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

Facial Plastic Surgery Questions and Answers: Part 04

Question: Will FaceTite and Morpheus help with my jowls and neck bands?
Answer: For treatment of just the neck bands, you can always try Botox first to see if that would address your issues. If Botox doesn’t address your issues, a lower face and neck lift can accomplish tightening those bands and Accomplish tightening the inelastic skin in the neck as well. Noninvasive treatments simply won’t help much.

Question: Age 43, looking for suggestions to correct facial structure deficiencies?
Answer: A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. From this one limited photograph, it appears that you have a mild recessive chin, so consider placement of a small chin implant to augment your chin forward for better facial balance and proportions. This procedure can be performed under local anesthesia as an outpatient procedure. 

Question: Is an early maintenance mini facelift really effective?
Answer: Facelifts are not performed for maintenance, they’re performed to correct the visual changes of aging once that has occurred. More information is needed such as a full set of facial and neck photographs from all angles, and your age to make determination about how best to proceed. Mini lifts tend to give mini results, and we rarely ever perform them. There’s no sense in putting someone through the whole process unless you can have significant results from a surgical procedure.

Question: 7 yrs post rhinoplasty, Interested in revision but concerned about outcome. How likely are my chances at good results?
Answer: First of all, you have a very difficult problem and revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery. Choose your second surgeon very wisely based on extensive experience. Your nose can be made better, but it’s very important to have realistic expectations, since it won’t be a perfect result. It’s also important to know how much cartilage is left over on the inside of your nose for grafting purposes since you will probably need some grafts on the side of your nasal tip where it is pinched. The bridge line of your nose can be narrowed where is excessively wide. Also important to know if you have any breathing difficulties out of your nose. A copy of the previous operative report would also be helpful to understand what techniques were performed in the first procedure. 

Question: Considering a rhinoplasty – will the age of my surgeon or technique used affect my results?
Answer: Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so it is imperative to choose your surgeon wisely based on extensive experience. You should probably seek out a double board certified ENT/facial plastic surgeon with decades of experience performing rhinoplasty, and is a rhinoplasty specialist. In our practice, we perform closed rhinoplasty which is much less invasive and gives a natural result. We also do not put any painful stents or packing on the inside of the nose. We also perform the procedure under general anesthesia (not local) monitored by a board certified physician anesthesiologist in a Medicare certified outpatient surgery Center. As a consumer, it’s important look at the before and after end results of your perspective surgeon’s rhinoplasty patients, and not get too bogged down in the very technical details of how a rhinoplasty is performed. 

Question: Male interested in columellar scar revision 6 years after open rhinoplasty – what are my options?
Answer: It’s going to be impossible to get rid of the actual scar itself, however you do have a significant hanging columella which exacerbates the visibility of your scar. A revision rhinoplasty can accomplish reduction of the significant hanging columella and adding a small pumping cartilage graft to the depression in the scar itself.

Question: Is this something that can be fixed with rhinoplasty? Crooked columella
Answer: Yes, a closed rhinoplasty approach can accomplish reduction of the hanging columella and straightening the caudal septum as well. All of the incisions are placed on the inside of the nose. No external incisions are required. This is usually performed under general anesthesia as an outpatient procedure.

Question: Is it possible to get a minor rhinoplasty for around $4000? My nose is comically too long for my otherwise pretty face
Answer: Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery. Much more information is needed such as a full set of facial photographs, and a consultation to understand what you are trying to accomplish. Digital computer imaging would be helpful to give you an idea of what your new nose would look like upon your facial features. If you do not get the procedure performed correctly, and will Cost you wmuch more money in the long run to correct a cheap rhinoplasty. 

Question: Should I go for Kybella or CoolSculpting?
Answer: The photographs demonstrate a recessive chin profile and fat deposits in the neck. Liposuction can accomplish removal of those fat deposits in the neck, while a chain implant can accomplish improvement of the projection of the chin which gives a better definition of the jawline. Both procedures can be performed under local or general anesthesia as an outpatient procedure.

Question: Would I benefit from Rhinoplasty? Would it make my nose look more narrow/less round from the front?
Answer: A closed rhinoplasty procedure can accomplish narrowing the bridge line and refining the bulbous nasal tip. The septal piercing must be removed at least 3 months after the procedure.

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