Facial Plastic Surgery Questions and Answers: Part 02

Question: How well would a chin lipo suit me?
Answer: From the limited photographs, it does not appear that there’s that much fat in your neck, so liposuction would only give you a minimal benefit. You would get more benefit from placement of a single chin implant placed under local anesthesia which would give better structural support for the soft tissues in the neck.

Question: Am I a good candidate for rhinoplasty? 
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required.

Question: Can one plastic surgeon do face and body well?
Answer: Some plastic surgeons can do face and body work quite well. You can give some consideration to having a facial plastic surgeon perform your face and neck lift and your plastic surgeon to do the bodywork. In addition, trying to do a face and neck lift along with a tummy tuck, arm lift and thigh lift is probably too much surgery for one setting under general anesthesia. Probably best to separate out some of these procedures.

Question: What is the best treatment for laxity under the chin?
Answer: The photographs demonstrate a recessive chin profile, and genetic fat deposits located below the platysma muscle in the neck. Consider placement of a chin implant to augment your chin forward. Since your fat deposits are located below the platysma muscle, a surgical neck lift is going to be required to remove that fat compartment. Liposuction will only be minimally effective because most of your fat deposits are located below the muscle, and liposuction can only accomplish removal of fat deposits above the muscle. A chin implant and a neck lift procedure can before together under one anesthesia with one recovery period.

Question: Revision rhinoplasty for asymmetrical indentation?
Answer: Much more information is needed, such as a copy of the operative report, and a full set of facial photographs from all angles, since the nose is a three dimensional structure. It’s also important to know how much cartilage is left over on the inside of the nose for potential grafting purposes. Revision rhinoplasty is more difficult than a primary rhinoplasty.

Question: Recommendations for mini facelift, facelift,, fillers, lip lift?
Answer: The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits in the neck to improve your jawline. A facelift is not going to address the downturn the corners in your mouth. Mini lifts give mini results, and we rarely perform them since it won’t address the laxity in your neck.

Question: Can I get away with just chin liposuction to reduce fat under my face? I plan on losing weight, would like a jumpstart?
Answer: It’s always best to lose the weight first and reevaluate your neck issues. From this photograph you presented, you have significant fat deposits in the neck located both above and below the platysma muscle in your neck. Most of your fat appears to be below the muscle. The fat deposits below the muscle are removed with a surgical neck lift procedure which includes a platysma plasty to significantly improve the jawline. Liposuction can only accomplish removal of fat above the muscle which would only give you minimal benefit.

Question: What would fix the appearance of my face/chin?
Answer: Much more information is needed, such as your age, and a full set of facial and neck photographs from all angles with your hair pulled back behind your ears. From the limited photographs it appears that you have significant genetic fat deposits located below the platysma muscle which is going to require a neck lift procedure. This involves liposuction to remove the fat deposits above the platysma muscle, and surgical extraction of the fat deposits below the platysma muscle which also includes a platysma plasty to significantly improve the jawline. The procedure as performed under general anesthesia, and you should anticipate two weeks of visible bruising and swelling. Full healing is several months.

Question: What options do I have to get rid of a double chin?
Answer: Much more information is needed, such as a full set of facial photographs from all angles. It’s important to understand that liposuction can only remove fat deposits above the platysma muscle, while surgical neck lift is required to remove the fat deposits below the muscle which is most likely the case based on the one photograph. A platysma-plasty is also performed which significantly improves the jawline. The Skin tone in your neck will determine which procedure to perform. If there is significant loose and inelastic skin in the neck, then a lower face + neck lift will be required.

Question: Am I a good candidate for liquid rhinoplasty? Or should I look at a traditional rhinoplasty for the results I want?
Answer: In our practice, we would not recommend liquid rhinoplasty to lift the nasal tip. There are significant complications that can occur with liquid rhinoplasty injections to the nose. A surgical closed rhinoplasty can accomplish lifting the nasal tip, shaving down the slight dorsal hump, and narrow the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required.


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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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