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

Facial Plastic Surgery Questions and Answers: Part 7

Question: What can I do to improve this hanging columella 4 months after rhinoplasty?
Answer: It’s best to wait a year to allow full healing before undergoing any type of revision rhinoplasty to include reduction of the hanging columella. To reduce the hanging columella requires excision of excess skin and cartilage in that location Through a closed rhinoplasty approach with all the incisions placed on the inside of the nose. No external incisions are required across the columella itself.

Question: Could I get an alar base reduction by itself?
Answer: Yes, it is certainly possible to undergoing an alar base reduction as a stand alone procedure To reduce the width of your nostrils. This procedure involves removal of a small wedge of skin at the base of the nostrils under local anesthesia as an outpatient procedure.

Question: Should I or should I not get fat transfer/repositioning with my lower blepharoplasty?
Answer: In our practice we do not perform fat transfer on the lower lids, and only on specific instances on the upper eyelids. We do not perform fat injections in the lower lids either. Consider a straightforward trans conjunctival approach lower blepharoplasty for fat removal. The procedure is performed under general anesthesia which takes approximately 30 minutes. Anticipate approximately 10 days a visible bruising and swelling. The incisions completely located on the inside of the eyelids. No external incision is required.

Question: Help! I’m 34 with a saggy neck – suggestions?
Answer: Much more information is needed which includes a full set of facial and neck photographs from all angles, and any other associated medical history as to why there’s such significant laxity in your neck at such a young age. Was there a massive weight loss situation? When there is significant laxity such as noted in the photographs, a lower face and neck lift may be required.

Question: 30, 137lbs, 5’9, recommendations for undefined jaw/chin fat?
Answer: From the photographs presented, you have fat deposits located both above and below the platysma muscle in your neck. These fat deposits are most likely genetic, especially the deposit underneath the muscle. A surgical neck lift is required to move the fat above the muscle with liposuction, and surgical extraction of the fat below the muscle, and then perform a platysma-plasty to significantly improve your jawline, especially when you put your chin down.

Question: Aging eyes – What are my options with my upper and lower eyelids?
Answer: An upper and lower blepharoplasty can accomplish significant improvement to rejuvenate your eyes. The primary goal of upper eyelid surgery is to remove the extra skin and a small of fat located in inner corner. The incision is placed directly in the upper lid crease. Regarding the lower lids, the primary goal is to remove the fat bags creating the puffy look. The fat is removed through trans conjunctival approach on the inside of the lower lids. When there’s excess skin present on the lower lids, a pinch technique is performed to tighten the lower lid skin, and we place tissue glue on that incision at the eyelash line.

Question: What can I do to fix my chin?
Answer: The photographs demonstrated recessive chin profile for which a Chin implant can improve. Placement of a chin implant can be performed under local anesthesia as an outpatient procedure which takes approximately 30 minutes. In our practice, we insert the implant through a small incision underneath the chin.

Question: Am I at 41 years old a candidate for a neck lift after prior liposuction under my chin?
Answer: The photographs appear to show platysma bands which can be addressed with a platysma-plasty which is part of a neck lift procedure. Age 41, your skin tone should be just fine, however in the event that your skintone is quite loose, You’ll need a lower face and neck lift. This will probably need to be sorted out in-person.

Question: 36 year old male. What is the best approach for the tip of my nose?
Answer: A closed rhinoplasty approach can accomplish Shaving down the dorsal hump, reducing the bulbous nasal tip, reducing the hanging columella, and narrowing the bridge line with all the incisions placed on the inside of the nose. A closed septoplasty maybe you’re a part of your having a deviated nasal septum in the back of the nose blocking airflow. Both procedures can be performed simultaneously if necessary. You do not have alar retraction. Digital computer imaging of your nose upon your facial features would be helpful the communication process.

Question: What changes can I expect for wide nose, thick nostrils and hump removal?
Answer: Digital computer imaging of your nose would be helpful in the communication process to understand what your potential new nose might look like upon your facial features. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line, and refining the nasal tip with all the incisions placed on the inside of the nose. No external incisions are required. An alar plasty would be required to narrow the wide nostrils. Thick skin in the tip of the nose will require steroid shots in this first few months after the surgery.

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