Facial Plastic Surgery Questions and Answers: Part 6

Question: Do u think getting rhinoplasty will give a huge change to my face ? 
Answer: The photographs are rather limited, however a closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and refining the nasal tip and overall making the nose smaller. All the incisions are placed on the inside of the nose. Digital computer imaging would be helpful to see what your new nose would look like upon your facial features.

Question: Would a mid face lift or cheek pad lift be a better option for a fallen mid face area? 56 years old. 
Answer: The photographs demonstrated a recessive Chin profile with a prominent pre-Jowl sulcus, which makes your jowls look bigger than they really are. Consider placement of a chin implant to augment the chin forward and give you more width from the frontal projection as well. If there’s loose and inelastic skin in the face and neck, then a lower face and neck lift is necessary. Consider cheek implants to Restore lost volume in the mid face area.

Question: Does every facelift need to be done under general anesthesia?
Answer: In our practice, we perform a comprehensive lower face and neck lift procedure which many times involves a deep neck lift to remove fat underneath the platysma muscle. For this, general anesthesia is mandatory. We also use board-certified physician anesthesiologists who use very short acting anesthetics which minimizes the hangover from the anesthesia itself.

Question: Would a mini facelift be appropriate for me as a 31 year old? 
Answer: You do not need a mini lift at age 31. You do not have jowls, but you have a hollow pre-Jowl sulcus and a mild recessive chin A a pre-jowl implant, or a pre-jowl chin implant could accomplish augmenting the width of your chin. These implants are manufactured by Implantech This procedure can be done under local anesthesia as an outpatient procedure, which takes about 30 minutes.

Question: Would I benefit from liposuction on my neck, jaw, face? 
Answer: At age 38, your skin tone should be acceptable, however, you do have significant fat deposits, located both above and below the platysma muscle in your neck. A neck lift would be required to remove the fat deposits above the muscle with liposuction, and surgical extraction of the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. No skin removal is required. This is usually performed through a 1 inch access incision underneath your chin, and is performed under brief general anesthesia.

Question: Crepey neck. Can this be fixed with a rhytidectomy and open neck lift? 
Answer: Much more information is needed, such as a full set of facial and neck photographs to be able to make a determination about how best to proceed.

Question: Is a chin implant good for my face? 27 yo male 
Answer: If your teeth are significantly out of alignment, then you can consider a sliding genioplasty performed by an oral surgeon under general anesthesia in the hospital setting with an overnight stay. If you’re simply trying to augment the chin forward cosmetically, then placement of a chin implant can augment the chin forward. This can be accomplished under local anesthesia which takes approximately 30 minutes.

Question: Can you get cheek implants after a face lift?
Answer: Yes indeed, you can get cheek implants after a facelift procedure. It would be better to undergo both procedure simultaneously so there’s only one anesthesia and one recovery period.

Question: What should I look for in a rhinoplasty to make my face better? 
Answer: A closed rhinoplasty approach can accomplish Shaving down the slight dorsal hump, lifting the nasal tip, preventing the tip of the nose from drooping down dynamically when your smile, and narrowing the bridge line. All of the incisions are placed on the inside of the nose. To reduce the flaring nostrils, an alar-plasty is required.

Question: What type of neck/facelift would be best for loose neck and nasolabial folds? Can a skin only facelift last?
Answer: The photographs are rather limited, but it does appear that there’s fat deposits in the neck and a recessive chin profile present which exacerbates the neck issue. Consider placement of a chin implant to augment the chin forward for better structural support of the soft tissues of the neck, and a neck lift to remove the fat above and below the platysma muscle and and perform a platysma-plasty. At age 41, your skin tone should be totally acceptable and a faceliftis not required.

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