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

Facial Plastic Surgery Questions and Answers: Part 10

Question: Would I be good candidate for alarplasty?
Answer: It would be helpful to see a better set of pictures of your entire face and your entire nose to look at the relationship between how wide your nostrils are on your facial features and proportionate to your nose. An alar plasty simply involves removing a wedge of skin at the base of the nostrils and sewing it together. This effectively narrows the width of the nostrils. This procedure can be performed under local anesthesia as an outpatient procedure. General anesthesiais not required.

Question: How can I stop plasma bands & turkey neck at 28 getting worse?
Answer: The photographs are rather limited, and appears that you’re grimacing during these photographs. A full set of facial and neck photographs in repose from all angles in a chin neutral position would be required to make a determination about any surgical procedures. Consider Botox is your initial first treatment for theses bands. If that fails, then you can consider a necklift procedure which accomplishes removal of the fat in the neck along with a platysma-plasty. 

Question: Can a rhinoplasty correct a piggy nose that has occurred due to a lip lift? 
Answer: Much more information is needed, such as a full set of facial photographs in order make a determination about two different surgical procedures. In our practice, we do not perform a lip lift due to very poor scarring that we have seen from multiple patients having it done elsewhere. A closed rhinoplasty approach can accomplish making Refinements to your nose with all the incisions placed on the inside. No external incisions are required, and no painful packing is required either. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Will a rib rhinoplasty give me a successful frontal change?
Answer: It’s very important to understand that the nose is a three-dimensional structure, and adding a piece of rib to the bridge line will raise the height of your bridge from the side profile which would look odd. Your side profile looks great, it’s very important not to change it. You do not have a droopy tip. A closed rhinoplasty can accomplish refinement of the nasal tip cartilages to narrow them from the frontal profile, and osteotomies placed in the nasal bones to narrow the upper two thirds of your nose which is what you’re trying to accomplish. These are called medial and lateral osteotomy of the nasal bones. Choose your surgeon wisely based on extensive experience producing natural results. 

Question: How long after having cryptotherapy should I wait to get a revision rhinoplasty?
Answer: It is probably best to wait about three months to ensure optimum healing from the cryotherapy before undergoing a revision rhinoplasty. Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so it’s important to choose your surgeon wisely based on extensive experience.

Question: How can you tell if a double chin is cause by excess skin or fat? Considering submental liposuction.
Answer: A full set of pictures would be more helpful to get a better determination about how best to proceed. From the one limited photograph, you have a recessive mandible and fat deposits located below the platysma muscle. It’s important to understand that there are two compartments a fat in the neck, above and below the platysma muscle. Consider placement of a chin implant to augment your chin forward for better structural support for the soft tissues in the neck. Liposuction can only accomplish removal of fat above the platysma muscle, while a surgical neck lift is required to remove the fat deposits below the platysma muscle which also includes a platysma-plasty to significantly improve the jawline. A surgical neck lift with the chin implant would be your best option, and both procedures can be perform together as an outpatient procedure. 

Question: Nose is short and upturned – am I a candidate for a non-surgical nose job?
Answer: We do not recommend fillers placed in the nose for a variety of reasons, including skin necrosis. Much more information is needed, such as a full set of facial photographs from all angles, since the nose is a three-dimensional structure. Your second surgeon will probably also need a copy of the operative report as well. Revision rhinoplasty is more difficult than a primary rhinoplasty, so choose your surgeon wisely based on extensive experience.

Question: Is there a mini facelift (or any facelift) where the scars are all in the hair or behind the ear?
Answer: Placement of the incisions is very important to minimize detectability in addition to how much tension is actually placed on the incisions themselves. If all the incisions are placed completely in the hairline, your hairline will get shifted which will be counterproductive in front and behind the ears.

Question: Can a rhinoplasty to fix a dorsal hump also fix my nose sticking out so far?
Answer: From the 1 very limited photograph of yourself, it appears that you have an overly projecting nose and an under projecting chin. The lack of projection of the chin makes your nose look bigger than it really is. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. A chin implant can accomplish advancing the chin forward more than it possible to de-project the nose. It is only possible to de-project the nose a few millimeters. 

Question: Will it be possible to achieve a smaller nose?
Answer: Yes, it is certainly possible to achieve a smaller nose with a closed rhinoplasty approach with all incisions placed on the inside of the nose. The dorsal hump can be shaved down to give a more feminine profile, and the bridge line narrowed. Depending upon the thickness of the skin in the tip of the nose, some degree of refinement can be accomplished. 

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