Rhinoplasty Topics of Discussion

Question: Can nose columella be raised using closed rhinoplasty? Is it an easy fix?
Answer: The photographs demonstrate hanging columella with a scar present from the previous open rhinoplasty. A closed rhinoplasty approach can accomplish reduction of the hanging columella by removal of excess skin and cartilage from that area with incisions placed completely on the inside of the nose. This will help camouflage the obvious open rhinoplasty scar that is present. For many examples, please see the link and the video below.

Question: Would my nasal bones need to be broken to correct my crooked nose?
Answer: Osteotomies placed in the nasal bones are required when the Nasal bones are crooked, as demonstrated in the second photograph. A cartilaginous spreader graft will be required to be placed underneath the concave upper- lateral cartilage in the mid portio of the nose. Conservative cartilage removal/ Cartilage grafting may be required in the nasal tip to make sure that tip itself is symmetric matching the rest of the nose. A septoplasty is performed in the back of the nose to improve airflow dynamics, does not change the shape of the nose.

Question: I just want cosmetic improvements. Septoplasty vs Rhinoplasty?
Answer: A Septoplasty is performed in the back of the nose to improve airflow dynamics, and does not change the outside appearance of the nose. To straighten the Crooked nose requires a closed rhinoplasty. This involves strengthening the nasal bones and upper lateral cartilages with osteotomies and a spreader graft placed on the concave side. The dorsal hump can also be shaved down as well and the tip refined slightly. All incisions are placed on the inside the nose. No external incisions are required. Digital computer imaging be helpful to understand what can be accomplished with your nose upon your facial features.

Question: What should I fix to achieve a more feminine/refined nose through rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish straightening the nose, refining the nasal tip, shaving down the dorsal hump, and reducing the hanging columella with all the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging would be helpful to understand what can become with your nose on your facial features.

Question: Is chin liposuction generally done in office with a local anesthesia and no sedation?
Answer: Much more information is needed, such as your age and the status of the skintone in your neck. The skintone in the neck will be the determining factor as to which procedure will need to be performed. From the very limited photographs, there’s a significant amount of fat above and below the platysma muscle in the neck. Liposuction can accomplish some improvement of the fatty deposits above the Platysma muscle, however a surgical neck lift is required to remove the fat deposits below the muscle in addition to a platysma-plasty. kid this skin tone of the neck is poor, and you’re over 50 years of age, then a lower face and neck lift will need to be performed under general anesthesia. A Standalone neck lift is performed under general anesthesia, while simple liposuction can be performed under local anesthesia.

Question: Do I need a revision rhinoplasty for bump in the middle of my nose?
Answer: The limited photographs do demonstrate residual dorsal hump. Best to wait at least 10 to 12 months before undergoing another revision to allow full healing to occur before embarking on another procedure. In the meantime, best to follow up with your operative surgeon, if possible.

Question: Do I need an alar base reduction?
Answer: When making the decision to perform an alar base reduction, a frontal photograph is required to determine the width of the nostrils. From the limited side photographs, there appears to be a hanging columella, which can be addressed with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Why is my nose wider post rhinoplasty and will rasping be enough?
Answer: Much more information is needed such as a copy of your operative report to find out what was accomplished during the primary rhinoplasty procedure. Rasping the dorsum of the nose will only address some minor irregularities along the bridge line. Rasping bridge line will not reduce the width of the nose. We perform most of these touch-up procedures and brief general anesthesia for patient safety and comfort.

Question: Is my nose too short for my face post Rhinoplasty?
Answer: The noses of three-dimensional structure, so a full set of before and after photographs from all angles are required to make a determination about your results. It’s also important to wait at least one year to allow full healing to occur before embarking on another procedure.

Question: Are chin length and lip size factors in determining how a nose is shaped during rhinoplasty?
Answer: When performing a rhinoplasty procedure, all the components of the nose must be balanced with themselves, and the entire new nose must balance with patient’s facial features. The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. Choose your surgeon wisely based upon extensive experience.

Question: Should I get a revision rhino? Will it look natural?
Answer: A revision rhinoplasty can improve the nose, but it may not be perfectly straight. There is no perfect nose. It’s also important to know how much cartilage is left over on the inside of the nose for potential grafting purposes. A thorough internal and external examination of the nose going to be required to make a determination about how best to proceed with both a cosmetic and functional component of your nose. Choose your second surgeon wisely based on extensive experience producing natural results. The chronic postnasal drip will not be improved with a Rhinoplasty procedure.

Question: Is it possible to reduce the projection of the nose tip while keeping the front view the same?
Answer: A Full set of facial photographs and in-person examination going to be required to make a determination about how best to proceed with a rhinoplasty procedure. The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure.

Question: Would a nose job make me look better?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and lifting the nasal tip. All of the incisions are placed on the inside of the nose. If you’re wanting to narrow the nostrils, then an alar-plasty procedure is performed to accomplish that. The incision is located directly at the floor of the nostrils. For more information and many before-and-after examples, please see the link and the video below.

Question: What could be done to change the overexposed nostrils?
Answer: The photograph is rather limited, however it is difficult to tell whether not there is a hanging columella present or retracted nostrils, or both. A columella-plasty accomplishes bringing in the columella in relationship to the nostrils. Nostril retraction is best treated with composite skin/ cartilage grafts harvested from the ear. For more information and many before-and-after examples, please see the link and the video below.

Question: How can the small bump on one side of nose after rhinoplasty be fixed?
Answer: It’s important to follow up with your operative surgeon to manage expectations. If there is a permanent small bump present after one year, that can be addressed with a minor touchup procedure revision rhinoplasty.

Question: Will having a septum piercing get in the way of a non surgical-rhinoplasty? 
Answer: Septal piercing will not get in the way of non—surgical nose job. In our practice, we do not recommend non-surgical nose job especially in the tip of the nose since it is only temporary, and can have rare but significant complications such as skin necrosis. It is also not FDA approved for that application. Consider a surgical rhinoplasty to permanently lift the nasal tip.

Question: Would I be able to get a rhinoplasty if I’m taking a low dosage of diclofenac?
Answer: These type of medicines are blood thinners, and the nose has lots of blood vessels in it, so it’s important to be off the medications for two weeks before AND two weeks after the procedure. Additional bruising can occur along with a severe nosebleed which will require nasal packing which will significantly complicate the healing process after elective cosmetic nasal surgery. Consider switching over to Celebrex or Tylenol as an anti-inflammatory medication. These medications will not interfere with bleeding. Always best to check with your operative surgeon. Rhinoplasty is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery, so don’t try to complicate it even further with blood thinning products.

Question: How can I get a very beautiful front profile and make it look like my other angles?
Answer: A closed rhinoplasty procedure can accomplish narrowing the wide nose with a combination of techniques to refine it. Osteotomies can accomplish narrowing the nasal bones, while conservative cartilage removal and suture techniques can accomplish narrowing the wide nasal tip. Digital computer imaging be helpful to understand what can and cannot be accomplished with procedure upon your facial features.

Question: Would I benefit from and am I a good candidate for an open septoplasty?
Answer: A septoplasty is usually performed closed with a small half inch incision on the inside of the nose. A septoplasty is only performed to improve airflow dynamics in the back of the nose. To straighten the external component of the nose requires a cosmetic rhinoplasty. Both procedures can be performed together under one anesthesia with one recovery period. Rhinoplasty for the crooked nose is a very difficult endeavor, so choose your surgeon wisely based on extensive experience.

Question: Can a rhinoplasty fix/alter my radix/glabellar area?
Answer: A closed rhinoplasty procedure can accomplish adding a cartilage graft to the radix, in addition to decreasing the overall projection of the nose and refining the nasal tip and bridge line with all the incisions placed on the inside of it. No external incisions are required. Consider placement of a chin implant for the weak and recessive chin profile, which will help with better facial balance and proportions. For many examples, please see the link and the video below.

Question:  How much Juvederm is used for a non surgical nose job and dermal filler?
Answer: Non-surgical rhinoplasty involves placement of fillers in the nose which temporarily makes the nose bigger, not smaller. It’s also not FDA approved for the application and can have significant complications such as skin necrosis. Consider a surgical rhinoplasty to make permanent changes you desire to your nose. This can be accomplished with a closed rhinoplasty approach with all incisions placed on the inside of the nose.

Question: In addition to rhinoplasty, how to balance facial profile? Would a jaw or chin implant be appropriate?
Answer: The photograph is rather limited, however it appears there is a mild recessive chin present for which a chin implant can improve. Placement of a chin implant augments the chin forward for better facial balance and proportions, especially from the side profile with respect to be overly projecting nose. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, and narrowing the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging from the front, side, and three-quarter profile would be helpful to understand what can be accomplished with a rhinoplasty and a chin implant upon your facial features. Rhinoplasty is a very difficult endeavor, so choose your surgeon very wisely based on extensive experience.

Question: Dog hit my nose after rhino and septoplasty. Will I need another surgery?
Answer: Since it’s only been three weeks after your rhinoplasty and septoplasty procedure in addition to the trauma, the nose is very swollen so it’s impossible to make any determination about whether the noses dislocated / crooked or not. Best to wait a couple of months and that to make a final determination once the swelling has subsided.

Question: Is this a tension nose?
Answer: From the one limited photograph, there is an overly projecting those due to the over projection of the cartilaginous septum and nasal bones. There’s also a hanging columella and a prominent nasal spine. There may be some tension on the nose due to this anatomy. A full set of pictures and in-person examination going to be required to make a determination about how best to proceed. Digital computer imaging would also be helpful as well to understand what can be accomplished with a closed rhinoplasty procedure. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience.

Question: What procedures would I need to have a nose like Brad Pitt?
Answer: It is impossible to give someone a celebrity nose. A full set of unadulterated facial pictures from all angles are required to make a determination about how best to proceed with your nose. It’s also important have very specific goals in mind what you’re trying to accomplish with the rhinoplasty procedure, such as narrowing the tip, narrowing the bridge and shaving down a dorsal hump. All of this can be accomplished with a closed rhinoplasty approach under general anesthesia as an outpatient surgical procedure. Digital computer imaging would be helpful to understand what can be accomplished with the procedure upon your nose and facial features. It’s also important to have very realistic expectations, since you will not get a celebrity nose.

Question: How can I improve my side profile?
Answer: From the one limited photograph, it appears that there’s an overly projecting nose with a dorsal hump, and a mildly recessive chin. Consider a closed rhinoplasty approach to shave down the dorsal hump, refine the nasal tip and narrow the bridge line with all the incisions placed on the inside of the nose. A small chin implant can be placed through a submental approach which will help with facial balance and proportions, especially from the side profile with respect to the nose.

Question: Open or closed septorhinoplasy with turbinate reduction?
Answer: A closed rhinoplasty approach can accomplish your goals of straightening your deviated septum, straightening the nasal bones, and performing turbinate surgery. No external incisions are required. No painful packing is required either.The open versus closed debate is only about the approach on how the surgeon gets into the nose, not what is performed internally. Study your prospective surgeon’s before and after photo gallery which should be extensive, since this is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery. Please see the link below to our Closed rhinoplasty photo gallery for crooked nose repair.

Question: What do I need done for rhinoplasty, open or closed? Am I a lip lift candidate?
Answer: The photographs demonstrate an overly projecting nose, and an under projecting chin. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line, refining the nasal tip and placement of spreader grafts under the concave upper lateral cartilages in the midportion of the nose. These concave upper lateral cartilages create a hourglass effect. Consider placement of a chin implant to augment the chin Forward to help with better facial balance and proportions, especially from the side profile with respect to the overly projecting nose.

Question: Is it possible for me to achieve this kind of nose?
Answer: It is impossible to give you someone else’s nose. Digital computer imaging of your nose upon your facial features would be helpful to understand what can and cannot be accomplished with the procedure. Thick skin in the tip of the nose prevents refinement in that area, so it is important have realistic expectations with the procedure. The limited photographs demonstrate an overly projecting nose with a dorsal hump and wide tip which can all be addressed with a closed rhinoplasty procedure. There also appears to be a recessive chin profile present, so it is important to consider placement of a chin implant to augment the chin forward for better facial balance and proportions, especially from the side profile with respect to the overly projecting nose.

Question: Is my nose so big? Maybe I need to lose weight?
Answer: The limited photograph demonstrates an overly projecting nose and an under projecting chin. A rhinoplasty procedure can accomplish shaving down the dorsal hump and decreasing the overall projection of the nose. A chin implant can Augment the chin forward. Weight loss would help with the fatty deposits in the neck. It is important to make sure your BMI is less than 34 before undergoing elective cosmetic surgery.

Question: How can you reduce a nose hump without an injection (rhinoplasty) and without surgery?
Answer: The nasal hump is composed of bone and cartilage, and it takes a surgical rhinoplasty to shave the hump down. Osteotomies performed in the nasal bones will then be required to close the open roof created from the hump removal and straighten the nose. All this can be accomplished with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. The side profile photographs also demonstrate a recessive chin profile for which a Chin implant can improve. For many examples of this combination, please link and the video below.

Question: Over one year after rhinoplasty, and my nose looks BIGGER from the front and points down when I smile. What should I do?
Answer: Much more information is needed such as copy of your operative report find out what maneuvers were accomplished during your primary rhinoplasty procedure. Thick skin in the tip of the nose prevents refinement, so steroid shots may have be of some benefit. Always best to follow up with your operative surgeon. To lift the tip statically requires a tip-plasty. To prevent the tip of the nose from drooping requires releasing of the depressor septi ligament. Osteotomies accomplish narrowing upper two thirds of the nose.

Question: Is scar tissue worse after a revision rhinoplasty? Is there a higher chance of my nose warping, knuckling or looking fake?
Answer: Revision rhinoplasty is more complicated than a primary Rhinoplasty due to the fact that there is scar tissue present and previous alterations to the normal anatomy. Choose your second surgeon wisely based on extensive experience producing natural results. In addition to board certification, look at reviews, testimonials and ratings of your surgeon. Study your prospective surgeon’s before and after rhinoplasty photo gallery, which should be extensive.

Question: What are the benefits of revision rhinoplasty with nano fat?
Answer: There is no fat in the nose, just skin, bone, and cartilage. Fat offers no structural support to the nose, and cartilage grafting is the mainstay treatment when needed for revision rhinoplasty.

Question: When treating external valve collapse, do the grafts give the nose tip a boxy, flare-like appearance?
Answer: A full set of pictures and an in-person examination be required to make a determination about static and dynamic valve collapse in the nose. There are a variety of grafts it can be used to treat this issue such as spreader grafts, batten grafts, and alar rim grafts.

Question: Would a revision rhinoplasty make my nose better for my face?
Answer: Revision rhinoplasty is more difficult than a primary rhinoplasty due to the fact that there’s been previous alterations to the normal anatomy and scar tissue present. There is no perfect nose, and it’s very important to have realistic expectations. There is always risk versus reward benefit ratio must be entertained. A full set of photographs from all angles are required to make a determination about how to proceed, since the nose is a three-dimensional structure and rhinoplasty is performed in all three dimensions. Digital computer imaging would be helpful in the communication process to understand what can be accomplished with your nose upon your facial features.

Question: Can a steroid injection help with swelling 3 years after rhinoplasty?
Answer: Yes, a steroid shot can have some beneficial effect in the tip of the nose if there’s continued swelling, scar tissue and thick skin present in the tip of the nose. Placement of the steroid shots is usually best performed in the first six months after the procedure for maximum benefit.

Question: Is there a high success rate of alar grafts to treat external valve collapse? Do the cartilage grafts provide support forever?
Answer: A full set of pictures and in-person examination are going to be required to make a determination about which type of cartilage grafts to place for static and dynamic valve collapse in the nose. Spreader grafts, alar rim grafts, and alar batten are all commonly used when necessary.

Question: Can I have rhinoplasty 1 week after lipo?
Answer: From the numbers presented, it appears that your mildly anemic, you may want to consider waiting a month or so to build up your blood count. If you should have a real nosebleed complication, this could be life-threatening.

Question: Am I a candidate for a liquid nose job?
Answer: In our practice, we do not recommend liquid nose jobs since placement of filler in the nose only makes the nose bigger, not smaller. It’s only temporary, and is not FDA approved for that application. Skin necrosis is also significant complication that can occur. A surgical closed rhinoplasty can accomplish lifting the drooping tip, straightening the bridge line and adjusting the nostrils with all the incisions placed on the inside of the nose. No external incisions are required. No painful packing is required.

Question: Can I reduce my nose which has gotten bulbous and wide to what it was like a couple years ago?
Answer: A closed rhinoplasty approach can accomplish narrowing the nasal tip and the bridge line. Thick skin in the tip of the nose will prevent refinement in that area. It’s also important to have realistic expectations. A full set of pictures are required, since the nose is a three-dimensional structure, and rhinoplasty is performed all three dimensions.

Question: Will nose filler look good or will I need a rhinoplasty?
Answer: In our practice, we do not recommend fillers placed in the nose because they will only make the nose bigger, not more refined. They are also temporary, And it’s important to understand that they do have risks associated with them such as skin necrosis. There also not FDA approved for that application. A surgical closed rhinoplasty can accomplish narrowing the bridge line, slightly lifting the nasal tip, and narrowing the nasal tip cartridges as well.

Question: What procedures would I need to achieve my desired results?
Answer: A full set of facial photographs from all angles is going to be required to make a determination about how best to proceed, since the nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. To narrow the bridge line requires osteotomies placed in the nasal bones. Augmenting the bridgeline may be helpful as well. To narrow wide nostrils requires in an alar-plasty.

Question: If my nostril shuts when I breathe in, starting from the base of the nostril, where and what graft would be placed?
Answer: A thorough internal and external examination of the nose at rest and with inspiration is going to be required to make a determination about how best to proceed. Static and dynamic collapse are two different issues. Internal and external valve collapse are also two different issues.

Question: Follow-up: Will an alarplasty make my wide nose look better?
Answer: Probably best to wait at least 6 to 9 months before making a determination about narrowing the nostrils with an alar-plasty, since there’s still swelling in the nose. An alar-plasty simply narrows wide nostrils, that’s it.

Question: I’m 10 days pre-op and I have a headache. I usually use Excedrin Migraine, it has 500mg aspirin. Is this okay, close to surgery?
Answer: In our practice, we ask patients to avoid aspirin for two weeks prior to nasal surgery to prevent a nosebleed. Always best to check with your surgeon.

Question: Is this rhinoplasty fixable?
Answer: More information is needed such as the length of time since your primary rhinoplasty, and a copy of the operative report. The swelling in the tip of the nose may be due to thick skin or residual cartilage, which must be determined at the time of examination/ consultation. Revision rhinoplasty is more difficult than primary rhinoplasty, so It is important to choose your surgeon wisely based on extensive experience.

Question: Should I get a chin implant or a nose job or should I get both?
Answer: The nose, and the chin are three-dimensional structures, therefore a full set of facial photographs are required make a determination about how best to proceed. The side profile photograph demonstrates a recessive chin profile for such an implant can improve significantly. Augmenting the chin forward will help with better facial balance and proportions, especially with respect to the nose. From the side profile, your nose appears very nice, but that’s only from one limited photograph.

Question: Should I get a rhinoplasty revision? Will more swelling go down?
Answer: For the first one year, it’s important to follow up with your operative surgeon for management of the fluid retention and soft tissues of the nose, especially the nasal tip. Steroid shots may be of some benefit along with taping at night. It’s also important to wait close to one year before undergoing a revision rhinoplasty allow full healing to occur before embarking on a revision.

Question: If I add height back to my bridge in my revision rhinoplasty, how will that change my frontal view of my nose?
Answer: A full set of facial photographs from all angles and an in-person examination going to be required to make a determination about how best to proceed. Revision rhinoplasty is more difficult than a primary rhinoplasty due to the fact that there’s been previous alterations to the normal anatomy, scar tissue present, thick skin, and over resection of the bridge line. It’s also important to know how much cartilage is left over on the inside of the nose for grafting purposes to build up the bridge. Building up the bridge of the nose will be most evident visually from the side profile, not the frontal profile.

Question: Is nonsurgical rhinoplasty a good option to reshape my nose and make it smaller?
Answer: No, a non-surgical rhinoplasty involves placement of fillers in the nose to make it bigger, not smaller. They are also temporary, and are not FDA approved for that application, and can have significant complications such as skin necrosis. To make the nose smaller requires a surgical rhinoplasty procedure.

Question: Can I narrow my alar base and reduce my tip without manipulating my nose bridge?
Answer: An alar- plasty accomplish narrowing the nostrils. Thick skin in the tip of the nose will prevent refinement of the tip cartilages in that location. It’s important to have realistic expectations with thick nasal skin.

