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

Facial Plastic Surgery Questions and Answers: Part 9

Question: What type of procedure would you recommend for my nose?
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, and preventing the nasal tip from drooping dynamically when you smile. All the incisions are placed on the inside of my nose. No external incisions are required and no painful packing is required either.

Question: Can a nose be broken easily or become fragile after completely recovered from a rhinoplasty?
Answer: After fully healed from a rhinoplasty procedure, it would take lots of force to break the nose and displace it.

Question: Is it possible to just get my nostrils reduced and if so, what type of anesthesia would be used?
Answer: An alar-plasty is performed to reduce wide nostrils. Incision is placed on the inside the nostrils at floor floor the nose, and this procedure can be performed under local anesthesia as an outpatient procedure.

Question: Can I get a nose job, chin lipo & a brow lift without a visible scar?
Answer: The position of your eyebrows is acceptable, and a brow lift is not necessary. You will look permanently too surprised. The photographs are inadequate to determine how much fat is located underneath your chin, so a full set of facial photographs from all angles are going to be required. If there’s a small amount of fat in the neck, liposuction can be performed. A closed rhinoplasty approach can accomplish refinement of the nasal tip, narrowing the bridge line, shaving down the dorsal hump and preventing the tip of the nose from drooping when smiling with all incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging of your nose would be helpful.

Question: Can I still do a chin implant after doing jaw surgery?
Answer: Yes indeed, you can certainly add a chin implant to give additional projection and width to your mandible, even though you have already had previous jaw surgery.

Question: Can you replace a chin implant with a larger sized implant?
Answer: Yes, you can upsize, or downsize a chin implant. A full set of facial photographs are going to be required to make a determination about how best to proceed. In our practice, we place chin implants under local anesthesia as an outpatient procedure which takes approximately 30 minutes. There will be less bruising and swelling with the secondary procedure.

Question: Slight hump and nasal drooping when smiling. Am I a candidate for rhinoplasty?
Answer: It would be helpful to see if picture of your nose from the front to see if you require any narrowing of the nasal bones or your nasal tip. You have a very small bump which can be shaved down, and the depressor septi ligament can be released, which helps with the droopy dynamic tip when smiling.

Question: Can I fix hanging columella and possible alar retraction with revision rhinoplasty?
Answer: Yes, a closed rhinoplasty approach can accomplish reduction of the hanging columella, and placement of composite skin grafts from the ear to reduce the alar retraction. Revision rhinoplasty is one of the most difficult Operations to perform correctly in the entire field of cosmetic surgery, so it’s important to choose your plastic surgeon very wisely based on extensive experience.

Question: I was wondering if there are any doctors with experience with my type of nose (bulbous)?
Answer: At the present time, you actually have a very nice nose, so they would only be a minimal Amount of improvement. Thick skin in the tip of the nose prevents refinement in that area, so it’s important to have realistic expectations. In addition, when patients have thick skin in the tip of the nose, they usually require several steroid shots in the first few months after the surgery.

Question: Am I a good candidate for a Rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish Narrowing the bridge line, refining the nasal tip, shaving down the small dorsal hump and reducing the hanging columella with all the incisions placed on the inside of the nose. All the incisions are placed on the inside of the nose. no external incisions are required, no painful packing is required either. An alar plasty can accomplish narrowing wide nostrils.

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