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

Facial Plastic Surgery Questions and Answers: Part 05

Question: I dislike the way my face looks and I am considering some type of plastic surgery to adjust it. Possibly a rhinoplasty?
Answer: From the one very limited photograph, there appears to be an overly projecting nose and an under projecting chin. Consider a rhinoplasty procedure to shave down the dorsal hump and decrease the projection of the nose in addition to a chin implant which can augment the chin forward. Augmenting the chin forward can accomplish better facial balance and portions, especially with respect to the over projection of the nose itself. Can implants are manufactured in a large array of thicknesses, sizes, and shapes. It is only possible to reduce the projection of the nose a few millimeters, and chin implant can augment the chin forward much more than the nose to be deprojected.

Question: Platysmaplasty/Chin Tuck for 29 y.o.?
Answer: A platysma plasty is performed as part of a neck lift procedure when there is fat deposits underneath the platysma muscle in the neck. Based on your photographs and you are only 29 years of age, you can probably get by with only liposuction. The incision can be placed directly in the old incision which also includes a scar revision itself.

Question: Does harvesting septal cartilage for a columellar strut graft qualify the procedure as a septorhinoplasty?
Answer: A septoplasty is only performed for medical necessity to improve airflow dynamics in the back of the nose. Harvesting cartilage is part of a rhinoplasty procedure, and is considered cosmetic. In our practice, we do not recommend columellar strut grafts variety of reasons.

Question: Would a tip plasty suffice? I have never liked the side profile of my nose.
Answer: The side profile photographs demonstrate a large dorsal hump which needs to be shaved down in addition to refining the nasal tip cartilages. The far majority of patients must undergo a full rhinoplasty to ensure all of the components of the nose are balanced with themselves In a three-dimensional fashion, and the entire new nose is balanced with the patient’s facial procedures. Reducing the nasal tip cartilages will only make the dorsal hump worse, not better because it reduces the projection of the nasal tip cartilages themselves. You will need a full closed rhinoplasty to accomplish refinement of the entire nose. 

Question: What size chin implant would you recommend for me? Doc uses implantech anatomical
Answer: In our practice for over 25 years, we have used Implantech brand of solid silicone chin implants. We use the pre-jowl chin implant style. Based upon your photographs, a size small would give you more of a subtle result, while a size medium would get your chin in balance. Digital computer imaging of both your nose and chin would be helpful to understand what can be accomplished with both procedures. The digital imaging can also show you approximately what a size small, and approximately what a size medium can accomplish upon your facial features. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience. It is also possible six months after your chin surgery to exchange the implant to a size medium or small depending upon your desires.

Question: Can a rhinoplasty actually reduce the length of my nose?
Answer: A Rhinoplasty procedure can accomplish decreasing the overall projection of the nose by shaving down the dorsal hump. The amount of change will only be a few millimeters to the de-projection of the nose itself. The tip of the nose also be lifted slightly in addition to preventing the tip of the house from drooping dynamically when smiling. Then I was causally made more narrow from the front profile.

Question: Would a genioplasty help me achieve more projection in the chin? Should I consider other procedures?
Answer: A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay and is much more invasive than a chin implant. A genioplasty is usually performed when the teeth are significantly out of alignment. Placement of a chin implant is done under local anesthesia for purely cosmetic purposes. In our practice, we make a small incision underneath the chin and place the implant directly over the mandible to augment your chin to look very natural. The procedure takes about 30 minutes.

Question: Would i benefit from lower eyelid surgery? Concerned about under eye bags
Answer: From the one photograph, it appears that you have significant eyebags related to herniated fat in the lower lids. A trans conjunctival approach lower blepharoplasty can accomplish removal of those bags. The fat is removed from two small incisions on the inside of the eyelid. No external incisions are required. This procedure is performed under a brief general anesthesia as an outpatient procedure. 

Question: Is a “vertical” facelift different from a deep plane/SMAS facelift?
Answer: There are many variations on face lifting techniques amongst surgeons. Study your prospective surgeon’s before and after facelift photo gallery to make sure that it is extensive with lots of results that look natural. A full set of facial and neck photographs from all angles are going to be required to make a determination about how best to proceed.

Question: Am I a good rhinoplasty candidate for bulbous tip & nasal hump fracture?
Answer: From the photographs presented, your nose looks very nice, so be very cautious about embarking on a rhinoplasty procedure. The amount of change that what occur would be very minimal, and probably not worth the risk of undergoing the procedure.

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