Question: Can I get my nose septum fixed under local anesthesia?
Answer: The last 25 years, we have performed all septoplasty and rhinoplasty procedures under general anesthesia with a board-certified physician anesthesiologist for patient safety and comfort. Trying to perform a rhinoplasty and a septoplasty under local anesthesia is a very bad idea. It will be extremely painful, uncomfortable, and you could risk aspirating blood into your lungs.

Question: What can be done about bump getting bigger on nose bridge?
Answer: The hump is composed of both bone and cartilage which must be shaved/filed down in order to remove it. This usually requires general anesthesia. When the bump is large enough, this may create an open roof deformity, and therefore osteotomies going to be required to close the open roof created from the hump removal.

Question: Can a rasping correct growing callus and asymmetry 12 years post rhinoplasty?
Answer: The photographs demonstrate significant asymmetrical nasal bones, along with a large dorsal hump on the patient’s right side in addition to collapsed upper lateral cartilage more so on the right than the left. The collapsed upper lateral cartilage makes the dorsal hump look bigger than it really is. A full revision rhinoplasty will be required to not only shave the dorsal hump down, but osteotomies are then going to be required to close the open roof created from the hump removal itself. Spreader graft placement will also be required to augment the collapsed upper-level cartilage. It’s important to know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: I am candidate for non surgical nose job, or should I have revision rhinoplasty?
Answer: A revision rhinoplasty is required to straighten the crooked/ broken nose and shaved down the dorsal hump. A septoplasty is required to improve airflow dynamics in the back of the nose if it is crooked blocking breathing.

Question: Doctor suggested using cartilage sent from a lab to be placed in nose. Would my nose reject cartilage that’s not mine? 
Answer: Nasal cartilage is always the primary grafting source when performing a revision rhinoplasty procedure. It’s important to know how much cartilage left on the inside of the nose for grafting purposes. If there is a cartilage depleted nose, then consider ear cartilage.

Question: Can spreader grafts can be removed safely and will the bridge go back to how it was?
Answer: While the spreader grafts certainly can be removed, the original nose was too narrow, therefore a partial removal may be helpful. Also important to address the asymmetry in the mid-vault of the nose as well.

Question: Can cheek implants create a hollow cheekbone look? If so, what implant would be best for the look below?
Answer: No, cheek implants simply augment the existing maxilla. Cheek implants are manufactured in large array of thicknesses, sizes, and shapes. The Diagrams presented in the photographs are not where the cheek implants are placed. They are placed directly over the maxilla closer to the nose in the mid-face.

Question: My nose is very bulbous and fat with thick skin can I have a prettier nose by doing rhinoplasty?
Answer: Thick skin in the tip of the nose prevents refinement in that area, but there are some improvements that can be made to your nose. It’s important have very realistic expectations thick skin. Choose your surgeon wisely based on extensive experience, since rhinoplasty is a very difficult endeavor.

Question: I am looking into rhinoplasty, facelift, and necklift. I have braces, how will that affect my recovery?
Answer: Much more information is needed, such as your age, and a full set of facial photographs from all angles. A closed rhinoplasty approach can accomplish making the required changes to your nose with all incisions placed on the inside of it. No external incisions are required. Braces will have no effect with a rhinoplasty or any other facial cosmetic surgery. A neck lift is a component of a facelift in our practice.

Question: One year post surgery and still too big. What should I do?
Answer: Thick skin is a significant impediment to seeing refinement in the nasal tip, so it is very important have realistic expectations. You can also follow-up with your operative surgeon for steroid shots and taping which can be of some benefit. An alar-plasty can accomplish narrowing wide nostrils. This procedure can be performed under local anesthesia. The side profile photograph also demonstrates a recessive chin profile for which a chin implant could improve facial balance and proportions, especially from the side profile with respect to the overlying projecting nose.

Question: Follow-up question: Is transconjunctival skin pinch canthopexy to left eye and transposition to both eyes still valid?
Answer: The primary goal for upper eyelid surgery is to remove excess skin creating the hooded look and a small amount of fat on the inner corners next in the nose. The Incision is located in the upper eyelid crease. The primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look through a trans- Conjunctival incision on the inside of the lower lids.

Question: Would you perform a revision or leave it be?
Answer: The photographs presented look like a very natural nose. If you were to do a revision, the amount of change would be pretty insignificant. There’s a bit of a hanging columella can be reduced but the overall nose looks very nice in the photographs. An in-person examination would be required to make any better determination.

Question: Is this goal photo a realistic rhinoplasty goal?
Answer: The photograph on the left shows an overly projecting nose, and an under projecting chin. A rhinoplasty procedure can accomplish decreasing the overall projection of the nose and shaving down the dorsal hump, but it is important to keep it natural looking. Consider placement of a chin implant to augment the chin forward which helps facial balance and proportions, especially from the side profile.

Question: My nose is too thin after rhinoplasty, is it possible to make my tip bigger?
Answer: It is possible to make the nose wider with a revision rhinoplasty procedure, but it is important understand this is more difficult due to the fact that there has been previous alterations to the normal anatomy and scar tissue formation. It is very important to know how much cartilage is left over on the inside of the nose for potential grafting purposes. The previous operative reports would also be helpful. Spreader graft placement in the midportion of the nose will help with widening that area.

Question: I want a small upturned nose. Is that possible?
Answer: There are limitations to what can be accomplished with a rhinoplasty procedure based upon your pertinent anatomy of your skin, bone, and cartilage. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished. 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.

Question: When can I start wearing makeup on my nose after rhinoplasty and alarplasty?
Answer: In our practice, we perform closed rhinoplasty with the incisions placed on the inside of the nose. Patients are able apply makeup at any time after the surgery. After a rhinoplasty procedure, anticipate a cast applied across the nose for one week, and visible bruising and swelling for two weeks. You will not be ready for a wedding at eight days after a rhinoplasty procedure.

Question: Can I get a revision at 9 months due to polly beak at 2 months post rhinoplasty?
Answer: It’s very important to know what is causing the Polly beak, is it thickened skin with fluid retention and scar tissue, or is it residual cartilage? A physical examination of the nose is required to make a determination about how best to proceed. Steroid shots control swelling in the tip of the nose, while revision surgery can shave down residual cartilage.

Question: How can I reduce internal scar tissue after a rhinoplasty surgery?
Answer: Revision Rhinoplasty is more difficult than a Primary Rhinoplasty, especially after 3 rhinoplasty procedures. A thorough internal and external examination of the nose will be required to determine the thickness of the skin and the extensive scar tissue formation. Always best to have copies of the operative reports to know what has occurred on 3 previous procedures. Steroid shots mixed with 5-FU can also be helpful to reduce scar tissue.

Question: Is a radix graft enough for Asian rhinoplasty?
Answer: Is a radix graft enough for rhinoplasty the dorsal augmentation needs to occur at more than just the radix itself. Cartilage grafts harvested from inside the nose can accomplish Augmenting the entire bridge line including the radix.

Question: Why is everyone so afraid of partial removal of problematic submandibular glands in fixing cobra neck deformity? 
Answer: A full set of pictures and in-person examination going to be required to make a determination about how best to proceed. The anatomy in the neck is extremely complicated which includes skin, muscles, and fatty deposits above and below the platysma muscle in addition to the submandibular glands. A partial resection of the submandibular glands can be accomplished along with a platysma plasty with permanent sutures to help with the cobra conformity.

Question: Will having septioplasty and rhinoplasty after an upper lip lift make the upper lip look crooked once the nose is straightened?
Answer: In our practice, we do not recommend a bullhorn lip lift due to the complications we have seen from patients who have had it done elsewhere. A closed rhinoplasty can accomplish straightening the nose, while a closed septoplasty can accomplish fixing the deviated septum in the back of the nose.

Question: What recommendations do you have to balance out my profile?
Answer: The limited photographs demonstrate an overly projecting nose, and an under projecting chin. Consider a closed rhinoplasty procedure to accomplish decreasing the overall projection of the nose, refining the nasal tip, and shaving down the dorsal hump with all the incisions placed on the inside of the nose. No external incisions are required. Also consider placement of a chin implant to augment the chin forward which will help with better facial balance and proportions from the side profile, since there’s an overly projecting nose. Digital computer imaging performed in the office setting would be helpful to understand what can be accomplished with both procedures upon your facial features. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience.

Question: Is it possible to have a rhinoplasty to make my nose more narrow but not change my shape too much?
Answer: Yes, a closed rhinoplasty procedure can accomplish narrowing the bridge and narrowing the tip. All incisions are placed on the inside of the nose. Other minor adjustments can also made to the bridge line if it’s asymmetric. Choose your surgeon wisely based on extensive experience, since rhinoplasty is a very difficult endeavor.

Question: Would I be a good candidate for a non surgical nose job to improve my profile?
Answer: In our practice, we do not recommend non-surgical rhinoplasty because it is not FDA approved for that application, is temporary, and can have significant complications such as skin necrosis. Consider a closed rhinoplasty approach to address all of your concerns with all incisions placed on the inside of the nose. No external incisions are required.

Question: This is my rhinoplasty post 1 year. Still bulbous and not refined. Advice?
Answer: Revision rhinoplasty is more difficult than primary rhinoplasty due to the fact that there is scar tissue present, fluid retention and the tip of the nose, and previous alterations to the normal anatomy. Follow up with your operative surgeon for steroid shots if there is thick skin still in the tip of the nose.

Question: Do you think rhinoplasty could fix my oversized nasal features?
Answer: A closed rhinoplasty approach can accomplish lifting the tip, shaving down the dorsal hump, and making the nose more proportional to your facial features. It’s very important to release the depressor septi ligament which pulls the tip down dynamically when smiling.

Question: What are the treatment options for my leaning nose?
Answer: When the nose is crooked, it requires a surgical rhinoplasty procedure to accomplish straightening the nasal tip, the midportion of the nose, and the nasal bones. A closed Rhinoplasty approach can accomplish these goals. In our practice , we do not recommend non-surgical rhinoplasty because it is not FDA approved for that application, is only temporary, and can have significant complications such as skin necrosis.

Question: Is my nose tip too high after rhinoplasty?
Answer: Full healing takes 1 year, so it is really difficult to tell if the nose is over rotated or not at this point. Best to follow up with your operative surgeon for steroid shots and taping to reduce the swelling in the tip of the nose. Revision rhinoplasty can be entertained at 1 year if the nose is over rotated.

Question: Should my nasal bone be rasped down or do I need an osteotomy since I can feel the bone protruding?
Answer: It is very difficult to tell from the photographs what needs to be accomplished for the revision rhinoplasty procedure. If there’s a small dorsal hump, this can be shaved down. If the bone itself is drifted outwards, then an osteotomy is going to be performed. This can be accomplished with a closed rhinoplasty approach with all incisions placed on the inside of the nose. Revision rhinoplasty is more difficult than a primary rhinoplasty, therefore an in-person examination going to be required.

Question: Is there any way to lift the bottom of my nose (septum) as it hangs really low?
Answer: A full set of facial/nasal photographs are required from all angles to make a determination about how best to proceed. If you’re talking about a hanging caudal septum, this can be reduced with a columella-plasty. It’s also important to release the depressor septi ligament which pulls the tip down when smiling. For before and after rhinoplasty many examples, please see the link and the video below.

Question: Rhinoplasty or chin implant? What do you think would make the most positive impact?
Answer: The photographs demonstrate an overly projecting nose with the dorsal hump, and a recessive chin profile. A closed rhinoplasty procedure can accomplish Shaving down the dorsal hump, refining the nasal tip, and narrowing the bridge line with all the incisions placed on the inside of the nose. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions, especially from the side profile with respect to the overly projecting nose. Both procedures can be performed together or separately. Perform the procedure for the issue that’s bothering you the most, whether it’s the chin or the nose.

Question: One year after rhinoplasty supratip is still puffy and right side of nose is more defined then the other. How can I tighten it?
Answer: From the photographs presented, it appears that there’s thick skin in the tip and the supratip area of the nose. Consider going back to your original surgeon for steroid shots to be placed in the supratip area for better refinement. Try taping at night as well.

Question: Is it possible to get my nose similar to the picture posted?
Answer: Revision rhinoplasty is more difficult than a primary rhinoplasty, due to the fact that there’s been previous alterations the normal anatomy and scar tissue formation. It is very important to have realistic expectations about what can and cannot be accomplished with the procedure. The small dorsal hump it’s present can be shaved down, and the hanging columella reduced. And in-person examination is going be required to make a determination about how much de-rotation can be accomplished with the procedure. Consider a chin implant to augment the chin forward to help with facial balance and proportions, especially with respect to the projection of the nose from the side profile.

Question: What procedures are best to enhance my overall looks? I certainly want sharper and slimmer face.
Answer: The photographs from the side profile demonstrate an overly projecting nose, and an under projecting chin. Consider the combination of rhinoplasty performed with a chin implant for better facial balance and proportions.

Question: How can I correct my bulbous tip without creating a more upward turned nose?
Answer: Suture techniques and conservative cartilage reduction can accomplish reduction in the bulbous nasal tip. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience.

Question: What kind of surgery can make my face look better?
Answer: In the plastic surgery business, we usually ask the patient what is bothering them the most. From the limited photographs presented, there appears to be a nose that’s slightly out of proportion for the rest of your facial features. Consider a closed rhinoplasty approach to refine the wide tip and the bridge line. A full set of pictures and all angles of the face are going to be required to make a determination about how best to proceed.

Question: Nasal implant (gore tex) extrusion, will it happen again with the revision?
Answer: In our practice, we do not recommend Gore-Tex implant to the nose due to the fact that it has a high propensity for infection and extrusion. It is probably best to wait at least 1 year before undergoing a revision rhinoplasty with cartilage grafting to build up the bridge of her nose. Cartilage grafting techniques have a much lower incidence of infection, and also best to be on antibiotics for a revision rhinoplasty.

Question: One of my side of nose is indented and weaker, is it fixable and how?
Answer: The area that you’re describing on the nose is an inverted upper lateral cartilage is best treated with a spreader graft composed of the patient’s own cartilage. An onlay graft may also be required for the inverted concave cartilage in the tip area. The dorsal hump can also be removed and that bridge line straightened and narrowed with osteotomy’s. All this can be accomplished with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. No external incisions are required. For many before-and-after examples, please see the link and the video below.

Question: Would a non-surgical nose job help fix my bulbous tip and nostril size?
Answer: No, a nonsurgical rhinoplasty involves placement of fillers in the nose which are temporary, and will only make the nose bigger, not smaller. It’s also not FDA approved for that application, and can have significant complications such as skin necrosis. To reduce the size of the bulbous nasal tip requires suture techniques and conservative college removal applied to the nasal tip cartilages themselves with a closed rhinoplasty approach. Consider placement of a chin implant due to the recessive chin profile present which makes the nose look bigger than it really is.

Question: What procedures can I get done to enhance my face?
Answer: A closed rhinoplasty approach can accomplish narrowing your entire nose. To narrow the bridge line requires osteotomies, and an alar-plasty can accomplish narrowing wide nostrils.

Question: Will Rhinoplasty change my singing voice?
Answer: No, it will perform rhinoplasty should not affect your singing voice. Always best to ask that question to your operative surgeon as well.

Question: I have done rhinoplasty a few years ago. But my nose looks crooked. What can I do to make my nose look straight?
Answer: Revision rhinoplasty is more difficult than a primary rhinoplasty, therefore an in-person examination is going to be required to make a determination about how best to proceed. Osteotomies placed in the nasal bones can accomplish narrowing and straightening the bridge line. Cartilaginous spreader graphs can accomplish filling in the depressed areas in the midportion of the nose to help with collapse, breathing, and appearance in that area.

Question: Can I stop nursing, get a more permanent nonsurgical nose job like with Bellefil and then become pregnant again?
Answer: In our practice, we do not recommend non-surgical rhinoplasty for a long variety of reasons. Permanent fillers placed in the nose are also not a good idea. Th limited photographs demonstrate a large bony and cartilaginous dorsal hump, which can be permanently removed with a surgical rhinoplasty procedure. This can be accomplished with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. For more information about closed rhinoplasty, please see link and the video below.

Question: How would you fix my drooping nose tip after primary rhinoplasty?
Answer: The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions, therefore a full set of facial photographs from all angles are required to make a determination about how best to proceed. Revision rhinoplasty is more difficult than a primary rhinoplasty, so an in-person examination will be required.

Question: What can I do to get my nose closer to what it was?
Answer: Revision rhinoplasty is more difficult than a primary rhinoplasty due to the fact that there is scar tissue present, and previous alterations to the normal anatomy with Cartilage grafts present. From the very limited photographs, there appears to be a significant hanging columella and alar retraction. Both of these issues can be addressed with ta revision rhinoplasty. It’s important to know how much cartilage is left over on the inside of the nose for potential grafting purposes, especially if you’re trying to build up the bridge line.

Question: Am I a good candidate for a non surgical nose job?
Answer: A nonsurgical nose job will temporarily make the nose bigger, not smaller. It is also not FDA approved for that application, and can have significant complications such as skin necrosis. A surgical rhinoplasty can accomplish making the nose look more refined, feminine, and smaller. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience producing natural results.

Question: Is it possible to significantly reduce a large/bulbous nose tip with thick skin?
Answer: Thick skin is certainly an impediment to seeing refinement in the nasal tip, so it’s very important to have realistic expectations. When patients have thick skin in the tip of nose, they usually require several steroid shots to reduce the additional swelling in that thick skin as well for the first few months after the procedure.

Question: Will revision rhinoplasty with osteotomy solve my problem?
Answer: The photographs demonstrate a crooked nose with asymmetrical nasal bones that are wide and a residual dorsal hump. A closed rhinoplasty can accomplish straightening and narrowing the nasal bones with osteotomy’s and shaving down the residual dorsal hump. Choose your second surgeon wisely based on extensive experience,since revision rhinoplasty is more difficult than a primary rhinoplasty.

Question: Am I a good candidate for chin liposuction? I would like to improve my jawline and profile without rhinoplasty.
Answer: There is almost no fat in the neck. Consider performing a rhinoplasty to decrease the projection of the nose and shave down the dorsal hump. A chin implant procedure can accomplish augmenting the chin forward to help with facial balance and proportions, especially with respect to the overly projecting nose. Liposuction can remove h whatever minimal fatty deposits are present in the neck if this is really bothering you. For more information and many before-and-after examples, please see the link and the video below.

Question: Is it possible to slim/narrow down a bulbous nose without adding height to the bridge?
Answer: It’s important we at least one year before undergoing a revision Rhinoplasty to allow full healing to take place before embarking on another procedure.

Question: I had a lip lift (with a face/neck lift). The corners of my mouth now slope downward. Am I a candidate for a revision?
Answer: The lip lift you have had raised the central part of your upper lip, but not the outer corners. If you try to lift the outer corners, you’re gonna have visible scars present.

Question: 1.73cm, 80kg, male, 28 years old, brown skin – I want to know if have ptosis or not?
Answer: Your photographs are rather limited, but it does appear that you may have ptosis on your upper eyelids, which is a weakness of the eyelid muscle. Ptosis repair is usually performed by a ocular plastic surgeon. A cosmetic blepharoplasty procedure will not help with this issue.

Question: Different nasal sides after 2 rhinoplasties, can this be fixed?
Answer: There’s no perfect nose, and rhinoplasty can give some improvement, usually in the 85 to 95% range. Never 100%. You can consider placement of either a cartilage graft or a fascia graft to that area to try to make it look more symmetrical. A third rhinoplasty procedure is going to be less predictable than your first, so it’s important to have realistic expectations.

Question: I’ve had a few neck fusions and someday down the road will possibly need more. Would I be able to get Kybella?
Answer: From the limited photographs, there appears to be recessive chin profile for which a chin implant can improve. There is also significant fat deposits located above AND below the platysma muscle in the neck. To remove those fat deposits will require a neck lift procedure with a platysma plasty. If you are over age 50 and have loose and inelastic skin in the neck, then a lower face and neck lift is going to be required.

Question: I don’t like how big my nostrils are and fat around it. What would be the best surgery?
Answer: A full set of facial and nasal photographs from all angles are going to be 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. An alar-plasty is performed to narrow wide nostrils. The bulbous nasal tip is reduced with a closed rhinoplasty approach.

Question: Is jowl/jawline liposuction safe?
Answer: In our practice, liposuction of the neck is only performed underneath the mandible and into the neck. Never above the jawline. A neck lift procedure is required if there is fat deposits located below the platysma muscle which also included a platysma-plasty.

