Facial Plastic Surgery Questions and Answers: Part 6

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.

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    Joseph Shvidler MD

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