Nose Job Surgery at The Seattle Rhinoplasty Center The Seattle Rhinoplasty Center, board-certified,plastic surgeon

Facial Plastic Surgery Questions and Answers: Part 01

Question:  Should I do rhinoplasty?
Answer: The only person who can answer that question is the patient themselves. If there are features of your nose bother you enough, then consider undergoing a rhinoplasty procedure. It is possible to prevent the tip of the nose from drooping when smiling by releasing the depressor septi ligament. The dorsal hump can be shaved down, the tip slightly refined, and the bridge line narrowed a closed rhinoplasty approach. All incisions are completely located on the inside of the nose. 

Question: Where would scarring from an alar base reduction be and how severe?
Answer: In our practice, we place the incision for an alarplasty on the inside of the nostrils when there is minimal reduction required, and at the alar junction/floor of the nose when a large amount of width is reduced.

Question: Do you think I should postpone my mini-lift due to weight loss?
Answer: You should definitely lose the weight first before undergoing any type of facelift, especially 15-20 lbs. You will get better facelift result.

Question: Lower facelift/getting rid of jowls?
Answer: In our practice,practice we perform a high-SMAS lower face and neck lift which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fatty deposits in the neck, a platysma plasty, and lifting the jowls. We do not recommend a deep plane facelift because of the potential for facial nerve branch damage.

Question: Rhinoplasty nose tip problem. What options do I have?
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and a copy of the operative report from the previous surgery. There appears to be a bossa created from the lower lateral cartilage on the nasal tip on the affected side. Depending upon the issue, this can be surgically modified.

Question: In breast cancer remission would like to undergo upper blepharoplasty and alar reduction Is it ok?
Answer: Probably best to wait for several months after all your treatments have been completed clearance from your primary care physician to make sure that urine excellent health before undergoing elective eyelid and nasal surgery.

Question: I am 45 with minimal skin laxity in my jawline, chin and neck. I want a more defined, sculpted looking jawline.
Answer: A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. Liposuction can only remove the fat deposits above the platysma muscle in the neck. When there is a hard fat in the neck, this must be removed with a surgical neck lift procedure. This involved surgical extraction of the fat below the platysma muscle in addition to a platysma plasty to significantly improve the jawline. When there is significant jowls present, then a facelift/ and neck lift is going to be required. 

Question: Genioplasty has recommended to me, feeling nervous about the aesthetics. Is it right for me?
Answer: A genioplasty is usually performed when the teeth are significantly out of alignment. It’s performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and is much more invasive.If you’re only looking for cosmetic improvement, then consider placement of a chin implant which can be performed under local anesthesia which takes approximately 30 minutes. If you’re a mouth breather, make an appointment with an ENT doctor to make sure you don’t have a deviated septum or some other type of nasal obstruction issue. 

Question: Facial rejuvenation procedures in stages or all at once?
Answer: At age 50, you’re aging very well. From the photographs, it appears that you really only need your upper eyelid blepharoplasty done. This procedure can be performed under local anesthesia as an outpatient procedure which takes approximately 30 minutes. You do not need a brow lift since your eyebrows are in excellent position. Performing a brow lift would make you look permanently surprised. You do not have any excess fat in the neck jowls or loose skin, therefore you’re not a candidate for a lower face and neck lift procedure. 

Question: I have a receding chin… what would be the best method to improve it?
Answer: Consider placement of the chin implant to permanently augment your process of mandible and chin profile. The procedure can be performed under local anesthesia which takes about 30 minutes. In our practice, we use Implantech brand of solid silicone implants and insert the implant through a submental approach.

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