Question: Fluid behind eardrum after rhinoplasty?
Answer: Fluid behind your eardrum is related to eustachian tube dysfunction, which does not allow adequate aeration and pressure equalization like when you go up/down in an airplane. A rhinoplasty itself will not cause eustachian tube dysfunction. If there’s some other swelling and edema in the back of your nasopharynx(Not the external portion of your nose) that can create issues, such as allergies, chronic, sinusitis, and large adenoids.

Question: Eyelids naturally heavy & sty may have left with with ptosis – best minimal procedure?
Answer: It’s difficult to tell from the photographs presented, but you do have a symmetrical creases on your upper lids. An – person examination is going to be required to make a determination about how best to proceed. The asymmetrical skin and creases can be improved with a cosmetic blepharoplasty, while ptosis repair requires tightening, one or both of the muscles that open the eyelids.

Question: Do I need eyelid surgery?
Answer: A very conservative upper eyelid lateral skin only blepharoplasty can accomplish your goals in the outer 1/3 of your upper lid. This procedure can be performed under local anesthesia as an outpatient procedure.

Question: Can lower eyelid fat repositioning damage the tear trough area?
Answer: In our practice, we only do fat repositioning for upper eyelid surgery when needed. We perform a transconjunctival conservative fat removal through the inside of the lower lids to rejuvenate them.

Question: Am I a good candidate for rhinoplasty. I would look so much better with a smaller nose?
Answer: A closed rhinoplasty approach can accomplish making yournose smaller and more refined. This can be accomplished by shaving down the dorsal hump, decreasing the overall projection of the nose, and refining the bulbous nasal tip in addition to narrowing the bridge from the frontal view. All the incisions are placed on the inside of the nose. No external incisions are required and no painful packing is required. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Am I a good candidate for a deep plane facelift?
Answer: The goal of upper eyelid surgery is to remove mostly excess skin and a small amount of fat on the inner corners of the upper eyelids. The goal of lower eyelid surgery is to remove the fat bags through trans-conjunctival approach on the inside of the lower lids. In our practice we do not recommend a deep plane facelift due to higher risk of facial nerve damage. We perform a high-SMAS lower face and neck lift. This procedure accomplishes lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles, and removing fat deposits in the neck which also includes a platysma plasty. It is very important to look natural after all of these procedures.

Question: Do I need a revision? How long must I wait?
Answer: It is best to wait until at least 9 or 10 months before undergoing a revision to straighten the crooked nose. Any tip related surgeries should wait at least a year. This will allow pretty much full healing so that any other issues can be addressed all the same time. Straightening the crooked nose requires osteotomies placed in the nasal bones, and usually a spreader graft placed underneath the concave upper lateral cartilage.

Question: What options are available for hollow, sunken eyes?
Answer: More information is needed, such as any surgical history for a blepharoplasty or eyebrow lift. Fat grafting may be of some benefit to give more fullness to your upper lids.

Question: Still a double chin after chin lipo. Should more fat have been removed?
Answer: More information is needed, such as a full set of postoperative facial and neck photographs after your 20 pound weight loss to see if you’re still a candidate for any further surgery. It’s also important to understand that there are two compartments of fat in the neck, and they’re located both above and below the platysma muscle. Liposuction alone can only accomplish removal of the fat deposits above the muscle, while a surgical neck lift is required to remove fat deposits below the muscle, which also includes a platysma-plasty.

Question: Age 33, do I need a neck lift?
Answer: It is very difficult to tell from the photographs presented, but a neck lift in our practice involves removal of fat deposits above and below the platysma muscle, in addition to a platysma plasty to significantly improve the jawline. At age 33, you do not need a facelift.

Question: Does Kybella cause scar tissue?
Answer: The short answer is yes. The limited photographs demonstrate fat deposits below the platysma muscle in the neck. Simple liposuction and Kybella cannot address those fat deposits. A surgical neck lift is required to remove fat deposits below the platysma muscle which also includes a platysma plasty. No skin removal is required.

Question: What would need to be done to achieve a look that suits my face and give me an natural, unoperated look?
Answer: The Nose is a 3-dimensional structure, therefore a full set of facial photographs from all angles are going be required. Revision rhinoplasty is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery. From the 1 limited photograph, there appears to be an inverted V deformity which will require low lateral osteotomies and spreader graft placement underneath the concave upper lateral cartilage in the midportion of the nose. It is very important to know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: I’d like a second opinion: Can close osteotomy be done only on one side of the nose?
Answer: Yes, it is certainly possible to undergo one-sided osteotomy through a closed rhinoplasty approach. Probably best to wait several more months to allow full healing to make sure there is no other nuances that need to be addressed since you are only 1 month after the surgery.

Question: What is the likelihood of skin sag and tissue pocket after removal of a 7 year small, silicone chin implant?
Answer: It certainly possible to remove the chin implant 7 years after you had it placed, and there should not be any issues regarding bone remodeling. The soft tissues on your chin should just go back to where they were prior to the implant placement. Removal of the implant can be performed under a local or general anesthesia.

Question: Am I a good candidate for rhinoplasty?
Answer: Am I a good candidate for rhinoplasty and chin implant the photographs demonstrate an overly projecting nose, and an under projecting chin. A closed rhinoplasty approach can accomplish decreasing the overall projection of the nose, shaving down the dorsal hump, refinement of the bulbous nasal tip, and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required. Placement of the chin implant is performed through a small incision underneath the chin to augment the chin forward. Augmenting your chin forward will make her nose look more in proportion, especially from the side profile.

Question: Could a bifid tip correction surgery be covered by insurance?
Answer: Cosmetic nasal surgery is not covered by insurance. Health insurance may participate in the payment of functionally related surgery such as endoscopic sinus surgery, and difficulty breathing such as a deviated nasal septum/ Septoplasty. Anticipate co-pays and deductibles associated with your insurance. Most patients must undergo a full rhinoplasty to ensure all the components of the nose are balanced in a three-dimensional fashion, so anticipate performing a full rhinoplasty.

Question: What can fix high alar rims?
Answer: The photographs demonstrate a Combination of high alar rims/ alar retraction and a hanging columella. Reduction of the hanging columella can be done in addition to composite grafts harvested from the ear to reduce the alar retraction.

Question: What specifically should I address when altering my nose?
Answer: The photographs are rather limited, however a closed rhinoplasty approach can accomplish shaving down the dorsal hump, straightening and narrowing the bridge line and placement of spreader grafts if needed, and reduction of the bulbous nasal tip. All the incisions are placed on the inside of the nose. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished.

Question: Alternative to full face laser resurfacing during facelift?
Answer: A full set of facial and neck photographs are required to make a determination about being a candidate for both a surgical facelift, and some type of laser resurfacing. There are many different lasers available. In our practice, the goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fat deposits in the neck, which also includes a platysma plasty to significantly improve the jawline.

Question: Is a cosmetic rhinoplasty possible during a reconstructive surgery? 
Answer: A cosmetic rhinoplasty, septoplasty, and straightening the nose with the the reduction of the nasal fracture can all occur simultaneously under one anesthesia with one recovery period. Look for a double board-certified ENT/facial plastic surgeon who can accomplish both the functional cosmetic and reconstructive surgery on your nose. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Is it even possible to reduce a bulbous tip as big as mine down to a button nose?
Answer: An in-person examination is going to be required to determine the extent of your wide cartilages versus How thick the skin in the nasal tip is. It’s impossible to thin the skin, so there are limitations just how much refinement can occur.

Question: Lower face lift suggestions for jaws and neck?
Answer: To successfully rejuvenate the lower face and neck requires a lower face and neck lift procedure. In our practice, a face neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing residual fat deposits in the neck in addition to a platysma plasty to significantly improve the jawline. Choose your surgeon wisely based on extensive experience producing natural results.

Question: Revision Rhinoplasty – can I go get my nose bridge shaved off? 
Answer: Much more information is needed, such as copies of the operative reports upon what was accomplished in the first two procedures, and a full set of facial photographs from all angles to make a determination about how best to proceed. Revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery.

Question: Face shape changed and cheeks are bigger 2 years post septoplasty – what can I do to correct this?
Answer: Your face and cheeks can change, depending upon weight gain or loss, but not from a septoplasty procedure performed in the back of the nose. Your facial shape and fullness in your cheeks has nothing to do with a deviated septum .

Question: Nasal wall is very high. Can this be fixed and how?
Answer: Your nasal sidewalls are very wide, especially on your right side. Low lateral osteotomies should be able to accomplish improvement in this area. Since it’s a revision rhinoplasty, an in-person examination is usually required because this is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.

Question: Will this help my turkey neck?
Answer: Congratulations on your 130 pound weight loss once you get to your goal weight. Since you are 55 years old, and having had a significant deflation in your neck, you’re going to need a lower face and neck lift procedure to properly rejuvenate this area.

Question: Unhappy with side profile after rhinoplasty – will I need a revision?
Answer: It’s important to wait at least a year before contemplating undergoing a revision surgery To allow full healing to occur before embarking on a another procedure. If you were talking about this very small Residual dorsal hump, that would involve shaving down a millimeter of extra bone and cartilage.

Question: Alternatives to quinolone antibiotic for post facelift prophylaxis?
Answer: In our practice, there’s no reason to do post facelift prophylaxis, since we give antibiotics during the procedure itself. It’s very rare to have an infection after a facelift procedure list or some underlying immune issue or you’re a smoker.

Question: Why did one doctor tell me my nose was too thin to perform a rhinoplasty and another say it’s okay?
Answer: It is best to go on consultations with at least 3 very experienced rhinoplasty surgeons to get 3 expert opinion on your nose, since rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery. Digital computer imaging would also be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Considering rhinoplasty for broken nose?
Answer: A rhinoplasty is performed to straighten the crooked nose and is done for cosmetic purposes. A septoplasty is performed in the back of the nose to improve airflow dynamics only. Both procedures can be performed simultaneously under one anesthesia with one recovery period. In our practice, we performed this surgery in a Medicare certified outpatient surgery center under general anesthesia administered by board certified physician anesthesiologists for patient safety and comfort.

Question: Is a platysmaplasty necessary? 34 years old, 5’7″, 160 lbs
Answer: The Photographs demonstrate fat deposits located above AND below the platysma muscle. Liposuction will be only minimally effective, since it is only removing the fat above the platysma muscle. A surgical neck lift with a platysma plasty is required when fat is removed from underneath the platysma muscle.

Question: What kind of rhinoplasty would be best suited for my nose?
Answer: The photographs demonstrate anoverly projecting nose and an under projecting chin. A closed rhinoplasty approach can accomplish shaving down the hump decreasing the overall projection and reducing the bulbous nasal tip with all the incisions placed on the inside of the nose. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions, especially from the side profile. Augmenting your chin forward will make her nose looks smaller.

Question: Follow-up question: Regarding first consult for lower eye blepharoplasty. Thoughts?
Answer: In our practice, we definitely do not perform fat injections to cheeks for a variety of reasons. If you are trying to augment the cheeks, use fillers placed in the office setting, or cheek implants for permanent augmentation. A simple transconjunctival lower blepharoplasty can accomplish improvement to rejuvenate your lower eyelids.

Question: Recovery Comparison. How would you rate recovery of a neck lift and any other procedure to address the jowls?
Answer: The 1 very limited photograph demonstrates jowls, and significant fat deposits in the neck. A lower face and neck lift is going to be required. In our practice, we place drains underneath the skin in the neck for the first 48 hours. Most patients take a few medium strength Vicodin pain pills first few nights to help them get to sleep. Anticipate 2 weeks of visible bruising and swelling. Full healing takes 4-6 months.

Question: Would I benefit from a rhinoplasty?
Answer: A closed rhinoplasty procedure can accomplish reduction of the bulbous nasal tip, narrowing The bridge line and placement of spreader grafts in the midportion of the nose where it is pinched. All of this can be performed with the closed rhinoplasty approach with all the incisions placed on the inside of the nose. Thick skin in the tip of the nose is going to prevent refinement in that area, and this must be determined at the time of consultation.

Question: What would you recommend to fix my side profile?
Answer: The side profile photograph demonstrates an overly projecting nose with a dorsal hump, and a recessive chin profile. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the nose from the side profile. A small Silastic chin implant can be placed through an incision underneath the chin simultaneously. This allows one anesthesia with one recovery for both procedures. Digital computer imaging would also be helpful to understand what can be accomplished with both procedures upon your facial features.

Question: Horrible rhinoplasty results/complications. How can this be improved?
Answer: Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery. Besides, a deviated septum, there are several other issues on the inside of the nose it can cause nasal obstruction, so an in- person consultation is probably going to be required. Choose your second surgeon wisely based on extensive experience producing natural results. Digital computer imaging would also be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Kybella post submental lipo?
Answer: Unfortunately, your provider didn’t explain to you that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposits above the muscle. Kybella Will be totally ineffective. You still have residual fat deposits below your platysma muscle, which is going to require a neck lift procedure to remove that fat in addition to a platysma plasty to significantly improve your jawline. No skin removal is required, and this can be performed through a 1 inch incision underneath your chin. You also have a recessive chin profile which makes the sub platysmal fat more apparent. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions, and will also give better structural support for the soft tissues in the neck.

Question: Can change in this morph be achieved?
Answer: Rhinoplasty morphing the photographs are rather limited, however the morphed photos do appear realistic. It is important to understand the nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions. Rather than relying on morphing, look at your prospective surgeon’s before and after photo Gallery and make sure that it is extensive with results that you like.

Question: I was told I need an eyelid surgery and blepharoplasty. Should I use an ocular surgeon?
Answer: Much more information is needed, such as a full set of facial photographs from all angles looking straight into the camera( Not smiling) and why were told you needed eyelid surgery? Cosmetic or functional purposes?? Plastic surgeons, facial plastic surgeons and oculoplastic surgeons all perform eyelid surgery depending upon what you need. Regarding jowls, facial aging and considering a facelift, that should be performed by a facial plastic surgeon.

Question: Facial massage/exercise after facelift. What is and isn’t safe to do and when?
Answer: In our practice, we allow patients to start exercising at two weeks after the procedure. Regarding facial massaging, it’s probably best to wait at least 3 to 4 weeks. Also important to post a full set of facial photographs to make sure you’re a candidate for the procedure.

Question: What can help me achieve a balanced profile?
Answer: The side profile photograph demonstrates a recessive chin, so consider placement of a small chin implant which can be performed under local anesthesia as an outpatient procedure.

Question: How can I fix my nose tip?
Answer: Much more information is needed, such as a full set of facial photographs from all angles that are in focus, in addition to a copy of the operative report to find out what was accomplished in the first procedure. It’s important to wait at least one year before embarking on another procedure.

Question: Will there be any long term effects if I drink alcohol after rhinoplasty?
Answer: No, drinking alcohol 2 1/2 weeks after a rhinoplasty will not affect upon the results of your rhinoplasty procedure. Just keep it in moderation.

Question: Would I benefit from a rhinoplasty or alarplasty?
Answer: An alar-plasty accomplishes narrowing wide nostrils. A closed rhinoplasty can address narrowing of the bulbous nasal tip. Osteotomy’s of the nasal bones accomplish narrowing the entire bridge line. Digital computer imaging of your nose would be helpful to understand what can be accomplished.

Question: Can I achieve my desired look with a rhinoplasty alone?
Answer: Yes, a closed rhinoplasty approach can accomplish improvement of the bulbous nasal tip, and shaving down the dorsal hump and reducing the overall projection and those with all the incisions placed on the inside of the nose. You appear to have thick skin, so be prepared for a few steroid shots to the Nasal tip to reduce swelling in that area after the surgery.

Question: Is radix augmentation necessary for dorsal hump removal if you have a low radix?
Answer: In our practice, the far majority of people do not need radix augmentation. We rarely use this grafting technique as long as the radix is in an acceptable position. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with a closed rhinoplasty.

Question: What’s the best course of action to treat my platysmal bands?
Answer: -Consider a lower face and neck lift procedure with a corset platysma-plasty, and a myotomy of the actual platysmal bands themselves. It’s also best to get Botox placed in the platysmal bands about a week before the plastic surgery so that the bands do not grow back together after the myotomy. A lower face and neck lift will accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck with liposuction, in addition to the platysma plasty to significantly improve your jawline.

Question: Do I need a sliding genioplasty?
Answer: A sliding genioplasty as performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and is much more invasive and expensive than a simple chin implant. A sliding genioplasty is usually performed when the teeth are significantly out of alignment. It is not performed in conjunction with a rhinoplasty. Chin implants are placed through a small incision underneath the chin under local anesthesia which usually takes about 30 minutes. You can perform a chin implant with a rhinoplasty under general anesthesia as an outpatient procedure. For many examples of this combination, please see the link below.

Question: Should I get a chin implant or jaw surgery to move my mandible forward and (hopefully) define my jaw? Or jaw implants?
Answer: Jaw surgery is performed by an oral surgeon under general anesthesia in a hospital with an overnight stay and is much more invasive. It usually done with the teeth are significantly out alignment. Placement of a chin implant can be performed under local anesthesia which takes approximately 30 minutes. In our practice we placed the implant through a small incision underneath the chin under local anesthesia as an outpatient procedure. The fat compartments in your neck are located both above and below the platysma muscle, therefore a neck lift will be required to remove both compartments of fat in addition to a platysma-plasty to significantly improve the jawline.

Question: Rhinoplasty advice to make my nose look more feminine and not so bulbous, wide and long?
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, decreasing the overall projection of the nose and narrowing the bridgeline. All of the incisions are placed on the inside of the nose, and no external incisions are required. No painful packing is required either. Open rhinoplasty involves placement of an external incision across the columella. An alar-plasty is performed when there are wide nostrils present from the base view. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon her facial features. If you have thick skin in the tip of the nose, this may prevent refinement in that area, so it is important to have realistic expectations.

Question: What should I get done to my nose to remove the bone off the sides?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, straightening the nose and significantly narrowing the nasal bones where they are excessively wide. All the incisions are placed on the inside of the nose. Medial and low lateral osteotomies placed in the nasal bones accomplish narrowing and straightening the nose itself.

Question: Is it my chin or my jaws that are receded, would sliding genioplasty grant me a big improvement?
Answer: The limited photographs demonstrated a recessive chin profile for which a chin implant can improve. If your teeth are significantly out of alignment, then consider a sliding genioplasty performed by an oral surgeon in a hospital setting with an overnight stay. Chin implants are placed under local anesthesia as an outpatient procedure through a small incision underneath the chin.

Question: Is 56 too old for a mini MACS lift?
Answer: Mini lifts give mini results and therefore we rarely perform them. A full set of facial photographs from all angles with your chin in a neutral position with your hair pulled back are going to be required to make a determination about being a candidate for a lower face and neck lift procedure at age 56. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits in the neck with liposuction in addition to a platysma plasty.

Question: Is it possible to get an ethnic/closed rhinoplasty without raising my bridge?
Answer: yes, a closed rhinoplasty approach can accomplish refinement of the nasal tip and narrowing the entire bridge line. To narrow wide nostrils going to require an alar-plasty.

Question: Do I need a revision rhinoplasty?
Answer: Since it is only been 4 months since her rhinoplasty procedure, its best to wait at least a year before embarking on another procedure to allow full healing before revising your nose. Rhinoplasty and revision rhinoplasty or the most difficult operations to perform correctly in the entire field of cosmetic surgery.

Question: I would like tips for an improved jaw line/chin. What are my options?
Answer: The Photographs are rather limited, and more information is needed such as your age, and this status of the skin tone in your neck. From the photographs, there is fat deposits located both above and below the platysma muscle in the neck so at a minimum, you are going to need a neck lift with a platysma plasty to significantly improve the jawline. If your skin tone is poor, then you will need a lower face and neck lift to tighten loose and inelastic skin in the neck itself.

Question: I just want the loose skin removed due to my 50 pound weight loss. Can the skin just be trimmed for a tighter look?
Answer: First of all, congratulations on the weight loss. Since the face and the neck had been deflated with the significant weight loss, you are going to have significant loose skin and muscles. A lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten the 2 muscle cords in your neck, and remove any residual fatty deposits with liposuction in the neck as well. A skin only face neck would not last very long, so it is important to tighten the muscles and fascia underneath the loose skin.

Question: Would Morpheus8 be a good option for my turkey neck?
Answer: Since you lost a significant amount of weight, you have deflated the skin in your neck and have significant skin laxity. In addition, you also have residual fat deposits in the neck which can be located both above and below the platysma muscle in your neck. A surgical neck lift with skin tightening most likely going to be required to address all of your issues. Noninvasive treatments are not going to accomplish very much at this point.

Question: What are my options for minimizing the appearance of double chin and dent when smiling?
Answer: From the photographs presented, you have a recessive chin and fat deposits in the neck. Consider placement of a small chin implant and liposuction to remove the fat deposits above your platysma muscle. If the fat deposits are located below the platysma muscle, you’ll need a neck lift procedure with a platysma -plasty to significantly improve the jawline.

