Facial Plastic Surgery Questions and Answers: Part 08

Question: Chin lipo & FaceTite or neck lift? 
Answer: Much more information is needed such as your age, and a full set of facial photographs to make a determination about how best to proceed. In our practice, a necklift removes fat deposits above and below the platysma muscle in addition to a platysmal plasty. When there’s loose and inelastic skin in the neck which is probably the issue in these limited photographs, then a lower face and neck lift is going to be required to tighten loose and inelastic facial and neck skin.

Question: I am considering a neck lift. Should I remove the large gland in my neck?
Answer: Much more information is needed, such as your age and a full set of facial photographs from all angles to make a determination about which procedure is best for you. If you’re over age 50 and your skin tone is in elastic in the neck, you’re going to need a lower face and neck lift. It is important to understand that there are two compartments of fat in the neck, and they’re located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat compartment above the muscle, while a surgical neck lift is required to remove the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. If you are referring to the submandibular glands, a partial excision can be performed, when only but only when necessary for contouring.

Question: Why do opinions vary from doctor to doctor regarding the best treatment for loose neck skin and jowls? 
Answer: In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fat deposits in the neck located above and below the muscle lifting the jowls and performing a platysma-plasty. This is the procedure that you need based upon the photographs presented which demonstrate loose skin, neck cords, and residual fat deposits in the neck and addition to jowls.

Question: What would the surgical plan of action be to achieve a nose shorter in length and closer to face? 
Answer: A closed rhinoplasty approach approach can accomplish shortening the nose, decreasing the overall projection, and reducing the hanging columella with all the incisions placed on the inside of the nose. This is a major rhinoplasty. Only a very small amount of change will occur from the frontal view.

Question: Would a mini facelift help define my jaw better? 
Answer: A mini facelift does not address your neck. You need a neck lift procedure, which includes removal of the fat deposits located both above and below your platysma muscle, in addition to a platysma plasty to significantly improve the jawline. At age 32, your skin tone is fine, and no skin removal is necessary. You also have a recessive chin profile, so give some consideration to placement of a small chin implant to augment your chin forward, which will also help improve your jawline and be complementary to the neck lift procedure.

Question: Ok to lipo jowls as part of chin/jawline lipo?
Answer: In our practice, we never liposuction the jowls because you’ll get irregularities which will be quite visible in that location. If you have jowls, you’re a candidate for some sort of facelift procedure.

Question: Male, 5’8, 34 I don’t find my nose right for my face. What do you suggest? 
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refinement of the nasal tip, and straightening the nose with all the incisions placed on the inside of it. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can be accomplished with the procedure.

Question: Which first: Facelift, or lip lift and nasolabial angle reduction? 
Answer: In our practice, we do not perform a lip lift procedure due to multiple complications we’ve seen from other practices. Start with a facelift first which can rejuvenate your face and neck. 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.

Question: Do you have any advice please as I am going to get a facelift and under eye fat removal?
Answer: It’s very important to look at your prospective surgeon’s before and after facelift and eyelid photo Gallery to ensure that you’re going to get a great result. Big hospital systems tend to concentrate on reconstructive plastic surgery, so it’s important to find out how much elective cosmetic facelift and eyelid surgery that your surgeon is performing on a routine basis. It’s best to make appointments with three busy facelift surgeons and then make your decision.

Question: Mini facelift with a chronic illness? 
Answer: You are not a candidate for a facelift at this time based on the photographs, you presented, and you’re only 35 years old. More importantly, is to see if you’re even a candidate for elective cosmetic surgery with your chronic illness. That will need to be addressed by the surgeon and the anesthesiologist prior to any type of surgery you’re going to have.

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