Facial Plastic Surgery Questions and Answers: Part 1

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.


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    The Seattle Rhinoplasty Center

    Seattle Nose Surgeon ®
    William Portuese MD
    Joseph Shvidler MD

    Seattle, Washington 98104

    (206) 624-6200

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