Question: Stage IV vs V Deep Plane Facelift?
Answer: From the photographs presented, you’re good candidate for a lower face and neck lift procedure. In our practice that accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the Jowls, and removing residual fat deposits in the neck which also includes a platysma plasty. You also have a recessive chin present, so Consider placement of a chin implant to augment your chin for better facial balance and proportions, and a better jawline.

Question: Ocularplastic surgeon versus general plastic surgeon for upper & lower blepharoplasty?
Answer: In our practice for over 30 years, we’ve never heard of a blepharoplasty causing decreased vision. If anything, a functional blepharoplasty increases a peripheral vision by removal of excess hooded skin. It’s very important to go to A surgeon who has lots of experience performing blepharoplasty. Study your perspective surgeon’s before and after eyelid photo gallery to make sure that it is extensive with Lots of results that you like and they look natural.

Question:  Rhinoplasty: are there in office fixes that can be done to the nose post rhinoplasty to fix the lower third and tip?
Answer: The Photographs are rather limited, however it appears that you have an overly projecting nose and an under projecting chin. its best to wait at least 1 year before undergoing another nasal surgery, but that will need to be performed under general anesthesia, not in-office. In the meantime, you can follow-up with your operative surgeon for steroid shots to be placed in the supratip area of the nose to reduce swelling in that area. Even with a revision rhinoplasty, the nose can only be de-projected a few millimeters. Consider placement of a chin implant augment the chin forward for better facial balance and proportions, especially with respect to the projection of the nose from the side profile.

Question: Will my face benefit from a chin implant?
Answer: The Photographs are rather limited, but it does appear that there is a recessive chin profile for which a chin implant can improve your face. Chin implants augment your current anatomy, however it does not give you a pointy chin. Chin implants are manufactured in a large array of thicknesses, sizes, and shapes. In our practice we placed chin implants through a small incision underneath the chin under local anesthesia as an outpatient procedure.

Question: Aging in the lower face. Should I get a SMAS, mid-face or lower facelift?
Answer: At age 42, your skin tone of the neck should be acceptable, therefore no skin tightening/facelift is required. A surgical neck lift can accomplish removal of the fat deposits located above and below your platysma muscle in the neck which also includes a platysma-plasty.

Question: I have a weak jaw line. Would a neck lift help? Or would I need jaw implant?
Answer: From the limited photograph, you have a recessive Chin which would require a small chin implant to augment your mandible bone forward to give better structural support for the soft tissues in the neck, and improve your jawline. The reason liposuction did not work for you is because you have fat deposits located underneath the platysma muscle in your neck. A necklift procedure with a platysma plasty with significantly improve your jawline by removing that compartment fat below the muscle. No skin removal is required.

Question: Do I need a second chin lipo or jaw surgery?
Answer: To make a determination about being a candidate for a chin implant, you should probably have the current filler reversed to Make a determination about where your mandible really is. It’s important to understand that there are two compartments of the neck, and they’re located both above and below the platysma muscle itself. Liposuction can only accomplish removal of the fat deposits above the muscle. The residual fat deposits in your neck are most likely located below the platysma muscle, which requires a necklift procedure and a platysma- plasty to significantly improve your jaw line.

Question: What would be the best treatment for sagging neck and face jowls? Tightening that skin up and improving the texture of skin?
Answer: A lower face and neck lift accomplishes tightening loose facial and neck skin, tightening a loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck along with a platysma plasty to significantly improve the jaw line. Choose your facelift specialist wisely based on extensive experience producing natural results.

Question: Lower face and neck deep plane face lift vs full face and neck?
Answer: If you have had radiation to your neck, you would not be a candidate for any type of neck work in our practice due to the poor healing after the radiation itself. If that’s the case, then you should just perform a facelift without any neck surgery. You can also consider doing your upper eyelids as well, but only if they’ve are bothering you. It does not appear that you need a brow lift.

Question: Considering rhinoplasty- what recommendations do you have to improve my nose?
Answer: The photographs demonstrate a significantly over projecting nose, and a mild recessive chin. The recessive chin makes your nose looked bigger than it really is, therefore consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the projection of the nose from the side profile. A closed rhinoplasty approach can accomplish reduction of the projection of the nose, shaving down the dorsal hump, and refining the nasal tip 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 of your nose and your chin would be helpful to understand what can be accomplished with either one or both procedures.

Question: My cheeks and jaw line have become droopy. Mini face lift, thread lift, or fillers?
Answer: In our practice, we do not perform thread lifts because of very temporary at best. We also do not perform a mini lift since they give mini results and do not last that long either. A well performed lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat in the neck along with a platysma-plasty. When the mid face and cheeks are flat, then consider placement of cheek implants to give a permanent augmentation to the cheeks rather than having to go in for fillers every few months.

Question: I’m having surgery for a crossbite/underbite. Can I have a rhinoplasty during the same surgery? price?
Answer: If you are having both upper and lower jaw surgery, this is going to be performed by oral surgeon under general anesthesia in the hospital setting with an overnight stay. Best to have that performed first. A rhinoplasty should not be included with that type of surgery. Rhinoplasty is also performed under general anesthesia, but as an outpatient procedure.

Question: Why do some surgeons only offer general anesthesia for rhinoplasty & what are the advantages of each method?
Answer: Since rhinoplasty involves multiple different injections in the nose to get the nose numb prior to plastic surgery, and the fact that there are there is lots of nerve endings, it’s very difficult to get the nose even numbed up for the rhinoplasty procedure. Both medial and lateral osteotomies are placed in the nasal bones are also performed, and most patients don’t want have conscious awareness of procedure that maneuver bro of breaking the nasal bones during the rhinoplasty procedure. It’s also very important have a controlled airway so that you’re not aspirating blood down into the lungs if you’re sedated while you are not breathing on your own under sedation.

Question: Lower facelift in March 2023 – do I need a facelift revision?
Answer: Much more information is needed, such as a full set of facial photographs from all angles to make a determination about how best to proceed. A Copy of the operative report would also be helpful to find out what type of facelift you’ve had in the past. Also best to wait at least one year to allow for full healing before embarking on another procedure. It’s also important to understand that a facelift will not remove wrinkles around the mouth.

Question: Would a chin implant or genioplasty help improve the appearance of my jaw?
Answer: Placement of a chin implant can be performed under local anesthesia to cosmetically augment your chin mostly forward, but you will also get some lateral width as well. This procedure usually takes about 30 minutes, and will not affect the way your teeth fit together. A Genioplasty is performed by an oral surgeon when your teeth are significantly out of alignment.

Question: Should I consider neck lift after no result from Facetite and Morpheus8 (late 20s)?
Answer: The Photographs demonstrate a process of the chin profile, and fat deposits located both above and below the platysma muscle in the neck itself. Noninvasive procedures simply will not help with these issues. Consider placement of a chin implant to augment the chin forward. A neck lift procedure involves removal of fat above the muscle with liposuction, and surgical extraction of the fat below the muscle along with a platysma-plasty. Also best make sure that your BMI is less than 30 before undergoing this procedure.

Question: Would I be wasting a surgeon’s time trying to see if insurance would cover a blepharoplasty?
Answer: Medical Insurance companies admitting very difficult to get reimbursed for this procedure any longer. A skin only upper blepharoplasty can be performed under local anesthesia to help reduce costs.

Question: Would dermal fillers or a facelift be the right choice to get rid of sagging jowls?
Answer: More information is needed such as a full set of facial and neck photographs from all angles to make a determination about being a candidate for a facelift procedure. The goal of the lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove the fat deposits in the neck with liposuction which also includes a platysma-plasty. Fillers are very temporary and can offer some augmentation in certain areas that are soft tissue deficient. Temporary Fillers are not substitute for a face and neck lift surgical procedure.

Question: What would you suggest for my double chin and jowls (5’6 and 135lbs)?
Answer: The Photographs demonstrate a recessive chin profile and fat deposits located above AND below the platysma muscle in the neck. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions. A neck lift procedure can accomplish fat removal in the neck with liposuction above the platysma muscle and surgical removal of the fat below the muscle which also includes a platysma-plasty to significantly improve the jawline once the fat has been removed from the neck itself.

Question: Late 30s – can I have a third or will my nose be even worse?
Answer: There’s definitely some improvement that can be made regarding your nose, but it’s imperative to choose a rhinoplasty specialist based on extensive experience. Your nose will never be perfect, just improvements. A full set of facial photographs from all angles would also be helpful to understand your current anatomy. You appear to have alar retraction on your left nostril which requires a composite graft from the ear to improve.

Question: Rhinoplasty, Septoplasty and Turbinate reduction
Answer: A closed rhinoplasty approach can accomplish making the entire nose smaller which includes shaving down the dorsal hump, decreasing the projection, refining the nasal tip, and narrow bridge line with all of the incisions placed on the inside of the nose. Septoplasty and turbinate reduction are performed internally for breathing difficulties. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with a closed rhinoplasty.

Question: 50 years old female, is the 5 layer neck lift something new or not commonly done? 
Answer: We have never heard of a five layer necklift. A full set of facial photographs from all angles are required to make a determination about the proper procedure for you. At age 50, you’re probably a candidate for a lower face and neck lift which accomplishes tightening lose facial and neck skin, tightening a loose facial and neck muscles, lifting the jowls, and removing the fat deposits in the neck itself which are located both above and below the platysma muscle. This also includes a platysma plasty to significantly improve the jawline.

Question: Do I have to dissolve filler in my nose before rhinoplasty?
Answer: Placement of filler in the nose distorts the anatomy of the nose itself, so it’s best to dissolve the filler several weeks ahead of time. Rhinoplasty is a procedure that is performed in millimeters, so it’s best to go in to the procedure with your normal anatomy, not an artificial anatomy.

Question: Why don’t doctors recommend a cheek or mid face lift?
Answer: It’s because the Face does not descend vertically with the aging process, like the lateral face does. The mid face shrinks with volume loss, therefore we place cheek implants in the cheeks to restore that lost volume. There are many different complications can occur with a midface lift, that’s why we never recommend them.

Question: Recessive chin and fat cheeks – SMAS face/necklift and/or genioplasty?
Answer: Even though you’ve had a chin implant, you still have a recessive chin, so consider placement of a larger chin implant. You also have significant fat deposits in your neck, located both above and below the platysma muscle. You will also require a neck lift procedure to remove both fat compartments in the neck, in addition to a platysma – plasty. At age 35, your skin tone should be acceptable, and skin removal should not be required. You should also have a BMI of less than 32 before undergoing any of these facial and neck procedures.

Question: Badly botched 8 years ago. Is this fixable?
Answer: Much more information is needed, such as a full set of facial photographs of your nose from all angles, and even a copy of the operative report. The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. Revision rhinoplasty is more difficult than a primary rhinoplasty, so it’s imperative to have realistic expectations. It appears from the one very limited photograph that you had anosteotomy placed too high on the left nasal bone resulting in that line. Low lateral osteotomy’s should be able to improve your issue, but that will be determined at the time of a physical examination.

Question: Am I candidate for bleph or ptosis surgery? I’ve always been like that I’m 33.
Answer: The Photographs are rather limited, but it does appear that you have excess skin on the upper lids for which a cosmetic upper blepharoplasty can improve. There does not appear to be ptosis from these photographs, but that may need to be determined at the time of examination.

Question: If I suspect an untreated broken nose (10 years) is causing discomfort/breathing issues, what steps should I take?
Answer: Trauma to the nose can cause a variety of issues such as a displaced nasal fracture, a dislocation of the upper lateral cartilages, and a deviated septum. A septoplasty is performed to straighten a deviated septum on the inside of the nose to improve airflow. A rhinoplasty is considered cosmetic which can accomplish shaving down the dorsal hump, straightening the bridge line, and placement of spreader grafts underneath the concave upper lateral cartilages in the midportion of the nose. A closed rhinoplasty approach can accomplish all this with incisions completely placed on the inside of the nose. No external incisions are required.

Question: What treatment would be best to address double chin (Kybella, Smartlipo or VASER) yet not breaking the bank?
Answer: Its difficult to tell photographs, but you most likely have fat deposits located both above and below the platysma muscle. Liposuction can accomplish removal of fat deposits above the muscle, while a surgical neck lift with the platysma plasty is required to address that deposits below the platysma muscle. Kybella cannot remove the fat deposits below the muscle.

Question: What is causing my upper eyelids to be droopy? Would I need surgery or are there less invasive options?
Answer: The picture demonstrates excess skin on the upper eyelids known as dermatochalasis. The skin appears to be resting on your eyelashes, therefore you are great candidate for upper eyelid blepharoplasty. This procedure takes about 30 minutes and involves removing excess skin on the upper eyelids to rejuvenate them. The procedure can be performed under local anesthesia or general anesthesia.

Question: I was told a mini facelift combined with Profound would give me good results?
Answer: From the photographs presented, a lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits of neck with liposuction. Minimally invasive devices will not accomplish any of these goals.

Question: Do I have an inverted v, open roof deformity, and polybeak from side? Do I need a revision with a graft?
Answer: Its very difficult to tell from the photographs, but you most likely have an open roof deformity and an inverted V deformity as well along with a poly-beak. The polybeak can be the result of excess cartilage or thick skin and scar tissue. Each 1 of those issues are treated differently. It is very important to know how much cartilage is left over on the inside of her nose for potential grafting purposes, since the inverted V deformity will require osteotomies and then spreader graft placement underneath the concave upper lateral cartilages in the mid portion of the nose.

Question: Is it worthwhile to pursue a revision rhinoplasty for facial balancing and profile improvement?
Answer: The photographs demonstrate a recessive chin which makes your nose look more projecting than it really is. The short Chin also gives poor structural support for the soft tissues in the neck. Strongly consider placement of a chin implant. The Side profile photographs also demonstrate fat deposits above and below the platysma muscle in the neck, therefore a neck lift procedure is going to be required to remove both compartments a fat, in addition to the platysma-plasty which will significantly improve the jawline. Both procedures can be performed together under one anesthesia with one recovery period.

Question: I’m 46 years old with deep nasolabial folds and marionette lines along with deep angry 11’s and sagging neck. Advice?
Answer: The photographs demonstrate a recessive chin profile and significant fat deposits in the neck located both above and below the platysma muscle in the neck. Consider placement of a chin implant to augment the chin forward, and a neck lift to remove fat deposits above and below the muscle which also includes a platysma- plasty. Botox would be best for the 11’s between your eyebrows.

Question: What kind of chin implant for my face?
Answer: In our practice for over 25 years we have used Implantech brand of solid silicone chin implants with an excellent success rate. We also use the Mittleman pre-jowl chin implant usually size small or medium. When their significant recession demonstrated in the photographs, size medium would probably be the appropriate size.

Question: Can rhinoplasty realistically fix the asymmetrical “squished”/bulbous look of my nose?
Answer: The photographs demonstrated an inverted upper lateral cartilage on the patients left side. A spreader graft placement of the patient’s own cartilage can accomplish improving the asymmetry and giving a straighter appearance to the nose. There is no perfect nose, only improvements, so it’s very important and realistic expectations. The height of the nostrils will not change.

Question: 6-year-old woman, looks like I’m frowning. Starting to get jowls and neck looks like a turkey. How do I treat this?
Answer: From the limited photographs, it appears that you have significant facial changes of aging for which a lower face and neck lift can significantly improve. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the gels, and remove fat deposits in the neck which also includes a platysma-plasty.

Question: Unusually low quote for submental liposuction from a board certified PS in Chicago – should I be concerned?
Answer: From the one very limited photograph, it shows that you have a very recessive chin profile and you’re going to have significant fat deposits above and below the platysma muscle in the neck. Liposuction will basically be ineffective, since most of the fat in your neck is probably located below the platysma muscle. A neck lift procedure can accomplish removal of both deposits of fat above and below the platysma muscle which also includes a platysma-plasty to significantly improve the jawline. No skin removal is required. Consider placement of a chin implant to augment the chin forward which will give better structural support for the soft tissues in the neck as well. Both procedures can be performed together under one anesthesia with one recovery period.

Question: Recommendations for laxed face jowls and double chin?
Answer: The limited photographs demonstrate a recessive chin, and a prominent pre-Jowl sulcus which makes your jowls look relatively bigger than they really are. Consider placement of a chin implant to augment the mandible forward and fill in the pre-Jowl sulcus. Liposuction can accomplish removal of fat deposits above the platysma muscle in the neck, howeverit also appears that you may have fat deposits below the platysma muscle which will require a neck lift with the platysma-plasty to significantly improve the jawline. More photos would be needed to make that determination.

Question: What is the likely cause of my eyelid asymmetry and how can it be balanced?
Answer: Everyone has some degree of eyelid asymmetry due to the embryologic development of the face from both the left and right half. A conservative skin only upper blepharoplasty can accomplish improvement of the asymmetry. This can be performed under local anesthesia as an outpatient procedure.

Question: Jowls, jawline, skin pigmentation, enlarged pores, fine lines, etc. —what do suggest?
Answer: Much more information such as a full set of facial/neck photographs from all angles with your hair pulled back to make a determination about being a candidate for a lower face and neck lift procedure. The goal of a facelift lift the jowls, tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits in the neck to improve the jawline. Skin pigmentation is usually treated with laser treatments.

Question: What’s the recovery for a secondary rhinoplasty that is just inserting rim graft?
Answer: From what you’re describing, there appears to be two specific areas which is considered more of a touchup, so there should be significantly less swelling than a full revision rhinoplasty.

Question: Would I be a good candidate for a lower facelift?
Answer: No, you’re not a candidate for a facelift at age 30, since your skin tone is not an issue at that age. You have fat deposits in the neck and a recessive chin profile. Consider a neck lift with a platysma plasty and placement of a small, chin implant to Augment your recessive chin forward. Both procedures are complementary to each other to improve your neck.

Question: Part of the nose bridge still projects outwards 11 months post-op, do I need a revision rhinoplasty?
Answer: From these limited photographs, you have a residual dorsal hump, crooked nasal bones, and an inverted V deformity. A revision rhinoplasty is going to be required to not only straighten the nasal bones, but narrow them, shave down the dorsal hump, and placement of spreader grafts for the inverted V deformity. Choose your second surgeon wisely based on extensive experience producing natural results, since revision rhinoplasty is more difficult than a primary. It’s also important know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: Would tip plasty be enough for my face to look more harmonious?
Answer: No, a tip plasty it’s only a component of your nose. To narrow the nose requires a full rhinoplasty which includes osteotomies to narrow the nasal bones, a tip plasty to narrow the nasal tip cartilages, and an alar plasty to narrow wide nostrils. You also have thick skin in the tip of the nose which is going to prevent significant refinement in that area of the nasal tip itself.

Question: Mid-30s, healthy weight, chin liposuction or deep plane neck lift?
Answer: From the one limited photograph, you have significant fat deposits located both above and below the platysma muscle in your neck. Liposuction alone can only remove the fat compartment above the muscle which will be insufficient for you. You’re gonna need a deep plane neck lift procedure to remove both compartments of fat above and below the muscle which also includes a platysma plasty to significantly improve the jawline.

Question: Likelihood of empty nose syndrome with a septoplasty, turbinate reduction/spur removal & adenoidectomy? 
Answer: Empty nose syndrome is not caused from a septoplasty, spur removal or adenoidectomy. It is only caused by an excessive resection of turbinates, therefore, make sure your surgeon is doing conservative turbinate surgery.

Question: Sagging skin under my chin – What are my options?
Answer: Congratulations on your significant weight loss. Due to the deflation of your neck tissues from the weight loss, there is now loose and inelastic skin along with platysma muscle bands present. A lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, which also includes a platysma plasty to significantly improve your jawline.

Question: What is the best option to fix sagging skin after neck liposuction?
Answer: At age 59, you’re going to have loose and inelastic skin in the neck made worse by liposuction alone. A lower face and neck lift procedure is required to tighten loose facial and neck skin in addition to tightening loose facial and neck muscles.

Question: Well, lower face and neck lift help my neck?
Answer: Yes, indeed, a lower face and neck lift would accomplish tightening loose, facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat compartments in the neck located both above and below the platysma muscle in the neck itself. This also includes a platysma plasty to significantly improve your jawline. Choose your plastic surgeon wisely, based on extensive experience producing natural results.

Question: Suggestions for non surgical lower face improvement?
Answer: To give you a better answer, it requires you posting a full set of facial and neck photographs from all angles to make a determination about how best to proceed. The non-surgical treatments only offer minimal improvement, at best.

