Facial Plastic Surgery Questions and Answers: Part 08

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 .

 


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    Seattle Nose Surgeon ®
    William Portuese MD
    Joseph Shvidler MD

    Seattle, Washington 98104

    (206) 624-6200

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