The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

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 located below your platysma muscle, which is going to require a neck lift procedure to surgically extract the fat below the muscle, and also includes a platysma plasty to significantly improve your jawline. Liposuction is also performed, however, liposuction can only remove the fat deposits above the Muscle. You when patients have a recessive chin profile, we also recommend a chin implant when necessary which helps improve the jawline.

Question: Is additional Lipo & microneedling needed for Facetite?
Answer: First of all, non-invasive treatments are going to be a waste of time for you. You have significant fat deposits located both above and below your platysma muscle in the neck. Liposuction alone can only remove the fat deposits above the muscle. A surgical neck lift is going to be required to remove the fat above the muscle, with liposuction and surgical removal of the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. Non-invasive treatments cannot do anything for these issues. At age 34, you do not have a skin tone issue.

Question: Would it be possible to fix my nose?
Answer: There appears to be a mild poly beak deformity present in the lower third of the nasal bridge. This could be related to residual cartilage left over from previous plastic surgery, or thick skin with scar tissue present. Surgery is required to remove excess cartilage, and steroid shots are used to reduce the thick skin.

Question: What type of facial surgery would I benefit most from?
Answer: Consider performing just an upper blepharoplasty to remove the hooded and excess skin on your upper lids. This procedure can be done under local anesthesia as an outpatient procedure, which takes about 30 minutes. You are really not ready for a facelift yet at such a young age.

Question: Would I benefit from a radix graft to help my profile?
Answer: You do have a low radix, so a radix graft may be of some benefit. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, refining the nasal tip, and adding a radix graft if necessary. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either.

Question: Chin Liposuction Candidacy, Surgeon Qualifications, and Seamless Results?
Answer: The photographs demonstrate two compartments of fat in your neck, which include deposits of fat located both above and below the platysma muscle, in addition to a very recessive chin, which compounds the issues. You’re going to require placement of a chin implant to augment your recessive mandible forward, and a neck lift procedure. A neck lift accomplishes removal of the fat deposits above the muscle with liposuction and surgical extraction of the fat deposits below the muscle, which also includes a platysma plasty to significantly improve your jawline. Liposuction alone will not be very effective.

Question: I have a really bad jawline/chin the side but fine in the front. What can I do about it?
Answer: The side profile photographs demonstrate the recessive chin profile for which a chin implant can improve. The chin, the mandible, and the implants are three-dimensional, and the augmentation occurs in all three dimensions. Most of the augmentation occurs in the forward projection, but there’s also some additional width and very small amount of vertical height that occurs. Chin implants can be placed through a small incision underneath the Chin under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

Question: Am I a good candidate for genioplasty?
Answer: You are a candidate for a genioplasty if your teeth are significantly out of alignment. A genioplasty is performed in a hospital, setting under general anesthesia with an overnight stay at the hospital, and is much more invasive. If you’re looking for a simple cosmetic augmentation to your chin, then consider placement of a chin implant which can be performed undeer local anesthesia, which takes about a half an hour as an outpatient procedure.

Question: Best way to slim my face and double chin?
Answer: The side profile photograph demonstrates a recessive chin profile and only minimal fat deposits in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. Liposuction of the minimal fat deposits in the neck will probably be unnecessary.

Question: Should I do a mini face and neck lift or something else?
Answer: A mini facelift is not going to address the issues in your neck. To address the issues in your neck is going to require a neck lift procedure. You’re also appear to have Jowls, therefore, a face and neck lift is going to probably be required. Mini facelift give mini results.

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Plastic Surgery Center

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