Question: Candidate for Revision Rhinoplasty?
Answer: As long as you have reasonable expectations, there is room for improvement on your nose. Just remember, it will never be perfect. The dorsal irregularities across your bridge line can be smoothed down, and the notched nostril can be improved as well with a composite graft from the ear. The attachment of your ala on the left is much higher than the right, and you were born that way with facial asymmetries. That cannot be improved. Choose your second surgeon wisely based on extensive experience.

Question: Should I consider revision rhinoplasty?
Answer: Since it is been one year, full healing has occurred. If the very slight bump bothers you enough, check back in with your original surgeon to have that shaved down.

Question: Would a revision rhinoplasty be worth it?
Answer: If the crooked appearance of your nose bothers you enough, then consider undergoing a revision rhinoplasty to straighten the nose. That’s the most obvious issue the photographs presented. The amount of refinement in the nasal tip may only be subtle, and is going to depend upon how thick the skin is in the tip of the nose. Expect only minimal results in the nasal tip.

Question: Would a mini facelift work for my sagging jowls?
Answer: If you’re referring to the loose skin on the outer corners of your mouth, then a mini facelift would probably be able to tighten that skin and the fascia layer underneath it for more of a permanent result. A full set of face and neck photographs from all angles are going to be required to make a determination about being a candidate for plastic surgery.

Question: Am I a candidate for a mini lower facelift?
Answer: A full set of facial and neck photographs from all angles are going to be required to make a determination about how best to proceed. At 28 years of age, your skin tone in your neck should be just fine and a face/necklift should not be necessary . This procedure is usually performed on patients in their 50s, 60s and 70s.

Question: What procedure would make the biggest difference in opening the upper part of my face? Brow lift?
Answer: A brow lift procedure can accomplish lifting your brows and surgically softening the corrugator muscles that are also adding to the depressor function of your central forehead. A brow lift procedure can also improve some of the hooded appearance of your upper eyelids simply by raising the forehead.

Question: Would a chin implant be the best option to improve the look of my chin, neck, and jowls?
Answer: The photographs demonstrate an under projecting chin, and fat deposits in the neck located above and below the platysma muscle. Placement of a chin implant can augment the chin forward to help with better facial balance and proportions, especially with respect to your nose from the side profile. A Neck lift procedure can accomplish removal of the fat deposits above and below the muscle Which also includes a platysma plasty to significantly improve the jawline. Both procedures can be performed together under one anesthesia with one recovery period.

Question: Which kind of lipo would be best for me? Can chin lipo be extended to the lower jawline?
Answer: Liposuction can accomplish removal of fat deposits above the platysma muscle, while a surgical neck lift is required to remove the fat below the platysma muscle . A full set of facial and neck photographs are required to make A determination about how best to proceed.

Question: Already had lipo – what more can I do to get a better profile and jawline?
Answer: It’s best to wait at least six months before electing to undergo any further surgery in your neck. Placement of a chin implant augments the chin forward. A necklift procedure can accomplish removal of the fat deposits located below the platysma muscle which also includes the platysma plasty to significantly improve the jawline. No skin removal is required.

Question: What procedure would work best to balance out my nose?
Answer: The side profile photographs demonstrate an overly projecting nose, and an under projecting chin. Consider a closed rhinoplasty to accomplish shaving down the dorsal hump, refinement of the nasal tip, and decreasing the overall projection of the nose with all of the incisions placed on the inside of the nose. No external incisions are acquired, and no painful packing is required either. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the over projection of the nose from the side profile. Both procedures can be performed together under one anesthesia one recovery period.

Question: Rhinoplasty under deep sedation?
Answer: In our practice, we perform all of our rhinoplasty procedures under general anesthesia by a board certified physician anesthesiologist for patient safety and comfort. Patient have a controlled airway in place using a laryngeal mask airway, otherwise known as an LMA which protects the airway. Trying to performRhinoplasty under sedation can be difficult. With sedation, you may also have conscious awareness of the osteotomies placed in your nasal bones as well.

Question: Rhinoplasty for wide nose?
Answer: A closed rhinoplasty approach can accomplish narrowing your nasal tip and nasal bridge line. All of the incisions are placed on the inside of the nose. An alar plasty is performed to narrow wide nostrils at rest. It’s also possible to release the lateral ligaments to reduce the dynamic flare and widening when you smile. With an alar plasty, then there’s a small incision at the base of the nostrils. For many examples and our current price list, please see the link below.

Question: Do I have a deviated septum?
Answer: To make the diagnosis of a deviated septum, requires a thorough examination of the internal portion of the nose. A cosmetic rhinoplasty is performed to straighten the external appearance of the nose when it’s crooked.

Question: Facelift, fat transfer, or filler?
Answer: At age 25, you certainly do not need a facelift. Fat injections are very inconsistent, we usually don’t recommend them. For a temporary augmentation of the mid-face, you can consider placement of fillers in the cheeks. For a permanent solution, you can consider cheek implants performed under a brief general anesthesia.

Question: Would I benefit from a facelift for the lax skin under my chin?
Answer: The lax skin that you’re having is probably genetic. Minimally invasive treatments will only give you a minimal, if any results. If this loose and inelastic skin is really bothering you at your age, the only option is to do a lower face and neck lift procedure, which can accomplish tightening this loose neck skin. Choose your plastic surgeon wisely based on extensive experience producing natural results.

Question: Swollen nose tip 3 years post-op: should I consider a revision?
Answer: From the one very limited photograph, there appears to be swollen supra tip, and a hanging columella.The hanging columella can be addressed with a revision rhinoplasty. If the supratip fullness is directly related to thick skin, then a steroid shot will be required. If the supratip fullness is related to excess cartilage, then a revision rhinoplasty would be required. A full set of facial photographs and in-person examination would be required to make that determination.

Question: Are a minilift or fillers the best option for a natural looking uplift at my stage of aging?
Answer: More information is needed, such as a set of pictures from inside profile demonstrating the laxity in The skin in your neck. A lower face and neck lift Will need to be performed to accomplish tightening loose and elastic skin in the neck itself.

Question: What type of surgery do I need to fix the tip of my nose?
Answer: A closed rhinoplasty procedure can accomplish shaving down the dorsal hump, refinement of the nasal tip cartilages, narrowing the bridge line and lifting the nasal tip with all of the incisions placed on the inside of the nose. It’s also important to release the depressor septi ligament, which dynamically pulls the tip downward when smiling. An alar plasty is performed when there’s wide nostrils present. Digital computer, imaging would also be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Can a surgeon please explain the facility fee to me?
Answer: The facility fee refers to the operating room where your surgery is performed. Face lifts are not performed in an office, they are performed in an ambulatory surgery center. The cost of the operating room is the facility fee which includes the anesthesia machine, nursing personnel, equipment, supplies, sutures, etc.

Question: Should I consider a rhinoplasty revision or would a chin implant help me achieve a more balanced look?
Answer: From the one limited photograph, you have an overly projecting nose and an under projecting chin. A closed rhinoplasty revision can accomplish shaving down the residual dorsal hump, and slightly de-projecting the nose. Placement of a chin implant would accomplish Augmenting your chin forward for better facial balance and proportions, especially with respect to the projection of your nose from the side profile. A revision rhinoplasty is performed under general anesthesia, while placement of a chin implant can be performed under local anesthesia.

Question: Is it possible to just finely adjust the area right below the nose?
Answer: You have what’s called a hanging columella, and in particular, you probably have a prominent nasal spine. A columella plasty can be performed to trim this area back, which includes removal of extra skin and cartilage to tuck the hanging columella inwards. This can be accomplished with a closed technique with all of the incisions placed on the inside of the nose.

Question: Can Rhinoplasty make my nose less fleshy/more defined and look like the examples I give?
Answer: Thick skin in the nasal tip is going to prevent refinement in tip area, so it’s very important to have realistic expectations. It is certainly possible to narrow and straighten the nasal bridge line and refine the the tip.

Question: Can just getting a septoplasty fix my nose so it doesn’t tilt to one side as much?
Answer: A septoplasty is performed in the back of the nose to improve air flow dynamics And is only performed for medical necessity. A rhinoplasty accomplishes straightening the nose. Both procedures can be performed simultaneously, but expect to pay for the cosmetic component yourself.

Question: Chin implants or fillers or too much fat on chin?
Answer: The side profile Photograph demonstrates a recessive chin profile for which A chin implant can improve Fillers are not very effective in this area, and are only temporary.

Question: What type of treatment would provide the best and long-lasting results on my jowls?
Answer: At age 67, the best treatment is a lower face and neck lift which can accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any fatty deposits in the neck.

Question: A doctor recommended me not do chin lipo. What procedure should I do to target fullness under my chin?
Answer: From your side profile photograph, especially when looking downward, you have fat deposits located in the two compartments in your neck, located both above and below the platysma muscle. You also have a recessive chin profile which compounds the issue. You would need a chin implant to augment your chin forward for better structural support for the soft tissues in the neck along with improving your jawline. You would also require a neck lift procedure, which accomplishes fat deposits removed in both compartments, along with a platysma plasty to significantly improve the jawline. Liposuction alone will only remove the fat compartment above the muscle, which will be in an effective treatment by itself.

Question: Eyelid/eyebrow droopiness – what procedure(s) would be helpful?
Answer: You are not a candidate for upper eyelid surgery due to the fact that you have very low eyebrow position. Consider a brow lift procedure, which can accomplish lifting your eyebrows to a more natural position.

Question: Can someone give me an idea of what would be the best procedure for my neck?
Answer: At age 38, there appears to be significant inelasticity of the skin the neck, muscle cords, jowls and fat deposits in the neck itself. Due to the presence of all of issues, a lower face and neck lift would be required to rejuvenate your face and neck. The horizontal neck bands will only slightly be improved.

Question: Are there any ways to improve the longevity of a facelift (RF microneedling, oral collagen, high frequency wand use etc.)?
Answer: Noninvasive procedures don’t work very well, and are usually waste of time And money. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits in the neck. Sun exposure, smoking and genetics will control the aging process of the skin in the neck.

Question: Liposuction only or more extensive revision after original platysmaplasty (chin incision only)?
Answer: There has been improvement in your before and after photographs, however there is appears to be significant residual fat deposits located underneath the platysma muscle. A neck lift procedure with direct excision of the fat deposits below the platysma muscle and another platysma plasty will most likely be required to improve your jawline.

Question: Looking to get a septorhinoplasty (deviated septum/nose job) in a few months, is there anything specific I should ask?
Answer: The photographs are very limited,However it does appear that you have very thick skin in the tip, therefore it is very important that you have realistic expectations. A closed rhinoplasty approach can accomplish shaving down the dorsal hump and straightening the nose. An alar plasty is performed to narrow wide nostrils. An internal examination of the nose is required to make a determination about having a deviated nasal septum. Functional and cosmetic nasal surgery can both be performed simultaneously under one anesthesia with one recovery.

Question: Am I a good candidate for a rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip cartilages, and decreasing the overall projection of the nose, narrowing the bridge line and reducing the hanging and crooked columella. All the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished.

Question: Can I have a facelift now after I had 4 syringes of Voluma to my cheeks and jowls 1 and 1/2 years ago?
Answer: Since the fillers were placed a year and a half ago, there’s probably not much left and will not affect the results from a lower face and neck lift procedure. The goal of this type of surgery is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove the fat deposits in the neck which also include includes a platysma-plasty.

Question: Is it possible for any kind of procedure to only make incisions behind the ear & under chin?
Answer: In our practice and neck lift procedure does not remove any skin since those three incisions are rather limited. A next lift only removes excess fat compartments in the neck above and below the platysma muscle and a platysma plasty. When there is significant laxity in the neck, a lower face and neck lift is going to be required to remove that significant amount of skin. A large Z-plasty across the front of your neck Will because cosmedically unacceptable.

Question: Should you do skin boosters before a deep plane facelift?
Answer: Skin boosters will not have any affect with the results of your facelift. Best not to cause any scar tissue in the interim. It’s important to understand that facelift procedures involve tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fat deposits in the neck above and below the platysma muscle, lifting the jowls, and also performing a platysma plasty to significantly improve your jawline. Skin boosters will have no effect.

Question: Over 10 months post op – will my bulbous nose correct itself with more time?
Answer: At 10 months, you’re fairly close to the final healing. The bump along your bridge line is probably not gonna go away and will need a little touch up procedure to rasp that down. With respect to your bulbous nasal tip, it really depends upon what techniques were used, and the thickness of your skin in the nasal tip itself. Thick skin in the nasal tip will limit how much refinement can be accomplished.

Question: How would I go about correcting a bulbous tip?
Answer: From the side profile photographs, you have an overly projecting nose, and an under projecting chin. The under projection of your chin makes your nose look bigger than it really is. Consider a closed rhinoplasty, along with a chin implant for better facial balance and proportions. A closed rhinoplasty can accomplish shaving down the dorsal hump, decreasing the projection of the nose, and refinement of the bulbous nasal tip with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Placement of a chin implant can be performed at the same time as the rhinoplasty, or separately under local anesthesia. In our practice, we place the implant through a small incision underneath the chin. Choose your rhinoplasty specialist wisely based on extensive experience, since rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery.

Question: Fullness under chin after lower neck & face lift 9 months ago, what’s needed to correct?
Answer: You have multiple issues going on after your previous lower face and neck lift which include residual fat deposits underneath the platysma muscle in your neck, platysma cords, excess neck skin, and most likely prominent sub maxillary salivary glands. Make sure your plastic surgeon is comfortable addressing all of those issues.

Question: Lower face help?!
Answer: The only surgical procedure that would help would be a small chin implant placed under local anesthesia as an outpatient procedure. It would give you more augmentation of your chin forward, a moderate amount of width, and a small amount of vertical height. This procedure can be performed under local anesthesia and takes about a half an hour. You could also go back to your injector and have the filler reversed in your cheeks.

Question: Should I get a revision?
Answer: Your nose is significantly smaller and less projecting than your prior surgery. The only issue a revision rhinoplasty would accomplish is to give you more of a feminized profile and shave down the residual dorsal hump.

Question: Rhinoplasty for facial balance?
Answer: A closed rhinoplasty approach can accomplish making your nose more symmetrical, shaving down the dorsal hump, which is more prominent on your right side, decreasing the overall projection of the nose, and refining the nasal tip, with all of the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either. You also have a recessive Chin profile which makes your nose look bigger than it really is. Consider placement of a chin implant to augment your chin forward for a better facial balance and proportions. Both procedures can be performed together, under one general anesthesia, or the chin implant can be performed as a standalone procedure under local anesthesia. Digital computer imaging of both procedures would be helpful in the education process.

Question: Is this just swelling that still has to go down or do you think a revision rhinoplasty will be required?
Answer: From the limited photographs, it does appear that you have swelling and thick skin in in the Area just above the nasal tip which could be improved with steroid shots. Follow up with your operative surgeon.

Question: Is it safe to get nose fillers after 2 rhinoplasty?
Answer: If you’re contemplating undergoing a revision rhinoplasty, there’s no sense in placing fillers in the nose which will artificially inflate the anatomy for your next plastic surgeon. Fillers placed in the nose are not FDA approved for that application, and can have significant complications.

Question: Do I need mini facelift or liposuction for a more contoured jawline?
Answer: You appear to be too young for any type of mini facelift, and a mini lift will not improve contour irregularities in your neck. A neck lift procedure accomplishes removal of the fat deposits above the platysma muscle in the neck with liposuction, and removal of the fat deposits below the platysma muscle in the neck which also includes a platysma-plasty to significantly improve the jawline. At your age, the skin tone is probably just fine and no skin removal would be necessary.

Question: How can I get a better angle under the chin?
Answer: From the one limited photograph, it appears that there is fat deposits located underneath your platysma muscle which cannot be removed with simple Liposuction. Liposuction can only remove fat deposits above the platysma muscle. A surgical neck lift can accomplish removal of fat below the platysma muscle which also includes a platysma-plasty to significantly improve the jawline. This is a surgical procedure performed a general anesthesia. As long as you’re less than 50 years of age, no skin removal is required.

Question: Am I a good candidate for nonsurgical nose job? Can I narrow it?
Answer: Nonsurgical rhinoplasty will make your nose bigger, not smaller. A closed rhinoplasty approach can accomplish narrowing the entire bridgeline and nasal tip with all the incisions placed on the inside of the nose. An alar plasty involves removing a wedge of skin at the base of the nostrils to narrow the nostrils themselves. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Female, sagging cheeks, 56kg, age 22, could Morpheus8 help?
Answer: At age 22, you did not have sagging cheeks. You have a recessive chin profile based on the limited side photograph. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions. In our practice, we place chin implants under local anesthesia, which takes about 30 minutes.

Question: Morpheus8 vs Ultherapy for jowls and neck?
Answer: Minimally invasive treatments are simply not going to accomplish what a surgical lower face lift can accomplish. You have loose and inelastic skin in the neck, platysma muscle cords, and fat deposits located in the neck. A lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, removal of the fat deposits in your neck with liposuction, lifting the jowls, and performing a platysma plasty to significantly improve your jawline.

Question: Botched septoplasty – Is this worth getting a revision done?
Answer: Much more information is needed, such as an internal examination of the nose to figure out what is causing the nasal obstruction, a copy of the operative report and a full set of facial photograph to make a determination about being a candidate for revision rhinoplasty.

Question: Are my rhinoplasty expectations realistic?
Answer: It appears that you have narrowed your tip and your bridge line which can be accomplished with a Closed rhinoplasty procedure. Thick skin in the tip of the nose will prevent refinement in that area, which must be determined at the time of an in-personal examination. Rhinoplasty is a very difficult endeavor, so in second choose your surgeon wisely based on extensive experience.

Question: How long before I can get rhinoplasty or non surgical rhinoplasty after a septoplasty?
Answer: It’s probably best to wait a few months before undergoing a rhinoplasty after a septoplasty procedure to allow optimum healing. In our practice, we do not recommend nonsurgical rhinoplasty for a variety of reasons.

Question: Closed Rhinoplasty to deproject/ reduce length of a long ethnic nose?
Answer: In our practice for over 30 years, we have only performed closed rhinoplasty with excellent results. All of the incisions are placed on the inside of the nose. No external incisions are required, no painful packing is required either. Digital computer imaging of your nose upon your facial features would also be helpful in the education process to understand what can and cannot be accomplished. Study your perspective surgeon’s before and after closed rhinoplasty photo gallery to make sure that you see lots of natural results.

Question: Is the ‘after’ result possible on my nose?
Answer: No, that result is not possible to de-project your nose that amount. It’s important to understand that the nose is a three-dimensional structure, and plastic surgery is performed in three dimensions. The healing process also occurs in three dimensions. It’s important to do imaging from multiple different angles.

Question: Genioplasty or chin implant for chin recession?
Answer: A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay at the hospital, and is usually performed when the teeth are significantly out of alignment. A chin implant is performed under local anesthesia in the office setting, which takes about 30 minutes and is much less invasive.

Question: Bossae, able to be fixed with a revision?
Answer: The bossa are the result of your tip cartilages that have had some type of procedure done to them with very thin skin. A revision rhinoplasty can reduce the appearance of those. An in person examination and a copy of the operative report would be very helpful to understand what was accomplished in the primary procedure.

Question: I had a facelift & neck lift in March of 2020. I’m not happy. Can a revision take care of this?
Answer: A full set of facial photographs from all angles in a chin neutral position are required to make a determination about how best to proceed. Another lower face and neck lift should be able to address tightening loose facial and neck skin.

Question: Septoplasty and turbinate reduction – local or general anesthesia?
Answer: It would be very painful and difficult to perform a septoplasty and turbinate reduction under local anesthesia. In our practice, we perform these two procedures under a brief general anesthesia as an outpatient procedure.

Question: How safe is giving a patient a shot of Demerol & 10mg of valium before a mini face lift? 
Answer: Mini facelifts tend to give mini results, and we rarely perform them for that reason.A Mini facelift can be performed under local anesthesia, with sedation, or by an anesthesiologist. Just depends on patient safety, and comfort.

Question: Under eye wrinkles/folding skin – what to do?
Answer: The determination about removing extra skin on the lower lids is made at rest, not one smiling. An in person consultation would be required for that. Try placement of some Botox in your crows feet, which may help.

Question: Would I be a good candidate for upper and lower blepharoplasty?
Answer: The pictures are rather limited, but it does appear that your possible candidate for a blepharoplasty on both your upper and lower lids. The primary goal for upper eyelid surgery is to get rid of the hooded and excess skin and a little bit of fat located in the upper eyelids. The incision is located directly in the upper eyelid crease. The primary goal for lower eyelid surgery is to remove the fat bags in the lower lids creating the puffy look. We remove that fat through an incision on the inside of the lower lid called a trans conjunctival approach. This procedure is performed under general anesthesia takes about one hour, and anticipate about two weeks of visible bruising and swelling.

