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

Facial Plastic Surgery Questions and Answers: Part 09

Question: What surgeries can I get to improve my side profile?
Answer: Much more information is needed, such as a full set of facial photographs from all angles make a determination about how best to proceed with either a rhinoplasty or a chin implant.

Question: Is a drainless facelift more dangerous?
Answer: In our practice for over 25 years, we have used to Jackson-Pratt suction drains that are left in place for the first 24 hours after a lower face and neck lift procedure. These accomplish reducing the incidence of both hematoma and seroma formation. Since the blood is being removed from underneath the skin, there is significantly less bruising after the procedure. 

Question: Do deep plane facelifts last longer than SMAS lifts? Is there more potential for nerve damage with one or the other?
Answer: No, a deep plane facelift will not last longer than a traditional SMAS Facelift. In our practice, we perform a high-SMAS lower face and neck lift which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls and removing fat deposits in the neck above and below the platysma muscle in addition to a platysma plasty. 

Question: Blepharoplasty or endoscopic brow lift?
Answer: The position of your eyebrows from the limited photographs are adequate, therefore a browlift is not necessary. Consider an upper blepharoplasty. This procedure can be performed under local or general anesthesia.

Question: What are all the techniques at surgeon’s disposal for straightening broken noses?
Answer: To straighten the broken nose requires medial and low lateral osteotomies placed in the nasal bones to straighten them. You will also require a cartilaginous spreader graft placed underneath the concave upper lateral cartilage on the patient’s left side. Also important to reduce the hanging columella by trimming back excess skin and cartilage in the columella. All this can be accomplished with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required. Rhinoplasty for a crooked nose is a very difficult endeavor, so choose your surgeon wisely based upon extensive experience. 

Question: Could I improve my facial profile with a combination of rhinoplasty, chin implant and buccal fat removal?
Answer: Yes, a closed rhinoplasty approach can accomplish narrowing the bridge line, shaving down the hump, and reduction of the bulbous nasal tip with all of the incisions placed on the inside of the nose. Placement of a chin implant can also be performed at the same time for the recessive chin profile. Augmenting the chin forward will help with facial balance and proportions. 

Question: Can eyelid surgery make your eyes appear larger?
Answer: A full set of facial photographs are required to make a determination about how best to proceed. The primary goal for upper eyelid surgery is removal of extra skin and a small amount of fat creating the hooded appearance of the upper eyelids.

Question: My nose gets big when I smile, what can I do?
Answer: An alar plasty can accomplish narrowing wide nostrils statically. To reduce the dynamic flare requires releasing the ligaments that are attached under the alar wings. This procedure can be performed under local anesthesia as an outpatient procedure.

Question: Can you advise on ethnic natural results? I like the structure of my nose
Answer: A closed rhinoplasty approach can accomplish narrowing your bridge line and refining the nasal tip. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. This procedure will just modify your existing anatomy of your skin, bone and cartilage to keep it looking very natural.

Question: Age 27, What injections/surgery could fix my under eye problem?
Answer: I assume your are referring to the puffiness in your lower lids created by the fat bags. If that’s the case, a very conservative fat removal through a trans conjunctival approach lower lid blepharoplasty performed under a brief general anesthesia can accomplish removal of those fat bags. The incision is located completely on the inside of the lower lids and there’s no external incision .

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