Facial Plastic Surgery Questions and Answers: Part 09

Question: What kind of facelift is best for a proactive 35yr old wanting to prevent nasolabial wrinkles? 
Answer: Based upon your photographs, you do not need any type of facelift procedure. You do have a mild recessive chin, so consider placement of a chin implant under local anesthesia as an outpatient procedure, which takes about 30 minutes. That would give you more facial balance and proportions.

Question: Follow-up: Neck wrinkles and crepey neck skin 2 months after neck lift and facelift. Do I need a revision?
Answer: The photographs demonstrate loose and inelastic skin in the neck, along with residual fat deposits in the neck as well. Best to wait at least one year, and then perform another lower face and neck lift procedure to address all of these issues.

Question: Had fat injected in hollow under my chin after face/neck lift in 2018. What can be done to correct it? 
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and whether or not you have gained any weight after the fat injections. A neck lift procedure can address removal of the fat and sculpt a new jawline.

Question: What procedures to fix my saggy profile and undefined jawline? 
Answer: Much more information is needed such as you age and the status of the skin tone in your neck. The side profile photograph demonstrates a recessive chin profile for which a chin implant can improve. The fat deposits in the neck be removed with liposuction and the jawline can be significantly improved a platysma-plasty. Depending upon your skin tone, this may be able to be accomplished with a neck lift, or a lower face and neck lift.

Question: Wondering what would you do to bring the most balance to my face? 
Answer: The photographs demonstrate an overly projecting nose, and an under projecting chin. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the over projection of the nose from the side profile. Rhinoplasty is the most difficult operation to perform correctly in the entire field at cosmetic surgery, so it is imperative that you and your surgeon are both on the same page regarding the specific changes regarding her nose. Digital computer imaging of both procedures would be helpful to understand what can be accomplished. A closed rhinoplasty approach can accomplish making specific changes to your nose such as shaving down the dorsal hump, decreasing the overall protection of the nose, and reduction of the bulbous nasal tip.

Question: How long for heavy face wear after rhinoplasty?
Answer: After a septoplasty and rhinoplasty, you should not do any physical exercise for at least two weeks to prevent a nosebleed. Once you go back to work, you can use the cast that was placed on the bridge of your nose to rest your safety goggles on. Bending over should not be a problem.

Question: Skin-only facelift in early 30’s?
Answer: Much more information is needed to make sure you’re a candidate for a facelift procedure. Please Post a full set of facial and neck photographs from all angles in a chin neutral position to make a better determination. If you only want hey skin only facelift, you’re basically performing a pre-1973 style face lift. It’ s very important tighten the fascia layers and muscle layers underneath The skin, so that there’s no tension on the skin itself which results in a very minimally detectable incision.

Question: Am I suitable for a mini face lift?
Answer: In our practice, we rarely perform a mini lift because they tend to give mini results and are not very effective. A full set of facial photographs from all angles are required to make a determination about how best to proceed. We also perform a high-SMAS lower face and neck lift which accomplishes lifting the jowls, tightening loose facial and neck skin, tightening the loose facial and neck muscles, lifting the jowls, and removing any fatty deposits in the neck when present.

Question: Neck wrinkles and creping neck skin 2 months after neck lift and facelift. Do I need a revision? Would thermage work? 
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and a copy of the operative report to know what type of procedure you had done in the past.

Question: Will a nose job drastically change my face? 
Answer: The side profile photograph demonstrates an overly projecting nose with a droopy tip. A closed rhinoplasty approach can accomplished decreasing the overall projection of the nose, shaving down the dorsal hump, and lifting the nasal tip slightly. It is very important to give a very natural appearing nose so that it does not look like it has been a rhinoplasty has been performed. The changes from the front will be very minimal, however the side profile changes will be moderate. Best to perform digital computer imaging from different angles to understand what can and cannot be accomplished with your nose.

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