Question: Is this due to a deviated septum or something with the nasal tip?
Answer: Are the diagnosis of a deviated septum must be made from a thorough internal examination of the nose. A rhinoplasty can accomplish refinement of the nasal tip cartilages, narrowing your nostrils, and narrowing the bridge line.

Question: Should I get tip rhinoplasty instead of full rhinoplasty if my nose is already straight?
Answer: Most patients must undergo a full rhinoplasty to ensure that all the components of the Nose are balanced, And the entire new nose balances with your facial features in a three-dimensional fashion. A full set of facial photographs from all angles are going to be required.

Question: Is it possible to perform osteotomy alone for revision rhinoplasty?
Answer: Yes, osteotomy is placed in the nasal bones will accomplish narrowing the entire bridge line either for primary rhinoplasty or a secondary rhinoplasty. They can be performed as a standalone procedure if that’s the only issue wrong with your nose.

Question: I don’t know what to do about protruding chin and bad nose?
Answer: It’s Best to leave your chin alone Since it looks totally normal. A rhinoplasty procedure can accomplish narrowing the bridge line, refining the nasal tip and narrowing wide nostrils.

Question: Do I have a deep v deformity? Advice?
Answer: There are several issues going on with your nose which include irregularities along bridge line, an inverted V deformity, a hanging columella and alar retraction. A revision rhinoplasty procedure is going to be required to address all of these issues. It’s important to know if there’s any cartilage left over on the inside your nose for grafting purposes.

Question: Do you think a chin liposuction and buccal fat removal will get me a sharp jawline or is a genioplasty necessary?
Answer: Neck liposuction will only be of minimal benefit since you don’t have that much fat anyway in your neck. You do have a recessive mandible and chin profile, so consider placement of a small chin implant to augment your chin forward for a better facial balance and proportions. This procedure can be performed under local anesthesia as an outpatient procedure that takes about 30 minutes. A sliding genioplasty is much more invasive, and it’s performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay at the hospital.

Question: 41, under neck is loose and ugly & getting worse, can I get muscles tightened?
Answer: At 41 years of age, your skin tone in the neck should be acceptable. A neck lift procedure can accomplish removal of the fat compartments above and below the platysma muscle in addition to a corset platysma plasty to significantly improve your jawline. No skin removaI is needed. A Full and better set of facial and neck photographs would be required to make a determination.

Question: Palate expander and chin implant?
Answer: It is certainly possible to undergo a chin implant while undergoing palate expansion. Chin implants are usually placed under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

Question: Is a blepharoplasty necessary with an endoscopic brow lift?
Answer: In most cases, no a blepharoplasty is not needed with a browlift. A full set of facial photots are required.

Question: I want a more feminine look. Should I get an alar base reduction, blepharoplasty and lip lift?
Answer: A full set of eyelid and nasal photograph going to be required to make a determination about how best to proceed. And alar-plasty can accomplish narrowing wide nostrils. A trans -conjunctival lower blepharoplasty procedure can accomplish removal of the fat bags in the lower lids.In our practice, we do not perform the lip lift procedure due to significant complications we’ve seen from other offices.

Question: Am I botched? Nose still has small hump, still big 18 months after Rhinoplasty. Do I need a revision?
Answer: The dorsal hump present consists of both bone and cartilage was which must be surgically shaved down. Osteotomy’s are then going to be required to be placed in the nasal bones to close the open roof created from the hump removal itself. Thick skin and the tip of the nose Will prevent refinement in that area, and this should be determined at a time of an in-person examination. Revision rhinoplasty is more difficult than primary rhinoplasty, so choose your plastic surgeon wisely based on extensive experience. Also best To wait at least one year before undergoing another procedure.

Question: Revision Rhinoplasty or Steroid Shot?
Answer: It’s difficult to tell from the photographs, therefore an in-person examination is going to be required. Revision rhinoplasty is performed when there’s excess cartilage present creating the wide nasal tip. If there’s thick skin present, then a series of steroid shots would be the appropriate Treatment to try to decrease the thickness of the skin/scar tissue in that area.

Question: Could a rhinoplasty alone help with facial asymmetry? Or should I consider getting something else done?
Answer: A closed rhinoplasty will help with nasal asymmetry by straightening your nose, shaving down the dorsal hump. Also important to know if you have a deviated nasal septum on the inside of the nose which is restricting airflow as well. The septoplasty in a rhinoplasty can be performed together when necessary.

Question: How long should I wait before moving forward with a rhinoplasty after a brow lift with buccal fat removal and chin lipo?
Answer: For patient safety reasons, it’s probably best to separate the procedures out by at least one month, since both these procedures are usually performed under general anesthesia. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Is my nose bridge too low? Is it weird if I just fix tip & alar?
Answer: Your nose bridge is just fine, best to leave that alone. You can perform an alar plasty performed under local anesthesia to simply narrow your nostrils.

Question: I am interested in getting chin liposuction and a chin implant, and am wondering if I need a neck lift as well?
Answer: From the one limited photograph, there appears to be significant fat deposits in the neck located above and below the platysma muscle in the neck. As long as you’re at your ideal body weight with a BMI less than 30, then a necklift can be performed which accomplishes removal of fat deposits above and below the muscle. If your skin tone is rather loose, then the lower face and neck will be required to Tighten loose facial and neck skin once the neck muscles have been tightened and the fat has been removed.

Question: Am I a candidate for a septoplasty?
Answer: A thorough internal examination of your nose is required to make a determination about having deviated septum. You cannot see your septum from the outside of your nose. A rhinoplasty is performed to straighten the crooked nose, while a septoplasty form to improve your airflow dynamics in the back of the nose when there is a deviated septum president. Both a septoplasty and a rhinoplasty can be performed simultaneously under one anesthesia with one recovery.

Question: Neck lipo help – what treatments would you recommend?
Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. It’s also important understand that there are two compartments of fat in the neck, and they’re located above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposit above the muscle. If you have fat deposits below the muscle, that may require a neck lift procedure with a platysma plasty to significantly improve the jawline and remove that genetic fat compartment below the muscle.

Question: What kind of sessions are obligatory after facelift or endoscopic facelift?
Answer: In our practice, patients return to the office at least four times within the first month after a facelift procedure. In our practice, a facelift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fat deposits in the neck above and below the platysma muscle, a platysma, plasty and lifting the jowls. None of this can be accomplished with an endoscopic facelift technique.

Question: What type of rhinoplasty to fix how the end twists making my nostrils uneven?
Answer: A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip, narrowing the bridge line and adding a cartilage graft underneath the concave upper lateral cartilages, especially so on your left side. The columella will be improved, but your nostrils will never be perfect. It’s very important to have realistic expectations, since there is no perfect nose, just improvement.

Question: Possible rhinoplasty add on to scheduled septoplasty?
Answer: Rhinoplasty is the most difficult procedure to perform in the entire field of cosmetic surgery and is much more difficult than a septoplasty. Look for a double board-certified ENT/ facial plastic surgeon who can perform both the cosmetic rhinoplasty and functional septoplasty simultaneously under one anesthesia. Study your perspective surgeon’s before and after rhinoplasty photo Gallery to make sure that it is extensive with natural results that you like.

Understanding the Purpose of Rhinoplasty Surgery

Rhinoplasty surgery, also known as a nose job, is a cosmetic procedure aimed at enhancing the appearance of the nose. It is a common surgical option for individuals who are dissatisfied with the size, shape, or overall balance of their nose. Additionally, rhinoplasty can also address functional issues such as breathing difficulties caused by structural abnormalities in the nose. By reshaping and restructuring the nose, rhinoplasty aims to create a more harmonious facial profile and boost the individual’s self-confidence.

The purpose of rhinoplasty surgery goes beyond cosmetic considerations. For many individuals, the appearance of their nose can have a significant impact on their self-esteem and overall social interactions. Rhinoplasty offers a solution for people who feel self-conscious about their nose and wish to improve their facial aesthetics. Furthermore, the surgery can also have functional benefits by correcting breathing problems that may arise from issues such as a deviated septum or nasal obstructions. Ultimately, the purpose of rhinoplasty is to help individuals achieve a nose that is both visually appealing and functions optimally.

The Initial Consultation with a Rhinoplasty Surgeon

During the initial consultation with a rhinoplasty surgeon, you will have an opportunity to discuss your desires and expectations regarding the surgery. This is an important step in the process as it allows the surgeon to understand your goals and determine if they are realistic and achievable. You should be prepared to provide a detailed medical history, including any previous surgeries or medical conditions, as well as any current medications or allergies that you may have. Additionally, your surgeon will likely assess the structure and function of your nose, and may even take photographs or use computer imaging to help visualize potential outcomes.

The consultation is also an ideal time to ask any questions or address any concerns you may have. It is crucial to openly communicate with your surgeon and seek clarification on any aspects of the procedure, such as the risks involved, expected recovery time, and potential limitations. Remember, the initial consultation is an opportunity to establish a rapport with your facial plastic surgeon and ensure that you feel comfortable moving forward with the procedure. By being well-prepared and actively participating in the discussion, you can best collaborate with your surgeon to achieve the desired results.

Preparing for Rhinoplasty Surgery: What to Expect

Once you have made the decision to undergo rhinoplasty surgery, it is important to understand what to expect during the preparation process. Prior to the procedure, your surgeon will likely request a thorough medical examination to ensure you are in good overall health. This may involve blood tests, X-rays, or other diagnostic exams to assess your suitability for surgery. Additionally, it is common for your facial plastic surgeon to recommend certain lifestyle modifications in the weeks leading up to the surgery, such as avoiding certain medications, quitting smoking, or adjusting your diet to promote optimal healing.

In preparation for rhinoplasty surgery, your surgeon will also provide detailed instructions on how to properly prepare for the procedure. This may include guidelines on fasting before surgery, as well as instructions regarding the use of any prescribed medications or skincare products in the days leading up to the procedure. It is crucial to closely follow these instructions to ensure a smooth surgical experience and minimize any potential complications. Additionally, you may be required to arrange for transportation to and from the surgical facility, as well as arrange for someone to stay with you during the initial recovery period. By carefully adhering to your surgeon’s instructions and making appropriate arrangements, you can help ensure a safe and successful rhinoplasty surgery.

Anesthesia Options for Rhinoplasty Surgery

When undergoing a rhinoplasty surgery, patients have several anesthesia options to consider. The type of anesthesia used will largely depend on the complexity of the procedure and the preferences of the patient and surgeon. The two main options for anesthesia during rhinoplasty are general anesthesia and local anesthesia with sedation.

General anesthesia is commonly used for more extensive and complex rhinoplasty surgeries. It involves putting the patient into a deep sleep, ensuring they are completely unconscious during the procedure. This type of anesthesia allows the surgeon to have complete control over the patient’s airway and maximize their comfort throughout the surgery. General anesthesia is typically administered by an experienced anesthesiologist, who closely monitors the patient’s vital signs to ensure their safety and wellbeing.

Local anesthesia with sedation is another option for rhinoplasty surgery, particularly for less complicated procedures. With this approach, the surgeon injects a numbing agent into the nasal area to ensure the patient does not feel any pain during the surgery. The addition of sedation medications helps keep the patient relaxed and comfortable throughout the procedure. Unlike general anesthesia, local anesthesia with sedation allows for a quicker recovery time, as the patient is not completely unconscious. However, it is important to note that this option may not be suitable for everyone, and the surgeon will carefully evaluate each patient’s individual circumstances to determine the most appropriate anesthesia option.

The Incision Techniques Used in Rhinoplasty Surgery

The incision techniques used in rhinoplasty surgery play a crucial role in achieving desired results. Surgeons typically employ two main approaches: the closed rhinoplasty and the open rhinoplasty.

In closed rhinoplasty, the incisions are made discreetly inside the nostrils, allowing surgeons to access the nasal structures and reshape them. This technique is often preferred for patients seeking minor adjustments to their nose, as it results in minimal scarring and a shorter recovery period. On the other hand, open rhinoplasty involves making an incision across the columella, the narrow strip of tissue separating the nostrils. This allows the surgeon to lift the skin and gain a direct and comprehensive view of the nasal structures. Open rhinoplasty is commonly recommended for complex nose reconstructions or cases that require major changes to the nasal shape or structure. Despite resulting in a small scar on the underside of the nose, this technique provides the surgeon with greater precision and control during the procedure.

Reshaping the Nose: Techniques and Approaches

In order to reshape the nose, rhinoplasty surgeons employ various techniques and approaches based on the individual patient’s needs and desired outcome. One common technique used is called “closed rhinoplasty,” where incisions are made inside the nose, resulting in no visible external scars. This technique allows the surgeon to access and reshape the nasal structures with precision.

Another approach is “open rhinoplasty,” which involves making an additional incision across the columella (the strip of skin between the nostrils). This technique provides a better view of the nasal structures, allowing for more complex reshaping if necessary. It also allows for easier correction of asymmetries or other complex aesthetic concerns. The choice between closed and open rhinoplasty techniques depends on the specific goals of the patient and the surgeon’s expertise.

Correcting Structural Issues: Fixing Deviated Septum and Nasal Obstructions

Structural issues in the nose, such as a deviated septum or nasal obstructions, can greatly impact a person’s quality of life. Luckily, rhinoplasty surgery offers effective solutions to correct these problems. Deviated septum occurs when the thin wall separating the nasal passages is bent or displaced, causing breathing difficulties and congestion. Rhinoplasty can straighten the septum, improving airflow and alleviating symptoms. Nasal obstructions, such as enlarged turbinates or nasal polyps, can also be addressed during rhinoplasty surgery. By removing or reducing these obstructions, nasal breathing can be restored, leading to improved overall respiratory function.

Correcting these structural issues is typically achieved by making precise incisions inside the nose, allowing the surgeon to access the underlying structures. The deviated septum can be reshaped or straightened by removing excess cartilage or bone, improving the alignment of the nasal passages. To address nasal obstructions, the surgeon may remove or reduce the size of the turbinates or remove nasal polyps. These surgical techniques, coupled with the expertise of the surgeon, aim to restore proper nasal function and alleviate the symptoms associated with a deviated septum or nasal obstructions.

Achieving Desired Results: Discussing Your Expectations with the Surgeon

When considering rhinoplasty surgery, it is crucial to have a clear understanding of the desired results you hope to achieve. Before proceeding with the procedure, it is essential to discuss your expectations with the surgeon. During your consultation, the surgeon will listen to your concerns, evaluate your facial structure, and provide professional insights regarding what can be realistically achieved through surgery. This open and honest discussion will help establish trust and ensure that both you and the surgeon have a mutual understanding of the goals for the procedure.

During the consultation, it is vital to communicate your concerns and desires openly with the surgeon. By articulating your expectations clearly, the surgeon will have a better understanding of your aesthetic goals and can tailor the surgical plan accordingly. It is important to remember that while the surgeon will work diligently to achieve your desired outcome, they will also consider your overall facial harmony and symmetry. Hence, open communication and realistic expectations are key to achieving the desired results in partnership with your surgeon.

Recovery and Aftercare: What to Expect Post-Rhinoplasty Surgery

After undergoing rhinoplasty surgery, the recovery and aftercare period is crucial for achieving optimal results. Immediately following the surgery, patients can expect some swelling, bruising, and discomfort around the nose and face. It is common for the nose to be packed with gauze to control bleeding, and a splint may be placed to support the newly reshaped nose. Pain medication and antibiotics may be prescribed to manage pain and prevent infection.

During the initial recovery period, it is essential to follow the surgeon’s post-operative instructions diligently. This may include keeping the head elevated, avoiding strenuous activities or heavy lifting, and refraining from blowing the nose. Cold compresses can be applied to help reduce swelling, and regular check-ups with the surgeon will be scheduled to monitor the healing process. Overall, the recovery and aftercare period requires patience and adherence to the recommended protocols to ensure a successful outcome.

Long-Term Results and Potential Risks of Rhinoplasty Surgery

Long-Term Results of Rhinoplasty Surgery can vary from person to person. While many individuals experience satisfactory outcomes, it is important to understand that the final result may take time to fully manifest. Swelling and bruising are common after the procedure, and it may take several months for these effects to completely subside. Patients should also be aware that the healing process is gradual and can continue for up to a year or more. During this time, the shape and appearance of the nose will gradually refine, and patients should be patient and follow their surgeon’s post-operative instructions diligently to ensure optimal results.

Potential risks and complications associated with Rhinoplasty Surgery are rare, but they do exist. These can include infection, adverse reactions to anesthesia, or excessive bleeding. Additionally, there is a small possibility of asymmetry, scarring, or changes in sensation. It is crucial for individuals considering rhinoplasty to thoroughly discuss these potential risks with their surgeon during the initial consultation and ensure that they have a clear understanding of the possible outcomes. By choosing a board-certified surgeon with extensive experience in rhinoplasty, patients can minimize the risks and increase their chances of a successful long-term result.

What is the purpose of rhinoplasty surgery?

The purpose of rhinoplasty surgery is to reshape and resize the nose, enhancing its appearance and improving overall facial harmony. It can also correct structural issues, such as a deviated septum or nasal obstructions, which can improve breathing.

What happens during the initial consultation with a rhinoplasty surgeon?

During the initial consultation, you will discuss your goals and expectations for the surgery. The surgeon will evaluate your nasal structure and discuss the techniques and approaches that would be most suitable for your specific case. They will also explain the potential risks and benefits of the procedure.

How should I prepare for rhinoplasty surgery?

Prior to the surgery, your surgeon will give you specific instructions on how to prepare. This may include avoiding certain medications, stopping smoking, and arranging for someone to drive you home after the surgery. It is important to follow these instructions closely to ensure the best possible outcome.

What are the anesthesia options for rhinoplasty surgery?

Rhinoplasty surgery can be performed under different types of anesthesia, including local anesthesia with sedation or general anesthesia. The choice of anesthesia will depend on factors such as the extent of the procedure and the surgeon’s recommendation.

What are the incision techniques used in rhinoplasty surgery?

There are two main incision techniques used in rhinoplasty surgery: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves making a small incision on the columella (the strip of tissue between the nostrils) and offers better visibility for complex procedures. Closed rhinoplasty involves incisions made inside the nostrils, resulting in no visible scarring.

How is the nose reshaped during rhinoplasty surgery?

The nose can be reshaped through various techniques, such as removing or adding cartilage or bone, repositioning or altering the shape of the tip, or narrowing the nostrils. The specific techniques used will depend on the desired outcome and the individual’s unique nasal structure.

Can rhinoplasty surgery correct a deviated septum or nasal obstructions?

Yes, rhinoplasty surgery can correct structural issues such as a deviated septum or nasal obstructions. The surgeon can straighten the septum, which separates the nasal passages, to improve breathing and alleviate symptoms associated with nasal blockage.

Is it important to discuss my expectations with the surgeon before rhinoplasty surgery?

Yes, it is crucial to have a thorough discussion with your surgeon about your expectations for the surgery. This will help ensure that both you and the surgeon have a clear understanding of the desired outcome. It is important to have realistic expectations and to be open to the surgeon’s recommendations based on your individual case.

What can I expect during the recovery and aftercare period?

After rhinoplasty surgery, you can expect some swelling, bruising, and discomfort. Your surgeon will provide specific post-operative instructions, which may include wearing a splint or cast, avoiding certain activities, and taking prescribed medications. It is important to follow these instructions and attend follow-up appointments for proper healing and monitoring of your progress.

What are the long-term results and potential risks of rhinoplasty surgery?

The long-term results of rhinoplasty surgery can vary depending on factors such as the individual’s healing process, the surgeon’s skill, and the specific techniques used. While most patients are satisfied with their results, there can be potential risks and complications, including infection, bleeding, scarring, asymmetry, and changes in sensation. It is important to discuss these risks with your surgeon and weigh them against the potential benefits before deciding to undergo the procedure.

Understanding the Rhinoplasty Procedure

Rhinoplasty, commonly referred to as a “nose job,” is a surgical procedure aimed at reshaping or resizing the nose. It is typically performed for aesthetic purposes, to enhance the overall balance and harmony of the facial features. However, it can also be undertaken to correct functional issues, such as a deviated septum or breathing difficulties.

During the rhinoplasty procedure, the facial plastic surgeon makes incisions either inside the nostrils (closed rhinoplasty) or across the columella, the narrow strip of tissue separating the nostrils (open rhinoplasty). Through these incisions, the facial plastic surgeon accesses the underlying nasal structures, including bone, cartilage, and soft tissues. They then sculpt and reshape the nose to achieve the desired outcome, which may involve removing excess bone or cartilage, adding grafting material, or repositioning the nasal structures. The incisions are carefully closed, and the nose is generally splinted to protect and support the new shape during the initial healing process.

