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.