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

Facial Plastic Surgery Questions and Answers: Part 5

Question: Can a Revision Rhinoplasty revise the tip of my nose?
Answer: A full set of facial photographs from all angles are required to make a determination about how best to proceed, since revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.

Question: Getting rhinoplasty done, but not sure if I should also look at correcting my chin?
Answer: A Rhinoplasty procedure can accomplish shaving down The dorsal hump most evident from the side profile. A closed rhinoplasty approach can accomplish not only shaving down the dorsal hump, but narrowing the bridge line and refining the nasal tip with all incisions placed on the inside of the nose. Digital computer imaging of your nose upon your facial features would be helpful in the communication process.

Question: Is the blood draw typically done on surgery day for Rhinoplasty?
Answer: No, blood draws are typically not performed routinely unless there’s a specific medical condition for which the blood draws are needed. If there’s a medical condition requiring you to have a blood draw, then you need to talk to your plastic surgeon and anesthesiologist ahead of time to address those issues two to three weeks prior to the surgery, not on the day of the surgery.

Question: Is it too risky to get a third rhinoseptoplasty – second Revision Rhinoplasty?
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and copies of the operative reports to find out what was performed in the previous procedures. There’s always a risk versus reward ratio that must be it discussed prior to any Time you’re performing a revision rhinoplasty

Question: Can another facelift/necklift revision fix this sagging?
Answer: The inelasticity in your neck Will require a revision lower face and neck lift, which would accomplish tightening loose facial and neck skin, tightening loose facial neck muscles, Performing scar revision, lifting the jowls, and removing any residual fat deposits in the neck.

Question: What can I do about my chin/lower face?
Answer: The Limited Photographs demonstrate a recessive chin profile And fat deposits in the neck. Consider placement of a chin implant to augment the chin forward, and give additional width in the pre-Jowl sulcus area. A neck lift procedure with removal of fat in the neck and a platysma plasty would significantly help your profile. At age 39, no skin removal should be required.

Question: Should I consider neck liposuction before my jaw surgery or after?
Answer: From that one limited photograph, it appears to be a recessive chin profile and fat deposits located above and below the platysma muscle in the neck. It’s important to be at your ideal body weight before any elective surgery in the neck. Liposuction can only remove the fat deposits located above the platysma muscle, while a surgical necklift is going to be required to remove the fat deposits below the platysma muscle. This also includes a platysma-plasty to significantly improve the jawline. Consider placement of a chin implant at the same time to augment the chin forward for cosmetic purposes. If you’re going to perform a sliding genioplasty, that should be performed first by an oral surgeon before any neck work.

Question: Will a revision rhinoplasty be able to address my concerns?
Answer: Revision rhinoplasty can certainly address shaving down the residual dorsal hump on the bridge line of your nose. You can also ask your previous surgeon about steroid shots placed in the tip of the nose to help manage the swelling after the surgery, since thick skin tends to swell much more than thin skin.

Question: What are my rhinoplasty options to change my side profile?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump and reducing the bulbous nasal tip, with all incisions incisions placed on the inside of the nose. No external incisions are required. Anticipate a cast applied across the bridge of the nose for one week, and two weeks of visible bruising swelling.

Question: Can I do revision rhinoplasty and fat transfer to the face at the same time?
Answer: Yes, both procedures can be performed simultaneously. Revision rhinoplasty is one the the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so it’s important to choose your surgeon based on extensive experience.

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