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

Facial Plastic Surgery Questions and Answers: Part 03

Question: ow can I fix pinched nose from old nose job?
Answer: Much more information is needed, such as a full set of facial photographs from all angles and a copy of the operative report. It is also important to know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: Can a non surgical nose job fix my nose from drooping when I smile?
Answer: To prevent the tip of the nose from drooping when smiling requires releasing of the depressor septi ligament which dynamically pulls the tip down. This is usually performed at time of a rhinoplasty.

Question: I’m 30 and have excess eyelid skin that results in a “third eyelid”. What procedures would be safe and would age well?
Answer: The photo demonstrates asymmetrical skin creases on the upper lids and then differing amount of fat in the 2 eyelids as well. An upper blepharoplasty procedure can accomplish a more symmetrical single eyelid crease and a small amount of fat grafting from the more full eyelid to the more hollow eyelid may be helpful as well.

Question: Would it be offensive & inconvenient to ask 2 Drs to operate on me at the same time? They offer both procedures
Answer: It is certainly possible to have one surgeon performing a rhinoplasty, and one surgeon performing your breast augmentation simultaneously under one anesthesia with one recovery period. Its best to check with your operative surgeons. There might be a bit of scheduling issues, that should be able to be worked out.

Question: How much weight should I lose before I go in for chin lipo?
Answer: Much more information is needed, such as your age, height, weight, BMI, and a full set of facial photographs from all angles. It is important that your ideal body weight with a BMI of less than 32 before being a candidate for elective cosmetic surgery in the neck. Liposuction is only designed for diet resistant fat deposits. Also important understand that liposuction can only accomplish removal of the fat above the platysma muscle in the neck, while a surgical neck lift is required to extract the fat deposits underneath the platysma muscle. A platysma plasty is also performed after the sub–platysmal fat has been removed which also significantly improves the jawline neckline. 

Question: Do I have a deviated septum or just cartilage difference?
Answer: A thorough internal examination of the nose is required to make a determination about having an deviated septum. A septoplasty is performed in the back of the nose to improve air flow dynamics when the septum is crooked. From the photographs, you have a crooked nose which is corrected and improved with the rhinoplasty. Both a septoplasty and a rhinoplasty can be performed together under one anesthesia with one recovery period. 

Question: Which procedure would give me a more defined chin and jaw?
Answer: Your side profile photograph demonstrates a recessive Chin profile, so consider placement of a chin implant to augment your chin forward for better facial balance and proportions. In our practice, we place chin implants through a submental incision under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

Question: Osteotomy – too risky?
Answer: Osteotomies placed in the nasal bones are integral part of a rhinoplasty procedure, and are probably done 99% of every rhinoplasty procedure that we do. Both medial and lateral osteotomy are performed in almost every rhinoplasty procedure which is going to be required to narrow your nasal bones.

Question: Skin elasticity in older patients (47) – is reductive rhinoplasty possible? 
Answer: In our practice, we formed rhinoplasty I’m people in their 80s, and they have done just fine. The skin just simply re-drapes over the new framework. We also perform closed rhinoplasty with all of the incisions placed completely on the inside of the nose. No external incisions are required, and no painful packing is required either.


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