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: What would you do to improve my face?
Answer: The photographs demonstrate a recessive chin, fat deposits in the neck, and hooded upper eyelids. Consider placement of a chin implant to augment your chin forward for better facial balance and proportions. The fat deposits in your neck appear to be located both above and below the platysma muscle in your neck, so a neck lift procedure with a platysma plasty would be required to significantly improve your jawline. An upper blepharoplasty would help your hooded upper eyelids. All three procedures can be performed under one anesthesia with one recovery.

Question: How long does a mini face lift last?
Answer: Mini face lifts tend to give mini results, and just don’t last very long since they’re minimally invasive. A full set of facial and neck photographs from all angles are required to make a determination about which is the best procedure for you. In our practice, a comprehensive lower face and neck lift accomplishes lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles in three locations, removal of fat compartments in the neck above and below the platysma muscle, which also includes a platysma plasty to significantly improve the jawline.

Question: Half chinese & black, what surgery or non-surgery could make my nose holes smaller?
Answer: An alar plasty involves removal of a small wedge of skin at the base of the nostrils which accomplishes narrowing them. This procedure can be performed under local anesthesia.

Question: Brow lift or eyelid surgery?
Answer: The position of your eyebrows is acceptable, therefore, a brow lift is not necessary, otherwise you’ll look too surprised permanently. An upper blepharoplasty procedure can accomplish increasing your upper lid fold if you want to put more eye shadow make-up on.

Question: Jowl/chin recommendations needed?
Answer: From the limited photographs presented, it appears that you have loose and inelastic skin in the neck, early jowls, and platysma muscle cords in your neck. There’s also a small amount of fat in the neck as well. In our practice, to address all these issues would require a lower face and neck lift which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, removing the fat deposits above and below the platysma muscle in your neck along with a platysma plasty to significantly improve the jawline.

Question: Which procedure would help minimize the appearance of my under eye bags and excess skin?
Answer: A lower blepharoplasty procedure can accomplish removal of the fat bags through a trans conjunctival approach on the inside of the lower lids. When there’s excess skin at rest (not when smiling), then a pinch of skin can be removed right below the lash line. In our practice we close this incision with tissue glue. There are no stitches.

Question: Where are the sutures for a lower face and neck lift generally placed?
Answer: The sutures for a lower face and neck lift are located up behind the hairline in the sideburn area, behind the tragus, and then behind the ear and back behind the ear up into the hairline as well. There’s also a 1 inch incision underneath the chin.

Question: Is a minilift that somewhat addresses the SMAS ever a worthwhile procedure?
Answer: With a mini lift, the SMAS may or may not be minimally tightened with a stitch or two, but it really depends on the plastic surgeon, since there are many different varieties of facial lifting techniques. Best to study your perspective surgeon’s facelift photo gallery and make sure that it is extensive with natural results that you like.

Question: How do I improve my profile?
Answer: The Side profile photograph demonstrates a mildly recessive chin, so consider placement of a small chin implant under local anesthesia as an outpatient procedure.

Question: 53 & re-entering the workforce, would mini-facelift or fillers help lines, neck, & general facial drooping?
Answer: A mini facelift is going to give you mini results, therefore we rarely ever perform them. To rejuvenate your face and neck is going to require a lower face and neck lift procedure. In our practice, this procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any fat deposits in the neck. This also includes a platysma plasty to significantly improve your jawline.

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