Facial Plastic Surgery Questions and Answers: Part 01

Question: Are there any surgical alternatives to fixing or at least improving a bulbous tip?
Answer: A full set of facial photographs are going to be required to make a determination about how best to proceed, since the nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip with a combination of conservative cartilage removal and suture techniques applied to those nasal tip cartilages. 

Question: Am I a candidate for chin lipo?
Answer: From the limited photographs, it appears that there is a small amount of fat deposits in the neck which can be removed with Chin liposuction. This can be performed under local anesthesia as an outpatient procedure.

Question: Will a second rhinoplasty be needed in the future?
Answer: The nose does not continue to grow, so a rhinoplasty procedure is permanent change to your nose. If you have thick skin in the tip of the nose, you may need steroid shots to prevent swelling and edema from making the nasal tip look larger than it really is.

Question: Hump, bulbous tip, and asymmetry: can a closed approach be used to correct these issues? Can I do it in stages?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, straightening the nose, and reduction of the hanging columella with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. For more information and many examples, please see our closed rhinoplasty photo gallery on the link below.

Question: Can a non surgical rhinoplasty work for me?
Answer: Non-surgical rhinoplasty is only temporary, makes the nose bigger not smaller, and is not FDA approved for that application. A surgical rhinoplasty can accomplish narrowing your nose. Thick skin in the tip of the nose is going to prevent refinement in that area, so important to have realistic expectations.

Question: Jaw surgery or liposuction + fillers?
Answer: The Photographs demonstrate a recessive chin profile and a small amount of fat deposits in the neck. Consider placement of the chin implant to augment the chin forward, and liposuction of the neck to remove the fat deposits in that location. Both procedures can be performed under local anesthesia as an outpatient procedure.

Question: Is laser resurfacing okay to perform during a facelift?
Answer: Yes indeed, some surgeons do both procedures simultaneously. In our practice, we do them separately. We also do not perform a mid-facelift, but perform cheek implants for the lost volume in the midface. We also rarely perform a mini lift since they give mini results. We perform a comprehensive lower face and neck lift procedure when the facial changes of aging are significant. 

Question: How to decide on a rhinoplasty doctor?
Answer: Consider a board certified facial plastic surgeon who specializes in rhinoplasty. Study your prospective surgeon’s rhinoplasty photo Gallery to make sure that it is extensive with results that you like. Digital computer imaging of your nose upon your facial features also be helpful in the education process. Rhinoplasty is a very difficult endeavor, so choose your specialist wisely based on extensive experience producing natural results.

Question: Columellar strut and saddle deformity after rhinoplasty – what will happen if the depression worsens?
Answer: You can Consider a revision rhinoplasty at one year after your primary rhinoplasty. It’s important to make sure there’s full healing before embarking on another procedure. Also important to have a copy of the operative report find out how much cartilage is left over on the inside of the nose for grafting purposes. You’ re going to need a cartilage graft along the lower bridge line, remove the columellar strut and de-rotate the tip as much as possible. Choose your second rhinoplasty specialist very wisely based on extensive experience. 

Question: Will a rhinoplasty make my sunken under eyes worse?
Answer: No, a rhinoplasty procedure is not going to make your eyelids looked worse. Your nose looks pretty good now, so be careful about what you wish for. The amount of change you would see with the rhinoplasty procedure would be rather minimal at best. You’re not a candidate for lower eyelid surgery at this point either.

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