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

Facial Plastic Surgery Questions and Answers: Part 4

Question: 45, I would love surgery to look my best now, what do you recommend? 
Answer: It really depends upon what is specifically bothering you. From your side profile photographs you have a recessive chin, so consider placement of a small chin implant which would not only help with the augmentation in the forward projection, but also give a bit of augmentation on the side of your chin just in front of your jowls which is called pre-jowl sulcus. You also have jowls, and significant fat deposits in your neck located both above and below the platysma muscle in your neck. To address those issues would require a lower face and neck lift procedure. In our practice, this accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing both compartments fat above and below the platysma muscle and a platysma-plasty to significantly improve your jawline. Choose your surgeon wisely based on producing lots of natural looking results.

Question: Age 52, loose skin after 3 RF micro, now I feel like I need a neck lift?
Answer: It’s important to look at a full set of facial photographs from all angles in a chin neutral position in order to make a determination about either a neck lift, or a lower face and neck lift. If you have loose and inelastic skin, you’re probably going to be a candidate for a face and neck lift procedure. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck, in addition to a platysma plasty to significantly improve your jawline.

Question: Thread lift after skin only facelift? 
Answer: A mini facelift, or a skin only facelift, would be a very poor choice, because all of the tension is now placed on only the skin, which will give poor/visible scars. It’s very important to tighten the muscles underneath the skin, and not put in any tension on the skin itself when performing a lower face and neck lift procedure. Thread lifts have minimal to no benefit.

Question: What can I do to minimize the appearance of red surgery scars 7 months post op?
Answer: Unfortunately, too much tension has been placed on you skin creating the red scars. You’ve got wide and hypertrophic scars, in addition to improper placement of the previous incision. You also have a pixie ear lobe on both sides. You should probably wait at least a year, and then, if there’s enough laxity in your face, you need to undergo another facelift procedure in order to be able to place the incisions in a much more inconspicuous position. The amount of facial laxity will be a key driver on what you can accomplish trying to completely remove these old incisions. The pixie earlobes can also be repaired simultaneously. Choose your second surgeon very wisely based on extensive experience producing natural results. Study your prospective surgeon’s before and after facelift photo gallery, and pay attention to the detectability of the incision itself in the after photos. 

Question: Would chin lipo help “snatch” my jaw, or is my hyoid bone too low?
Answer: Neck liposuction can only accomplish removal of the fat deposits above your platysma muscle. Based on your photographs, most of your fat deposits are located below the platysma muscle which is going to require a neck lift procedure to remove that compartment of fat surgically, and liposuction to remove the fat deposits above the muscle. After the fat has been removed,A platysma plasty also gives significant improvement to your jawline. Choose your surgeon wisely based on extensive experience producing natural results.

Question: Would Morpheus8 minimize the appearance of deep lines and wrinkles?
Answer: Non-invasive treatments only give minimal benefit at most. You have significant wrinkles on your upper and lower lip which would require medical grade dermabrasion to improve. The laxity of skin in your face will require a lower face and neck lift procedure. Choose your surgeon wisely based on a extensive experience producing natural results.

Question: Can you tell me risks, healing time and what to expect with skin pinch?
Answer: If there’s excess skin at rest, (not upon animation when smiling only then can you consider a very conservative pinch of skin. The Incision is located directly under the lower lash line, and we close that incision in our practice with tissue glue. No sutures necessary. Expect a visible pink line for a few weeks after the plastic surgery.

Question: Can a Rhinoplasty make my nose more attractive?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing and straightening the bridge line, and refining the nasal tip with all incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure.

Question: What is the best option for treating my turkey neck?
Answer: A full set of facial and neck photographs from all angles are usually required to make a determination about how best to proceed. The laxity in your neck will require a lower face and neck lift procedure to tighten that skin in that location.

Question: Do I need a brow lift?
Answer: You only have a small amount of eyebrow ptosis on your left eyebrow. If the position of your eyebrows bothers you a lot, then consider a brow lift procedure. Very important not to get over-elevated because you’ll look permanently surprised. One option would be to just perform your upper eyelid surgery to make your eyelids look more symmetrical, which can be done under local anesthesia as an outpatient procedure. If the position of your eyebrow still bothers you several months after the eyelid surgery, then consider a brow lift.

Leave a Reply

Your email address will not be published. Required fields are marked *

Highlights

We are here to help you. Learn more about who we are and what we do.

Patient
Resources

Ask Us A Question About Nose Surgery and cosmetic surgery
Make An Appointment - history of rhinoplasty
New Patient Forms - nasal obstruction

Contact Us

    Call to schedule an appointment