Facial Plastic Surgery Questions and Answers: Part 01

Question: I’m 39 years old, and considering upper eyelid lift, my question is would I also need lower eyelid lift?
Answer: The Photographs demonstrate extra skin on the upper lids creating the hooded look, therefore your very good candidate for an upper blepharoplasty. It does not appear that insurance would cover your upper blepharoplasty. Your Lower lids demonstrate fat bags, therefore you are a great candidate for the lower eyelid surgery as well through trans-conjunctival approach on the inside of the lower lids. This procedure is performed under general anesthesia, and anticipate two weeks of visible bruising and swelling.

Question: Safety & efficacy of turbinate reduction/nasal mucosa resection?
Answer: There are multiple different techniques to reduce the inferior turbinates so it’s important to ask your surgeon which technique they are going to use. When the inferior turbinates are extremely hypertrophic and blocking airflow, we perform micro-osteotomies of the turbinate bones and conservative skin removal of the turbinate tissue. It’s important to be very conservative regarding turbinectomy to prevent empty nose syndrome.

Question: Is a nose job, upper eye job and a breast revision all possible in one surgery as far as safety goes?
Answer: Performing all 3 surgeries is certainly possible in one anesthesia with one recovery period. It is important to ask your surgeon how long each 1 of those procedures takes, since outpatient surgery should be limited to probably about 5 hours. Revision rhinoplasty is 1 of the most difficult operations to perform correctly in the entire field of cosmetic surgery, so it is important to find a surgeon who has extensive experience.

Question: Bridge straightened and tip made slightly smaller? Can I achieve what I’m looking for?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, straightening the nose, and narrowing the bridge line. All incisions are placed on the inside of the nose. No external incisions are required, and no Painful packing is required either. A septoplasty is performed if there is air flow blockage on the inside of the nose. Both procedures can be performed simultaneously under one anesthesia with one recovery period.

Question: Neck lift or submental liposuction?
Answer: The photographs demonstrate significant fatty deposits in the neck located above and below the platysma muscle. Surgery in the neck should only be performed when you are at your ideal body weight and the surgery involves removal of diet resistant fat deposits. Submental liposuction only accomplishes removal of fat deposits above the platysma muscle. A neck lift accomplishes removal of fat deposits above and below the platysma muscle which also includes a platysma plasty. At age 28, your skin tone is acceptable, and no skin removal will be necessary.

Question: What is best plastic surgery options for my nose?
Answer: A closed rhinoplasty can accomplish shaving down the dorsal hump, refining the nasal tip, and narrowing the bridge line with all the incisions placed on the inside of the nose. An alar-plasty can also accomplish narrowing wide nostrils.

Question: Can my eye asymmetry be fixed?
Answer: Everyone has some degree of eyelid and facial asymmetry, and when the asymmetry is significant enough, then you can consider medical or surgical treatment. The asymmetry that you’re experiencing may be related to your eyebrow asymmetry since your right eyebrow is higher than your left, and therefore the crease is higher on right eye than your left eye. Try Botox first to see if you can lower the higher eyebrow. Also important to make sure you don’t have any ptosis present. A skin only upper blepharoplasty procedure can also accomplish making the eyelids more symmetrical.

Question: What can I do to get rid of this aging neck?
Answer: Much more information is needed such as a full set of facial photographs from all angles to make a determination about how best to proceed. When patients have muscle cords in the neck and loose skin in the neck, a lower face and neck lift with a platysma-plasty is going to be required.

Question: My nostrils are too wide when i smile – would alarplasty be enough?
Answer: An alar plasty can accomplish and narrowing of the base of the nostrils statically at rest. In our practice, we usually remove 4 to 5 mm at the base of each nostril To narrow them. We also release the ligament attachments underneath the side wall the nostril to reduce the amount of dynamic flaring when smiling. The triangular nostrils your are referring to in the diagram are from an overly aggressive tip-Plasty surgery, not an alar plasty. From the side profile, you have a recessive chin profile, so consider placement of a chin implant to augment your chin forward for better facial balance and proportions. Both an alar plasty and a chin implant can be performed under local anesthesia. Each procedure takes about 30 minutes.

Question: Better candidate for brow lift or upper blepharoplasty?
Answer: A full set of facial photographs are required to make a determination about two different surgical procedures. If you have low set brows, then a brow lift is necessary. If your brow position is adequate, and you have a hooded skin in the upper eyelids, then a blepharoplasty is indicated. An upper blepharoplasty can be performed under local anesthesia, while a brow lift is performed under general anesthesia.

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    The Anchorage Center for Facial Plastic Surgery

    The Anchorage Center for Facial Plastic Surgery ®

    510 West Tudor Rd Suite 7
    Anchorage AK 99503

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