Factors That Influence Recovery Time

Recovery time can vary from person to person after a rhinoplasty procedure. Several factors can influence how long it takes for individuals to fully recover and get back to their daily routine. One crucial factor is the extent of the surgical procedure. A more complex rhinoplasty involving significant changes to the nasal structure may require a longer recovery time compared to a simpler procedure focused on minor adjustments.

Another factor that can influence recovery time is an individual’s overall health and lifestyle habits. People who are generally healthy and maintain a balanced lifestyle tend to experience a smoother and quicker recovery. On the other hand, individuals with pre-existing health conditions or those who engage in unhealthy habits, such as smoking or excessive alcohol consumption, may face a more prolonged rhinoplasty recovery process. Therefore, it is important for individuals to be mindful of their health and make any necessary adjustments to ensure a smoother healing journey after rhinoplasty.

Initial Days after Rhinoplasty: What to Expect

After undergoing a rhinoplasty procedure, the initial days of recovery are vital for achieving optimum results. During this time, it is common to experience a variety of sensations and discomfort. Swelling and bruising around the nose and eyes are expected, and it may take a few days for these symptoms to gradually subside. Breathing through the nose might also be difficult, as temporary congestion or nasal stuffiness can occur. It is essential to follow the post-operative instructions provided by your surgeon to ensure a smooth recovery process.

During the initial days, it is necessary to take extra precautions to protect your nose. You will likely be advised to wear a splint on your nose, which helps maintain its new shape and reduce swelling. It is important to avoid any activities that may put pressure on or potentially damage the nose, such as wearing glasses or engaging in strenuous physical activities. Additionally, it is crucial to keep the nasal area clean by gently cleaning around the nostrils and following any recommended care routines provided by your surgeon. By adhering to these guidelines and practicing patience, you are giving your nose the best chance to heal properly and achieve the desired results.

Managing Pain and Discomfort after Rhinoplasty

One of the most important aspects of recovery after rhinoplasty is effectively managing pain and discomfort. It is common for patients to experience pain, swelling, and discomfort in the days following the surgery. However, there are several strategies that can help alleviate these symptoms and promote a smoother recovery process.

One of the most commonly recommended methods for managing post-rhinoplasty pain is the use of pain medications prescribed by your surgeon. These medications, which may include analgesics or NSAIDs, can help to reduce pain and discomfort. It is important to strictly follow the dosage instructions provided by your surgeon and to avoid using any over-the-counter medications without consulting with them first. Additionally, applying cold compresses to the surgical area can help reduce swelling and provide temporary pain relief.

Caring for Your Nose Post-Surgery: Tips and Guidelines

After undergoing rhinoplasty surgery, it is crucial to properly care for your nose during the post-surgery recovery period. Following the tips and guidelines provided by your surgeon can help minimize complications and ensure a smooth healing process. It is important to avoid any actions that may disrupt the healing process, such as blowing your nose forcefully or engaging in strenuous activities that may increase blood flow to the nose. Additionally, it is advisable to sleep with an elevated head position to help reduce swelling and promote better healing.

Your surgeon may prescribe medications to manage pain and discomfort during the recovery period. It is essential to strictly follow the dosage instructions provided and consult with your surgeon before taking any additional medications. Applying cold compresses or ice packs gently to the nose can also help reduce swelling and provide relief. Furthermore, maintaining good hygiene by keeping your nose clean and avoiding irritants, such as strong odors or smoke, can aid in the healing process. By adhering to these tips and guidelines, you can support your nose post-surgery and promote a successful rhinoplasty recovery.

Common Side Effects during the Recovery Period

Nasal congestion is one of the most common side effects that patients experience during the recovery period after rhinoplasty. This congestion is typically caused by the swelling and inflammation of the nasal tissues as a result of the surgical procedure. It can make breathing through the nose difficult and can also lead to a stuffy and blocked sensation. While this congestion is temporary, it can be uncomfortable and may last for several weeks or even months.

Another common side effect of rhinoplasty is bruising and swelling around the eyes and nose. This bruising and swelling can be quite pronounced in the initial days after surgery and gradually subside over time. Patients may experience discoloration and puffiness around the eyes, which can make them appear tired or older than they actually are. Swelling of the nose itself is also common, and the extent of swelling may vary depending on the complexity of the surgery. It’s important for patients to keep in mind that these side effects are normal and part of the healing process, and they will gradually improve as the body recovers.

The Role of Medications in Rhinoplasty Recovery

When it comes to the recovery process after a rhinoplasty procedure, medications play a crucial role in ensuring a smooth and comfortable healing experience. Prescription painkillers are commonly given to manage pain and discomfort during the initial days after surgery. These medications help to alleviate any post-operative discomfort and reduce inflammation in the nasal area. Additionally, antibiotics are often prescribed to prevent infection and promote proper healing. It is important to follow the prescribed medication regimen provided by your surgeon and discuss any concerns or side effects with them.

In addition to pain management, medications may also be prescribed to minimize swelling and bruising following rhinoplasty. Anti-inflammatory medications, such as corticosteroids, can help reduce swelling in the nasal tissues, leading to a faster recovery. Similarly, arnica or bromelain supplements may be recommended to decrease bruising and expedite the healing process. It is essential to follow the instructions provided by your surgeon regarding these medications and to inform them of any pre-existing medical conditions or allergies that may affect their use.

When Can I Resume Normal Activities after Rhinoplasty?

After undergoing a rhinoplasty procedure, patients often wonder when they can resume their normal activities. While the recovery period varies from person to person, most individuals can expect to return to their regular routine within a few weeks. However, it is important to remember that each patient’s healing process is unique, so it is crucial to follow your surgeon’s post-operative instructions for a smooth recovery.

In the initial days following rhinoplasty, it is normal to experience some swelling and discomfort. This is why it is advisable to take time off from work or school to allow your body to heal properly. Engaging in physically demanding activities or exercise should also be avoided during this time, as it can increase swelling and strain on the healing tissues. However, as the days go by, and under the guidance of your surgeon, you will gradually be able to reintroduce light physical activities into your routine. Remember to listen to your body and avoid anything that causes pain or discomfort. Ultimately, the exact time when you can resume normal activities will depend on your own healing progress, so be patient and take the necessary time to recover fully.

Long-Term Recovery and Final Results

After undergoing a rhinoplasty procedure, patients can expect a gradual and long-term recovery process. While the initial swelling and bruising will subside within a few weeks, it may take several months or longer for the final results to become fully visible. It is important for patients to have realistic expectations and understand that the nose will continue to change and evolve during this time.

During the long-term recovery period, it is crucial to follow the post-operative instructions provided by your surgeon. These may include avoiding strenuous activities, wearing a protective splint or cast, and maintaining proper hygiene for your nose. It is also important to attend all follow-up appointments with your surgeon to monitor the healing process and discuss any concerns or questions you may have. By adhering to these guidelines and being patient, you can increase the likelihood of achieving the final results you desire from your rhinoplasty procedure.

Tips for a Speedy and Smooth Rhinoplasty Recovery

Tip 1: Follow post-operative instructions diligently. One of the most important factors in achieving a speedy and smooth rhinoplasty recovery is to carefully follow all the instructions provided by your surgeon. These instructions may include guidelines for cleaning and caring for your nose, as well as restrictions on physical activities and medication usage. By adhering to these instructions, you can aid the healing process and minimize the risk of complications.

Tip 2: Take it easy and rest as much as possible. Rest is crucial for a smooth recovery after rhinoplasty. Make sure to take ample time off work or school to allow your body to heal properly. Limit physical exertion and avoid any activities that could potentially bump or injure your nose. Use this time to relax, catch up on your favorite TV shows or books, and engage in activities that do not strain your body. Remember, patience is key during this period, and the more you rest, the faster your recovery is likely to be.

What is rhinoplasty?

Rhinoplasty, commonly referred to as a nose job, is a surgical procedure that aims to reshape the nose to enhance its appearance or improve its functionality.

How long does the recovery from rhinoplasty usually take?

The recovery period for rhinoplasty varies from person to person, but typically it takes about 1-2 weeks for the initial swelling and bruising to subside. However, it may take several months for the nose to fully heal and for the final results to become apparent.

What factors can influence the recovery time after rhinoplasty?

Several factors can influence the recovery time after rhinoplasty, including the individual’s overall health, the extent of the procedure, and the technique used by the surgeon.

What can I expect during the initial days after rhinoplasty?

During the initial days after rhinoplasty, it is common to experience some swelling, bruising, and discomfort. Nasal congestion and difficulty breathing through the nose may also occur.

How can I manage pain and discomfort after rhinoplasty?

Your surgeon will typically prescribe pain medication to manage any discomfort after rhinoplasty. Applying cold compresses and keeping your head elevated can also help reduce swelling and alleviate pain.

What tips and guidelines should I follow to care for my nose post-surgery?

It is important to follow your surgeon’s instructions for post-operative care, which may include avoiding strenuous activities, keeping the nasal area clean, and wearing a protective splint or cast as directed.

What are the common side effects during the recovery period?

Common side effects during the recovery period include swelling, bruising, nasal congestion, and mild bleeding. These side effects are typically temporary and subside as the healing progresses.

Do I need to take any medications during rhinoplasty recovery?

Your surgeon may prescribe medications such as pain relievers, antibiotics, and nasal sprays to aid in the healing process and prevent infection. It is important to follow the prescribed medication regimen as instructed.

When can I resume normal activities after rhinoplasty?

The timing for resuming normal activities varies depending on the individual and the extent of the procedure. It is important to consult with your surgeon, but in general, most patients can return to work and light activities within a week or two.

How long does it take to see the final results of rhinoplasty?

While you will notice some improvements in the appearance of your nose shortly after surgery, it may take several months for the swelling to completely subside and for the final results of rhinoplasty to become fully apparent.

Complications during surgery

During rhinoplasty surgery, complications can arise unexpectedly, presenting challenges for both the surgeon and the patient. These complications may range from minor inconveniences to more serious issues that require immediate attention. Some common complications that can occur during surgery include infections, excessive bleeding, poor wound healing, and unsatisfactory aesthetic results.

Infections are a potential complication that can arise during surgery, particularly when proper sterilization procedures are not followed. The introduction of bacteria into the surgical site can lead to infection, causing redness, swelling, and fever in the patient. It is essential for surgeons and their team to maintain a sterile environment to minimize the risk of infection. Additionally, excessive bleeding can occur during surgery, especially in procedures that involve substantial tissue manipulation. Surgical tools are used to control bleeding, but in some cases, excessive bleeding may require additional interventions such as blood transfusions or additional sutures. The surgeon’s expertise and vigilance are crucial in minimizing the risk of excessive bleeding and quickly addressing any issues that arise.

Infections

Infections can be a potential complication following surgical procedures. They occur when bacteria or other microorganisms enter the body through incisions or wounds, leading to an inflammatory response. In some cases, infections can be minor and easily treatable with antibiotics. However, there are instances where infections can become more severe and require more aggressive treatment. These infections can cause prolonged healing times, increased pain and discomfort, and potentially lead to more serious health issues if not properly addressed. It is crucial for patients to follow all post-operative care instructions and promptly report any signs of infection to their healthcare provider to minimize the risk and severity of complications.

In some cases, infections can result in the need for additional surgical procedures. This may involve drainage of the infected area or even removal of the implant or tissue graft that was placed during the initial surgery. These additional procedures can delay the patient’s recovery and add to the overall cost and discomfort associated with the surgical experience. It is important for patients to be aware of the potential risks of infections and to communicate any concerns or symptoms they may have to their facial plastic surgeon. By taking proactive measures and adhering to proper post-operative care, the chances of developing infections can be significantly reduced, promoting better overall outcomes for the patient.

Excessive bleeding

Excessive bleeding is a potential complication that may occur during surgical procedures. This can be a result of various factors, such as the size and location of the incision, as well as the patient’s underlying health conditions. When excessive bleeding occurs, it can prolong the surgery and increase the risk of complications. In some cases, additional measures may need to be taken, such as the use of cauterization or sutures, to control the bleeding and ensure the safety of the patient.

Post-operative excessive bleeding can also lead to other complications, such as the formation of blood clots or hematoma. These can be painful and require further medical intervention to alleviate the symptoms and prevent any potential complications. It is crucial for surgical teams to closely monitor patients post-surgery for any signs of excessive bleeding, as early detection and prompt treatment are essential in minimizing the risks associated with this complication.

Poor wound healing

In some cases, the process of wound healing may not proceed as smoothly as anticipated after surgery. This can lead to complications and delays in the overall recovery of the patient. Poor wound healing is a concern that surgeons and patients alike must be vigilant about, as it can negatively impact the final outcome of the procedure.

One common reason for poor wound healing is the presence of underlying medical conditions such as diabetes or compromised immune system function. These conditions can impair the body’s natural ability to repair and regenerate tissues, thus hindering the wound healing process. Additionally, factors such as smoking, obesity, and a lack of proper nutrition can also contribute to poor wound healing. It is important for patients to disclose any pre-existing medical conditions and lifestyle habits to their surgeons, as this information can help the surgical team take appropriate measures to prevent and address potential complications in wound healing.

Unsatisfactory aesthetic results

Unsatisfactory aesthetic results can sometimes be an unfortunate outcome of a surgical procedure. While every effort is made by surgeons to achieve the desired outcome, factors such as individual healing capabilities and the complexity of the surgery can influence the final aesthetic result. In some cases, patients may express disappointment if the appearance of a particular feature does not meet their expectations, leading to feelings of dissatisfaction.

It is important to note that unsatisfactory aesthetic results are subjective and can vary from person to person. What one individual might consider as less than ideal, another individual might find acceptable. Nevertheless, it is crucial for patients to have open and honest communication with their facial plastic surgeon regarding their expectations and goals for the procedure. This can help manage expectations and ensure that both the patient and surgeon are on the same page, working towards a satisfactory outcome.

Breathing difficulties

During and after rhinoplasty surgery, some patients may experience breathing difficulties. These difficulties can range from mild to severe and can be caused by several factors. One common cause is swelling and inflammation of the nasal passages, which can temporarily obstruct airflow. This can be expected in the first few weeks after surgery as part of the normal healing process. However, in some cases, the breathing difficulties may persist for a longer period, indicating the need for further evaluation and potential intervention by a healthcare professional.

In some instances, breathing difficulties can be a result of structural changes to the nasal anatomy. For example, if the surgery involves modifying the nasal septum or nasal bones, there is a possibility that the airflow through the nose may be altered. This can lead to symptoms like nasal blockage or congestion, making it challenging for the patient to breathe comfortably. While these issues can be distressing, it’s important to note that in most cases, the breathing difficulties improve as the healing process progresses. However, for individuals experiencing persistent or significant breathing difficulties, it is advisable to consult with the surgeon or a specialist to determine the best course of action.

Nasal blockage

Nasal blockage can be a distressing and uncomfortable complication that may arise following nasal surgery. It can lead to difficulties in breathing, affecting the overall quality of life for the patient. Depending on the severity, nasal blockage can be temporary, resolving on its own as the body heals, or it may require additional medical intervention to alleviate the symptoms. In some cases, nasal blockage can be caused by swelling or inflammation of the nasal tissues, while in others, it may be due to scar tissue formation or anatomical changes. Factors such as the extent of the surgery, the patient’s healing process, and individual variations in nasal anatomy can all contribute to the likelihood and duration of nasal blockage.

Patients who experience nasal blockage after surgery should seek medical attention from their surgeon or healthcare provider. The appropriate treatment will depend on the underlying cause and severity of the blockage. It may involve conservative measures, such as nasal irrigation or the use of nasal sprays to reduce inflammation. In more severe cases, revision surgery may be necessary to correct anatomical issues or remove scar tissue. Effective management of nasal blockage can help restore normal breathing function and alleviate any associated discomfort or distress for the patient. It is important for individuals considering nasal surgery to be aware of the risk of nasal blockage and to discuss this potential complication with their surgeon beforehand.

Numbness or altered sensation

It is not uncommon for patients to experience numbness or altered sensation following certain surgical procedures. This can occur as a result of the trauma caused to the nerves during the operation. In some cases, this numbness or altered sensation may be temporary and gradually improve over time as the nerves heal and regenerate. However, in other instances, it may persist for a longer duration or even become permanent. Patients should be aware of this potential risk and discuss any concerns with their surgeon prior to undergoing the procedure.

Although numbness or altered sensation may not be deemed as serious complications, it can still impact a patient’s quality of life. Depending on the specific area affected, it can lead to difficulties in performing certain daily activities or even affect their emotional well-being. Therefore, it is crucial for patients to have realistic expectations and understand the potential risks associated with surgical procedures that may cause numbness or altered sensation. By doing so, they can make informed decisions and have a better understanding of what to expect during their recovery process.

Scarring

Scarring is a common occurrence after any type of injury or surgery, including cosmetic procedures. The body’s natural response to a surgical incision is to heal it by producing new collagen fibers that form a scar. While most scars fade over time and become less noticeable, some individuals may experience more prominent scarring.

Factors that can contribute to the development of noticeable scars include the size and depth of the incision, the location of the surgery, and individual healing tendencies. In some cases, excessive scarring, known as hypertrophic scars or keloids, can occur. These types of scars are raised, thick, and may extend beyond the boundaries of the original incision. Although scarring is an inevitable part of the healing process, there are various techniques available to minimize its appearance and enhance overall aesthetic results.

Revision surgery

Revision surgery may be necessary after an initial surgery on the nose due to various factors. One common reason for revision surgery is an unsatisfactory aesthetic outcome. Despite the surgeon’s best efforts, the desired results may not have been achieved or unexpected changes in the healing process may have occurred. In such cases, revision surgery may be recommended to correct any asymmetry, irregularities, or deformities in the nose and improve its overall appearance.

Another reason for revision surgery is functional issues resulting from the initial surgery. Breathing difficulties or nasal blockage may occur if the nasal passages are not properly aligned or if there is an obstruction that was not adequately addressed in the first surgery. Revision surgery can help alleviate these problems by further correcting any structural issues and improving the overall function of the nose. However, it is important to note that revision surgery is a complex procedure that should only be performed by qualified and experienced surgeons to minimize the risks associated with additional surgeries.

What are some common complications that can occur during revision surgery?

Complications during revision surgery can include infections, excessive bleeding, poor wound healing, unsatisfactory aesthetic results, breathing difficulties, nasal blockage, numbness or altered sensation, and scarring.

How common are infections after revision surgery?

Infections after revision surgery are relatively common. However, with proper surgical techniques and post-operative care, the risk can be minimized.

What should I do if I experience excessive bleeding after revision surgery?

If you experience excessive bleeding after revision surgery, it is important to seek immediate medical attention. Contact your surgeon or go to the nearest emergency room for appropriate treatment.

Why does poor wound healing occur after revision surgery?

Poor wound healing after revision surgery can occur due to various factors such as underlying medical conditions, smoking, poor nutrition, or inadequate post-operative care. Your surgeon will discuss ways to optimize wound healing during the pre-operative and post-operative periods.

What can be done if I am not satisfied with the aesthetic results of my revision surgery?

If you are unsatisfied with the aesthetic results of your revision surgery, it is recommended to discuss your concerns with your surgeon. They may be able to suggest further treatment options or adjustments to address your specific concerns.

Can revision surgery help with breathing difficulties or nasal blockage?

Yes, revision surgery can often help improve breathing difficulties or nasal blockage. Your surgeon will assess the underlying causes and determine the appropriate surgical interventions to restore proper nasal function.

Is it normal to experience numbness or altered sensation after revision surgery?

It is relatively common to experience numbness or altered sensation after revision surgery, especially in the early stages of recovery. However, these sensations usually improve over time as the nerves heal.

How noticeable will the scarring be after revision surgery?

The visibility of scarring after revision surgery can vary depending on various factors such as the surgical technique used and individual healing response. Your surgeon will make efforts to minimize scarring and provide post-operative care instructions to promote optimal healing.

When is revision surgery necessary?

Revision surgery is typically necessary when there are complications or unsatisfactory results from a previous nasal surgery. It is best to consult with a qualified surgeon who can assess your specific situation and determine if revision surgery is the appropriate course of action.

Factors influencing the cost of rhinoplasty

One of the main factors that influence the cost of rhinoplasty is the complexity of the procedure. In general, more complex cases require more surgical time, specialized techniques, and skilled surgeons, which can result in higher costs. Factors such as the extent of reshaping required, the condition of the nasal structure, and the presence of underlying health conditions can all contribute to the complexity of the procedure and subsequently impact the cost.

