgery Questions and Answers: Part 01

Question: Is 61 years old too old for a rhinoplasty? Answer: No, 61 years old is not too old for a rhinoplasty procedure, as long as you’re in excellent health to undergo general anesthesia. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. Question: Can deviated septum surgery help with excessive widening while smiling?Answer: No, a deviated septum is performed in the back of the nose for airflow …

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Facial Plastic Surgery Questions and Answers: Part 10

Question: I have a deviated septum. Would I need septoplasty or rhinoplasty to fix the crookedness?Answer: A deviated septum can only be determined by a thorough internal examination of the nose, and a septoplasty is only perform for medical necessity to improve air flow dynamics. A septoplasty will not straighten the crooked nose. To straighten the crooked nose requires a cosmetic rhinoplasty. Both procedures can be performed together under one anesthesia with one recovery period. …

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Facial Plastic Surgery Questions and Answers: Part 9

Question: I am hearing that a lot of facelifts don’t last past 5 years. Is this true?Answer: In our practice, that’s not true. We perform a high SMAS, comprehensive lower face and neck lift procedure, which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits above and below the platysma muscle in the neck, in addition to a platysma plasty to significantly improve the …

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Facial Plastic Surgery Questions and Answers: Part 8

Question: Is revision rhinoplasty recommended to correct asymmetry, deproject the tip and shorten the nose?Answer: A revision rhinoplasty can get some improvement to the nose, such as straightening it from the frontal profile, however only a small amount of shortening of the nose can be accomplished from the side profile. There’s always going to be some little nuances, you have to weigh the risk versus reward ratio for a revision. Also important to know how …

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Facial Plastic Surgery Questions and Answers: Part 7

Question: Would a mini face and neck lift address my issue?Answer: A mini facelift will not address your issue, since mini facelifts give mini results. Consider placement of a chin implant to augment your recessive mandible forward for better facial balance and proportions. Since you have both jowls and fat deposits located in your neck below the platysma muscle, you’re going to require a lower face and neck lift procedure. Question: I’m 44 years old …

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Facial Plastic Surgery Questions and Answers: Part 6

Question: Would I be an acceptable rhinoplasty candidate?Answer: As long as you’re in excellent health, and have reasonable expectations, then you’re Excellent candidate for a rhinoplasty procedure. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip, shaving down the small dorsal hump, and narrowing the bridge line.No external incisions are required and no painful packing is required either. Question: Chin lift? Lipo? Kybella? What’s the best option for me? I’m 5’6″ and …

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Facial Plastic Surgery Questions and Answers: Part 5

Question: what type of procedure would you suggest I need for more definition between neck & face?Answer: The noninvasive treatments you were recommended are not going to be of any benefit for you. It is very important to understand that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in your neck. From these photographs presented, it appears that most of your fat is …

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Facial Plastic Surgery Questions and Answers: Part 4

Question: Can I have rhinoplasty under general anesthesia with TMJ?Answer: Yes, it’s certainly possible to undergo a rhinoplasty with TMJ. In our practice, we do not intubate patients, rather we use an LMA. Question: I’m just wondering what kind of rhinoplasty I’d be a good candidate for?Answer: The one limited photograph demonstrates an overly projecting nose and under projecting chin. A closed rhinoplasty approach can accomplish decreasing the overall projection of the nose, shaving down …

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Facial Plastic Surgery Questions and Answers: Part 3

Question: Will the leftover filler affect the rhinoplasty since it is a closed rhinoplasty?Answer: The filler placed in the nose after nine months will probably not affect the results of your rhinoplasty procedure. If you think there’s still a significant amount leftover in your nose, then have it reversed by the person who placed it there in first place. A closed rhinoplasty just means all the incisions are placed on the inside of the nose. …

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Facial Plastic Surgery Questions and Answers: Part 2

Question: Am I a revision rhinoplasty candidate?Answer: Best to wait at least one year before undergoing a revision rhinoplasty. A closed rhinoplasty approach can accomplish straightening the nose and reducing the hanging columella present. All of the incisions are placed on the inside of the nose. No external incisions are required. Also important to know if there is any cartilage left over on the inside of your nose for grafting purposes since you may need …

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Facial Plastic Surgery Questions and Answers: Part 1

Question: Will a facelift help minimize the appearance of wrinkles on the cheeks?Answer: To properly evaluate your face, a full set of facial photograph from all angles are required. A surgical face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting in the jowls, and removing any fat deposits in the neck which also includes a platysma plasty to significantly improve the jawline. A surgical facelift improves …

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