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

Facial Plastic Surgery Questions and Answers: Part 02

Question:  Suggestions on how to fix my sagging brow? Temporal brow lift?
Answer: From the photographs presented, you do not have sagging eyebrows, you have hooded upper eyelids. You’re not a candidate for a brow lift, since you would look very surprised permanently. Consider performing an upper blepharoplasty to rejuvenate your upper eyelids. The procedure can be performed under local anesthesia which takes about 30 minutes as an outpatient procedure. 

Question: Which should be done first – nose or lip lift?
Answer: In our practice, we definitely do not recommend a lip lift procedure due to very extensive poor scarring that occurs with that procedure. A full set of facial photographs are required to make a determination about how best to proceed with your rhinoplasty procedure.

Question: Concerned about eyelid retraction and ectropion – What are the chances of this happening?
Answer: First of all, a transcutaneous lower eyelid surgery can result in ectropion. Consider having the procedure performed as a trans conjunctival approach with the incision located on the inside of your lower lids. We do not recommend fat injections to the eyelids because we have seen very poor results from that procedure. Much more information is needed such as a full set of eyelid pictures to make a determination about a canthoplasty procedure that you’re considering undergoing.

Question: Is there anyway to perform lower blepharoplasty without changing the eye shape?
Answer: A trans conjunctival lower eyelid blepharoplasty accomplishes removal of the fat bags from inside the lower lid. There’s no external incisions, and it does not change the shape of the eye. The procedure simply gets rid of fat bags creating the puffy look. Make sure you seek out a surgeon who specializes in this type of procedure.

Question: Lower Bleph with Fat Removal vs. Repositioning – which would be more effective?
Answer: In our practice, we perform fat removal to rejuvenate the lower lids. Fat repositioning doesn’t work very well because the fat usually doesn’t stay put in the place that it is sewn down to. The fat is removed through two small incisions on the inside of the lower lid, and there’s no external incisions.

Question: Would a non-surgical rhinoplasty help to define my bulbous tip and upturn my nose? 
Answer: In our practice, we don’t recommend nonsurgical rhinoplasty, especially placement of fillers in the tip which will artificially inflate your anatomy. It’ll make your bulbous tip worse, not better, and it does Carry risks of skin necrosis. Consider a closed rhinoplasty procedure to accomplish reduction of the bulbous nasal tip with all of the incisions placed on the inside of the nose. A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. 

Question: What can be done to correct my flat face? Especially the side view
Answer: Start with fillers placed in the midface to add temporary volume to your cheeks to see if you like the results. For a permanent change, then consider cheek implants. In our practice, we use Implantech brand of solid silicone cheek implants that are placed through intraoral approach under a brief general anesthesia as an outpatient surgical procedure. 

Question: How to widen/open my eyes?
Answer: A full set of facial photographs at rest and in focus are going to be required to make a determination about how best to proceed. From the 1 Limited photo, it appears that there is extra skin in the upper lids and low brow position. You may be a candidate for a browlift.

Question: Would I benefit from a chin implant or injections in jaw/chin for a stronger jaw line?
Answer: The photograph is rather limited, but it appears that the projection of the mandible and chin is acceptable, therefore a chin implant is not required. Liposuction can accomplish improvement of the jawline by removal of fat in the neck.

Question: Would surgery fix my flared nose?
Answer: An alar plasty accomplishes narrowing wide nostrils at rest which involves removal of the portion of skin at the base of the nostrils. It is possible to release some of the muscle attachments to the sidewall of the ala to reduce the dynamic flaring. This is usually accomplished as part of a closed rhinoplasty procedure when necessary. A full set of facial photographs from all angles are going to be required to make a determination about making any other changes to the nose.

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