Another significant factor that affects the cost of rhinoplasty is the geographical location of the surgery. The cost of living and the level of competition among plastic surgeons can vary greatly depending on the region. In areas with a higher cost of living or a higher demand for cosmetic surgery, it is not uncommon for the prices to be higher. On the other hand, in less populated areas or areas with a lower cost of living, the prices may be comparatively lower. It’s essential for patients to consider their desired location for the procedure and weigh the potential price differences when budgeting for rhinoplasty.

Understanding the different types of rhinoplasty procedures

Rhinoplasty, commonly known as a nose job, is a popular cosmetic procedure that aims to enhance the appearance and functionality of the nose. There are different types of rhinoplasty procedures that can be performed depending on the desired outcome and individual’s unique facial features. One common type of rhinoplasty is the reduction rhinoplasty, which involves reshaping and resizing the nose to achieve a more balanced and proportionate appearance. This procedure is often sought by individuals who feel that their nose is too large or has asymmetrical features. Another type of rhinoplasty is the augmentation rhinoplasty, which focuses on adding volume or height to the nose. This procedure is often chosen by individuals who desire a more prominent nasal bridge or tip. It is essential to consult with a skilled and experienced surgeon to determine the most suitable type of rhinoplasty for your specific goals and facial structure.

The role of surgeon experience and expertise in pricing

When it comes to the cost of rhinoplasty, one significant factor that plays a crucial role is the experience and expertise of the surgeon. It’s important to remember that a more experienced and skilled surgeon often commands a higher fee for their services. This is because extensive experience and expertise are indicators of a surgeon’s ability to deliver desirable results and minimize the risk of complications. Surgeons who have performed numerous successful rhinoplasty procedures over the years have honed their techniques and gained a deep understanding of the intricacies of the surgery, making them highly sought after by patients seeking exceptional outcomes.

Moreover, the qualifications and credentials of the surgeon are also considered when determining the pricing of rhinoplasty procedures. Board-certified surgeons, for instance, have undergone rigorous training and examinations, reflecting their commitment to maintaining the highest standards of patient care and safety. Patients often place a premium on surgeons with such credentials, as it gives them confidence in the surgeon’s abilities and increases their trust in the surgical process. Consequently, the level of expertise and reputation of the surgeon can greatly influence the cost of rhinoplasty, as patients are willing to invest more in the assurance of an experienced and highly skilled surgeon.

Evaluating the cost of anesthesia and facility fees

One of the essential factors to consider when evaluating the cost of a rhinoplasty procedure is the anesthesia and facility fees. Anesthesia plays a critical role in ensuring the comfort and safety of the patient during the surgery. The cost of anesthesia can vary depending on various factors such as the type of anesthesia used, the duration of the procedure, and the qualifications of the anesthesiologist. It is important to discuss anesthesia options and associated costs with your surgeon during the consultation process.

Additionally, facility fees encompass the cost of using the surgical facility, including the operating room, equipment, and staff. These fees can vary depending on the location and reputation of the facility. Higher-end facilities may have higher fees due to their state-of-the-art equipment and luxurious amenities. It is crucial to inquire about these fees and understand what is included in the price quote to avoid any surprises. Evaluating and discussing anesthesia and facility fees with your surgeon will help you determine the overall cost of your rhinoplasty procedure more accurately.

Considering additional expenses such as pre-operative tests and post-operative care

When considering the cost of a rhinoplasty procedure, it is important to take into account additional expenses such as pre-operative tests and post-operative care. Prior to undergoing the surgery, your surgeon may require you to undergo various tests to assess your overall health and suitability for the procedure. These tests can include blood work, imaging scans, and consultations with other specialists if necessary. While these pre-operative tests may incur additional costs, they are essential in ensuring a safe and successful surgery.

Post-operative care is another factor to consider when calculating the overall cost of a rhinoplasty. After the procedure, you will likely require follow-up appointments with your surgeon to monitor your progress, remove any nasal packing or sutures, and address any concerns or complications that may arise. These post-operative visits and any necessary medications can add to the overall expense of the rhinoplasty. The extent and duration of post-operative care can vary depending on the individual and the complexity of the surgery, so it is important to discuss these considerations with your surgeon beforehand.

Exploring the impact of geographical location on rhinoplasty costs

Geographical location is an important factor that can significantly influence the cost of rhinoplasty procedures. In general, major cities and metropolitan areas tend to have higher costs due to the increased demand for skilled surgeons and the higher cost of living. For instance, rhinoplasty in New York City or Los Angeles may be more expensive compared to smaller towns or rural areas. This can be attributed to the availability of top-notch facilities and experienced specialists in these urban centers.

Additionally, geographical location can also impact the cost of rhinoplasty due to variations in local economies and healthcare systems. Different countries have different healthcare systems and regulations, which can result in varying pricing structures. For example, rhinoplasty in countries with higher healthcare costs, such as the United States, may be more expensive compared to countries with more affordable healthcare, such as Thailand or Mexico. It’s important to consider these geographical factors when budgeting for a rhinoplasty procedure, as they can have a significant impact on the overall cost.

The importance of a personalized consultation for accurate pricing information

During the consultation process for a rhinoplasty procedure, it is crucial to obtain accurate pricing information. This personalized session allows the surgeon to assess the patient’s individual needs and goals, as well as analyze the complexity of the procedure required. By conducting a thorough examination of the nose’s shape, size, and functionality, the surgeon can provide a tailored plan that accounts for the specific techniques and resources necessary for the patient’s desired outcome. With an understanding of these unique factors, the surgeon can then provide an accurate pricing estimate for the rhinoplasty procedure.

A personalized consultation also offers an opportunity for the patient to openly discuss their concerns and expectations with the surgeon. This communication is vital in establishing a clear understanding of the patient’s desired results and allows the surgeon to address any questions or apprehensions they may have. Additionally, during the consultation, the surgeon can explain the potential risks and complications that may arise during or after the procedure, ensuring that the patient has a comprehensive understanding of the process. Ultimately, the personalized consultation serves as an essential step in acquiring accurate pricing information, while also establishing a foundation of trust and understanding between the patient and surgeon.

Discussing potential financing options for rhinoplasty procedures

Financing options are often considered by individuals seeking rhinoplasty procedures. This cosmetic surgery can be quite costly, and not everyone has the funds readily available to cover the expense. Fortunately, many clinics and surgeons offer various financing options to help make rhinoplasty more accessible to a wider range of patients.

One common financing option is to apply for a medical credit card or healthcare financing plan. These programs allow individuals to spread out the cost of their rhinoplasty over a set period, typically with low or even zero interest rates. This can be particularly helpful for those who do not have health insurance coverage for cosmetic procedures, as it provides a manageable way to finance the surgery. Insurance coverage for rhinoplasty is usually limited to cases where there is a medical necessity, such as breathing difficulties or structural abnormalities. However, some clinics may offer financing plans specifically for patients who meet certain medical criteria.

Debunking common misconceptions about rhinoplasty costs

Rhinoplasty, commonly known as a nose job, is a cosmetic procedure that aims to reshape and enhance the appearance of the nose. However, there are several misconceptions surrounding the cost of rhinoplasty that may lead individuals to believe it is inaccessible or too expensive for them. It is important to address these misunderstandings to provide a clearer understanding of the financial aspects associated with this procedure.

One common misconception is that rhinoplasty is exorbitantly expensive and only affordable for the wealthy. While it is true that rhinoplasty can be a significant investment, the cost varies depending on several factors, such as the complexity of the procedure, the surgeon’s expertise, geographical location, and additional expenses. It is essential to consult with a qualified surgeon who can provide an accurate assessment of the prospective costs, as they will consider individual needs and preferences during the personalized consultation.

Another misconception is that the cost of rhinoplasty includes only the surgery itself, neglecting other associated expenses. In reality, one must consider additional costs such as anesthesia and facility fees, pre-operative tests, post-operative care, and potential medication. These factors can vary depending on the complexity of the procedure and the individual’s specific requirements. It is crucial to factor in all these aspects to gain a comprehensive understanding of the overall costs involved in rhinoplasty.

Tips for budgeting and saving for your rhinoplasty procedure

When considering a rhinoplasty procedure, it is important to have a clear understanding of the costs involved and to plan accordingly. Here are some tips for budgeting and saving for your rhinoplasty:

1. Research and compare prices: Start by researching different surgeons and clinics to get an idea of the average cost for a rhinoplasty in your area. Comparing prices can help you find a reputable provider within your budget.

2. Set a savings goal: Once you have an estimate of the cost, set a realistic savings goal. Determine how much you need to save each month to reach your goal by the desired date of your procedure. Consider cutting back on unnecessary expenses and finding ways to save more money towards your rhinoplasty fund.

By following these tips and staying committed to your budgeting plan, you can ensure that you are financially prepared for your rhinoplasty procedure and can achieve the results you desire. Remember, it is essential to prioritize your financial stability and plan accordingly for the costs associated with the surgery.

What are some factors that can influence the cost of rhinoplasty?

Factors such as the complexity of the procedure, the surgeon’s experience and expertise, the type of anesthesia used, and the location of the facility can all influence the cost of rhinoplasty.

What are the different types of rhinoplasty procedures?

There are several types of rhinoplasty procedures, including open rhinoplasty, closed rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty. Each procedure has its own considerations and costs.

How does the surgeon’s experience and expertise affect the pricing of rhinoplasty?

Surgeons with more experience and expertise often command higher fees for their services. This is because they have a track record of successful surgeries and can provide more specialized and precise results.

What should I consider when evaluating the cost of anesthesia and facility fees for rhinoplasty?

Anesthesia and facility fees can vary depending on the type of anesthesia used and the location of the facility. It is important to factor these expenses into your overall budget for the procedure.

Are there any additional expenses I should consider when budgeting for rhinoplasty?

Yes, additional expenses can include pre-operative tests, post-operative care, prescription medications, and any necessary follow-up appointments. It is important to account for these costs when budgeting for the procedure.

Does the geographical location of the facility impact the cost of rhinoplasty?

Yes, the geographical location can have an impact on the cost of rhinoplasty. In areas with a higher cost of living or higher demand for cosmetic procedures, the prices may be higher compared to other locations.

Why is a personalized consultation important for accurate pricing information?

A personalized consultation allows the surgeon to assess your specific needs and goals, which can affect the cost of the procedure. It also gives you the opportunity to ask questions and discuss any concerns you may have regarding the pricing.

What financing options are available for rhinoplasty procedures?

Some financing options for rhinoplasty procedures include healthcare financing companies, personal loans, credit cards, and payment plans offered by the surgeon’s practice. It is important to explore these options and choose one that fits your financial situation.

What are some common misconceptions about the cost of rhinoplasty?

Common misconceptions include thinking that the cost of rhinoplasty is solely determined by the surgeon’s fees, or that a lower price guarantees a better outcome. It is important to consider all factors and do thorough research before making a decision.

Do you have any tips for budgeting and saving for a rhinoplasty procedure?

Some tips for budgeting and saving for a rhinoplasty procedure include creating a specific savings plan, exploring financing options, cutting unnecessary expenses, and consulting with the surgeon to understand all costs involved. It is also important to be realistic about your budget and avoid rushing into the procedure without proper financial planning.

What is Rhinoplasty?

Rhinoplasty, commonly referred to as a “nose job,” is a surgical procedure that aims to enhance the appearance and/or functionality of the nose. It is one of the most requested cosmetic surgeries worldwide, attracting individuals from various backgrounds and age groups. The primary goal of rhinoplasty is to reshape the nose in accordance with the patient’s desires and to achieve facial harmony. This procedure can involve altering the size, angle, shape, and overall structure of the nose, depending on the specific needs of each individual. Alongside its cosmetic applications, rhinoplasty can also address medical issues such as breathing difficulties, birth defects, or trauma-related injuries to the nasal area.

Types of Rhinoplasty

Rhinoplasty can be classified into two main types: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves making a small incision on the columella, the strip of skin between the nostrils, allowing the surgeon better access to reshape the nasal structure. This technique is commonly used for more complex procedures or when the surgeon needs a clearer view of the internal structures. On the other hand, closed rhinoplasty involves incisions made inside the nostrils, thus leaving no visible scars on the external nasal surface. This technique is usually suitable for relatively simpler procedures or when minimal changes are needed.

Another categorization of rhinoplasty procedures is based on the purpose of the surgery. Functional rhinoplasty aims to correct structural abnormalities of the nose that may hinder proper breathing or cause other functional difficulties. This type of rhinoplasty focuses primarily on improving nasal functionality rather than altering the nose’s appearance. Cosmetic rhinoplasty, on the other hand, is performed solely to enhance the aesthetic appearance of the nose. It involves modifying the shape, size, or proportions of the nose to achieve a more desirable look. Cosmetic rhinoplasty can address various concerns such as a dorsal hump, a droopy tip, or asymmetry.

Medical Reasons for Rhinoplasty

Rhinoplasty, commonly known as a nose job, is a surgical procedure aimed at reshaping or restructuring the nose. While many individuals undergo rhinoplasty for cosmetic reasons, there are also several medical reasons that may warrant the need for this procedure.

One common medical reason for rhinoplasty is to correct a deviated septum. The septum, which is the wall of cartilage and bone that separates the nostrils, can become misaligned or crooked due to birth defects, injuries, or even natural aging. When the septum is deviated, it can lead to difficulties in breathing, chronic nasal congestion, snoring, and even sleep apnea. Rhinoplasty can help straighten and align the septum, improving airflow and alleviating these issues.

Cosmetic Reasons for Rhinoplasty

Many people consider undergoing rhinoplasty for cosmetic reasons, seeking to enhance the appearance of their nose. Cosmetic rhinoplasty aims to improve facial harmony and self-confidence by altering the shape, size, symmetry, or overall look of the nose. It can address a wide range of concerns, such as reducing a prominent hump, refining a bulbous tip, narrowing the nasal bridge, or changing the angle between the nose and upper lip.

Patients who pursue cosmetic rhinoplasty often have specific aesthetic goals in mind, aiming to achieve a nose that is more in line with their desired look. For some, their nose may have always been a source of self-consciousness or dissatisfaction, while others may have experienced changes due to injury or aging that they wish to correct. Whatever the motivation, cosmetic rhinoplasty offers individuals the opportunity to feel more confident in their appearance and to achieve the facial harmony they desire.

How does Insurance Coverage Work?

Insurance coverage for rhinoplasty is a topic of growing importance for individuals considering this procedure. Understanding how insurance coverage works can help patients make informed decisions and navigate the financial aspects involved in rhinoplasty.

Generally, insurance coverage for rhinoplasty is based on the medical necessity of the procedure. In order for insurance to cover the cost of rhinoplasty, it is typically required for the procedure to address a functional issue such as a deviated septum or breathing difficulties. These medical reasons, not purely cosmetic concerns, are what insurance companies consider when determining coverage for rhinoplasty. However, it is important to note that each insurance provider has its own specific policies and guidelines regarding coverage, which can vary significantly.

Factors that Determine Insurance Coverage

Factors that Determine Insurance Coverage:
One of the main factors that determines insurance coverage for rhinoplasty is the medical necessity of the procedure. Insurance companies typically consider rhinoplasty as a covered procedure if it is deemed medically necessary, such as to correct a deviated septum that impairs breathing or to repair structural defects caused by trauma or birth defects. In such cases, the insurance company may require documentation from a physician, including medical records and imaging tests, to support the medical necessity of the procedure.

Aside from medical necessity, insurance coverage for rhinoplasty may also be influenced by the specific terms and conditions outlined in the insurance policy. Some policies may have exclusions for certain cosmetic procedures, including elective or purely aesthetic rhinoplasty. Therefore, it is important for individuals considering rhinoplasty to carefully review their insurance policy and consult their insurance provider to understand the coverage and any potential limitations or exclusions. Additionally, the policies and coverage may vary between different insurance providers, so it is crucial to have open communication with the insurance company to obtain a clear understanding of what will be covered.

Common Insurance Coverage Policies

Insurance coverage policies for rhinoplasty can vary depending on the individual’s insurance plan. In some cases, insurance companies may cover rhinoplasty procedures if they are deemed medically necessary. This usually occurs when the individual is experiencing functional issues with their nose, such as difficulty breathing or recurring sinus infections. However, it is important to note that the specific criteria for medical necessity can vary between insurance companies and policies.

On the other hand, cosmetic reasons for rhinoplasty are typically not covered by insurance. Procedures that are solely for aesthetic purposes, such as reshaping the nose for improved appearance, are considered elective and are usually not eligible for insurance coverage. In these cases, individuals would be responsible for covering the full cost of the procedure out-of-pocket. It is recommended to check with your insurance provider to determine their specific coverage policies for rhinoplasty and to fully understand what expenses you may be responsible for.

Alternative Financing Options for Rhinoplasty

For individuals considering rhinoplasty but unable to afford the procedure upfront, alternative financing options may be worth exploring. These options serve as accessible avenues for those seeking to undergo the surgery without the burden of immediate payment. One potential option for financing rhinoplasty is through medical credit cards. These specialized credit cards are designed specifically for medical expenses and can be used to cover the cost of the procedure. They often come with promotional interest rates or payment plans that facilitate manageable repayment over time. Alternatively, some healthcare providers and clinics may offer in-house financing options, allowing patients to make structured payments directly to the facility. While these financing options can help make rhinoplasty more affordable, it’s essential to consider the terms and interest rates associated with each option.

Steps to Verify Insurance Coverage for Rhinoplasty

To verify insurance coverage for rhinoplasty, the first step is to contact your insurance provider and inquire about their specific requirements and guidelines for the procedure. It is important to have all the necessary information on hand, such as the medical necessity or cosmetic reasons behind the rhinoplasty, and any documentation from your healthcare provider supporting the need for the surgery. Be prepared to provide your insurance information, including your policy number and group number, as well as any pre-authorization forms that may be required.

Once you have gathered all the necessary information, you will need to submit it to your insurance provider for review. This usually involves filling out a pre-authorization request form and providing all supporting documentation. It is crucial to ensure that all forms are filled out accurately and completely to avoid any delays or denials in the approval process. Be sure to include any medical records, X-rays, or photographs that may support your case. After submitting the necessary documents, it is important to follow up with your insurance provider to ensure that your request is being processed and to inquire about the next steps in the verification process.

Tips for Maximizing Insurance Coverage for Rhinoplasty

When it comes to maximizing insurance coverage for rhinoplasty, there are a few key tips to keep in mind. Firstly, it is important to thoroughly understand your insurance policy and what it covers. Different insurance providers may have varying criteria for covering rhinoplasty procedures, so taking the time to review your specific policy can help you navigate the process more effectively.

Another tip is to gather all necessary documentation to support your case for insurance coverage. This may include medical records, diagnostic tests, and documentation from healthcare professionals detailing the medical necessity of the procedure. Providing comprehensive information and evidence can help strengthen your case and increase the likelihood of receiving insurance coverage for your rhinoplasty.

What is rhinoplasty?

Rhinoplasty, commonly known as a nose job, is a surgical procedure to reshape or reconstruct the nose.

What are the types of rhinoplasty?

There are two main types of rhinoplasty: functional rhinoplasty, which focuses on correcting breathing issues, and cosmetic rhinoplasty, which aims to enhance the appearance of the nose.

What are the medical reasons for rhinoplasty?

Medical reasons for rhinoplasty include correcting a deviated septum, repairing nasal fractures, or addressing other structural abnormalities that may impact breathing or overall nasal function.

What are the cosmetic reasons for rhinoplasty?

Cosmetic reasons for rhinoplasty include reshaping the nose to improve its appearance, addressing issues like a crooked nose, reducing the size of the nose, or refining the tip or bridge.

How does insurance coverage work for rhinoplasty?

Insurance coverage for rhinoplasty depends on the specific policy and the reasons for the procedure. While some insurance plans may cover the surgery for medical reasons, cosmetic rhinoplasty is typically not covered.

What factors determine insurance coverage for rhinoplasty?

The factors that determine insurance coverage for rhinoplasty include the reason for the procedure, whether it is deemed medically necessary, and the specific coverage policy of the insurance provider.

What are some common insurance coverage policies for rhinoplasty?

Common insurance coverage policies for rhinoplasty include coverage for functional rhinoplasty procedures that address breathing issues or correct structural abnormalities that impact nasal function.

Are there alternative financing options for rhinoplasty?

Yes, there are alternative financing options for rhinoplasty, such as medical financing companies, personal loans, or payment plans offered by the plastic surgeon.

What steps should I take to verify insurance coverage for rhinoplasty?

To verify insurance coverage for rhinoplasty, you should contact your insurance provider directly and inquire about the specific coverage policy for the procedure.

What are some tips for maximizing insurance coverage for rhinoplasty?

Some tips for maximizing insurance coverage for rhinoplasty include obtaining a thorough evaluation from your surgeon, documenting any medical reasons for the procedure, and ensuring that all necessary paperwork and documentation are submitted to the insurance provider.