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

Facial Plastic Surgery Questions and Answers: Part 6

Question: What happened to my nose after getting a nose job? What can be done to fix it?
Answer: A Full set of facial photographs from all angles are required to make a determination about how best to proceed.It appears that your upper lateral cartilages have collapsed, which will necessitate placement of spreader grafts. It’s important to know how much cartilage is left over on the inside of the nose for grafting purposes and to also obtain a copy of the operative report from the previous procedure to find out what was accomplished. 

Question: My nose bridge is not normal – how can I fix it?
Answer: A closed rhinoplasty approach can accomplish narrowing the bridge line, refining the nasal tip, and making your nose straighter. There’s no perfect nose, just improvements. With closed rhinoplasty, all of the incisions are placed on the inside of the nose, and there’s no painful packing required either.

Question: How to fix under the chin? Kybella? Botox? Something else?
Answer: The side profile photograph demonstrates a recessive chin profile, which causes poor structural support for the soft tissues in the neck. You most likely have fat deposits located below the platysma muscle in your neck, which is genetic. A surgical neck lift is required to remove the deposits of fat above the muscle with liposuction, and surgical extraction of the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. Both a neck lift and a chin implant would significantly improve your side profile.

Question: Would a procedure be able to fix this? What is this condition even called?
Answer: From the very limited photograph, it appears that you have sub-platysmal fat located deep below the platysma muscle in your neck. A surgical neck lift is required to remove that fat. Liposuction can only remove the fat deposits above the muscle. A platysma plasty is also performed to significantly improve the jawline.

Question: Closed tip grafting – Would like to add a little more tip to the front of my nose. Is this realistic?
Answer: Placement of any type of cartilage grafts in the nasal tip will make your tip bigger, not smaller. Consider shaving down the dorsal hump, narrowing your bridge line and refinement to the nasal tip, with all the incisions placed on the inside of the nose, which is called closed rhinoplasty. An alar plasty can accomplish narrowing wide nostrils when necessary as well. Choose your closed rhinoplasty specialist wisely, because this is one of the more difficult procedures to perform correctly in the entire field of cosmetic surgery.

Question: What will help my nose look more balanced?
Answer: Much more information is needed, such as a full set of facial photographs from all angles in addition to a copy of the operative report find out what was accomplished in the first procedure. It’s also important to know how much cartilage is left over on the inside of your nose for grafting purposes, since it appears that you’ll need some type of grafts and osteotomies to straighten your nose from the frontal profile.

Question: Risks to vision when undergoing rhinoplasty?
Answer: In over 35 years, we’ve never seen or heard of blindness from a rhinoplasty procedure. Make sure you seek out a rhinoplasty specialist for best results, since rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery.

Question: Facial balancing vs. rhinoplasty?
Answer: The reason that your nose is more prominent is because chin recession. Consider placement of a chin implant which can be performed under local anesthesia as an outpatient procedure. A full set of facial photographs from all angles are required to make a determination about a rhinoplasty.

Question: Would a lower transconjunctival blepharoplasty Eyelid Surgery help me?
Answer: The photographs demonstrate herniated fat bags in the lower lids, and you’re a Candidate for a trans conjunctival lower blepharoplasty to remove those fat bags creating the puffy look. The incision is located completely on the inside of the lower lids. The procedure is performed under a brief general anesthesia as an outpatient procedure which takes approximately 30 minutes. Anticipate two weeks of visible bruising and swelling.

Question: Acne scars treatment before or after rhinoplasty?
Answer: It is certainly acceptable to undergo facial acne scar treatment immediately before or after rhinoplasty procedure, as long as you’re not doing any treatments on the skin of the nose itself right around the time of the rhinoplasty procedure. Choose your rhinoplasty specialist wisely due to the fact that this procedure is one of the most difficult to perform correctly in the entire field of cosmetic surgery.

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