Facial Plastic Surgery Questions and Answers: Part 05

Question: What kind of chin implant for my face? 
Answer: In our practice for over 25 years we have used Implantech brand of solid silicone chin implants with an excellent success rate. We also use the Mittleman pre-jowl chin implant usually size small or medium. When their significant recession demonstrated in the photographs, size medium would probably be the appropriate size.

Question: What is the likely cause of my eyelid asymmetry and how can it be balanced? 
Answer: Everyone has some degree of eyelid asymmetry due to the embryologic development of the face from both the left and right half. A conservative skin only upper blepharoplasty can accomplish improvement of the asymmetry. This can be performed under local anesthesia as an outpatient procedure.

Question: Jowls, jawline, skin pigmentation, enlarged pores what do you suggest?
Answer: Much more information such as a full set of facial/neck photographs from all angles with your hair pulled back to make a determination about being a candidate for a lower face and neck lift procedure. The goal of a facelift lift the jowls, tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits in the neck to improve the jawline. Skin pigmentation is usually treated with laser treatments.

Question: When is a standalone neck lift appropriate?
Answer: In our practice, a standalone neck lift is performed on patients less than 50 years of age who do not have a skin tone issue. We’re simply removing fat deposits located both above and below the platysma muscle which also includes a platysma plasty. Most patients over 50 years of age are going to have some degree of inelasticity of the skin, which is going to require a lower face and neck lift to tighten loose facial and neck skin.

Question: Will a facelift help minimize the appearance of wrinkles on the cheeks? 
Answer: To properly evaluate your face, a full set of facial photograph from all angles are required. A surgical face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting in the jowls, and removing any fat deposits in the neck which also includes a platysma plasty to significantly improve the jawline. A surgical facelift improves all these issues at repose, but dynamically, your contracting your smile muscles and will still have some degree of wrinkles present even after a facelift procedure.

Question: Any recommendations to improve my jowls?
Answer: Your side profile photographs demonstrate jowls, inelastic skin in the neck, and fat deposits in the neck as well. A lower face and neck lift procedure can accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat compartments in the neck in addition to a platysma plasty, which will significantly improve your jawline. Consider placement of a small chin implant to augment your chin forward, which will also help with the prominent pre-jowl sulcus that you have just in front of your jowls.

Question: Do I need a neck lift?
Answer: You’re going to require a lower face and neck lift to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove the residual fat compartments in the neck, along with a platysma plasty to significantly improve the jawline. In our practice, a neck lift alone does not remove excess skin, which is your biggest problem. The crepey neck skin is due to the deflation of your neck tissues from the significant weight loss.

Question: Would Chin liposuction be enough, or do I also need a neck lift?
Answer: The photograph to demonstrate significant fat deposits located above and below the platysma muscle in the neck. A neck lift procedure can accomplish removal of fat deposits located above and below the platysma muscle which also includes a platysma plasty. When there is loose and inelastic skin the neck, Then the lower face and neck lift is going to be required.

Question: Does jowl fat support the mid-cheek?
Answer: During a facelift procedure the Jowls a re-suspended in the mid face/ cheek area. If you’re trying to augment the midface by adding volume, then consider ceek implants.

Question: Lower facelift with chin implant or genioplasty? 
Answer: Much more information is as needed such as a full set of facial photographs, your age, your height and weight to make a determination about how best to proceed. The goal of a chin implant is to augment the chin forward. The goal of a facelift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits in the neck located above and below the platysma muscle itself.

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