Facial Plastic Surgery Questions and Answers: Part 2

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.


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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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