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

Facial Plastic Surgery Questions and Answers: Part 07

Question: What can I do to make my nose look less wide?
Answer: A closed rhinoplasty approach can accomplish narrowing the bridge line, refining and narrowing the nasal tip, and narrowing the nostrils and the base of the nose if necessary. A full set of facial photographs from all angles required to make a determination about how best to proceed. Digital computer imaging also be helpful in communication process. 

Question: Eating and drinking instructions before rhinoplasty?
Answer: Its always best and to ask your surgeon and the anesthesiologist who is going to be placing you under anesthesia. In our practice, we ask that you refrain from eating and drinking from midnight the night before.

Question: Would PDO threads help my bumpy frown lines or is surgery the only option?
Answer: No PDO threads will not help with this issue. Botox injected into the muscle will help reduced coordinator muscle function On a temporary basis. If you’re tired of performing Botox, than a brow lift procedure can accomplish this permanently.

Question: What kind of treatment(s) would be most suitable for my hooded upper eyes?
Answer: An upper blepharoplasty procedure can accomplish improvement of the excess skin creating the hooded look on your upper eyelids. Your Eyebrow position is normal, therefore a brow lift is not necessary. An upper blepharoplasty can be performed under local or general anesthesia depending upon patient’s desires.

Question: What is the best non/less invasive treatment for jowl reduction and better jawline definition?
Answer: The frontal profile demonstrates a prominent pre-jowl sulcus which makes the jowls look bigger than they really are. A facelift or mini lift would not be necessary in your early 30s. Consider placement of a pre-jowl implant specifically designed for that purpose to give additional width to your chin. These implants are manufactured by Implantech and we have been using them for over 25 years in our practice. The implant can be placed under local anesthesia as an outpatient procedure which will take about 30 minutes.

Question: How is thin skin addressed during rhinoplasty to avoid the shrink wrap look?
Answer: A rhinoplasty procedure only involves reshaping bone and cartilage during the procedure. The skin is simply lifted off of the cartilage and bone and placed back down once the procedures done. If there is very thin skin, especially in the tip of the nose, minimal surgical changes to the tip cartilages themselves will usually result in better outcome. Depending upon the thinness of the skin, temporalis fascia graft can be placed over the tip cartilages can help camouflage any minor irregularities.

Question: Male facelift incision: why risk a scar in front of the ear? 
Answer: In our practice, we do make the incision behind the tragus for men undergoing a facelift procedure. We also trim back and cauterize the hair follicles in that area to help prevent hair growth on the tragus itself.

Question: Would I benefit from a brow lift in addition to a blepharoplasty?
Answer: When making the decision about a brow lift, your eyes must be open then we look at distance between your eyelids and your eyebrows. From the limited photographs, it appears that your eyebrows are in an acceptable position. You do have extra skin on the upper lids for which an upper blepharoplasty can improve. The goal of lower blepharoplasty is to remove fat bags creating the puffy look. 

Question: Best laser or treatment to tighten the neck and décolleté?
Answer: Much more information is needed such as your age and a full set of facial and neck photos from all angles. IPL is great for improving the rednes and broken capillaries, however a lower face/neck lift is required to tighten loose neck skin.

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