Facial Plastic Surgery Questions and Answers: Part 04

Question: Are there alternatives to blepharoplasty that would help me achieve more symmetrical eyes or is surgery recommended?
Answer: Everyone has some degree of eyelid asymmetry, and the only way to address that is with a very conservative one sided upper eyelid blepharoplasty with the incision placed right in the crease itself.

Question: Asian rhinoplasty – is a bridge augmentation needed?
Answer: Bridge augmentation is only needed if you desire a higher bridge on your nose. Osteotomies are required to narrow the bridgeline of the nose. Thick skin in your nasal tip will prevent refinement in that area. Digital imaging of your nose would be helpful to understand approx. what your new nose might look like.

Question: How long do the effects of a mini lift last?
Answer: At age 59, you’re probably going to require a comprehensive lower face and neck lift to address the platysmal cords that you have in your neck in addition to the jowls. A properly performed facelift usually lasts 10 to 15 years.

Question: Which procedure would allow me to achieve a more sharp and defined jaw line?
Answer: Much more information is needed, such as a full set of facial photographs including your neck from different angles in a chin neutral position. It would be also helpful to know your age. If you’re considering losing additional weight, that should occur first before any surgical intervention. You also appear to have significant fat deposits located both above and below the platysma muscle in the neck.

Question: Would a mini facelift help correct the appearance of premature jowls and cheek hollows?
Answer: At age 30, you do not have Jowls, and you do not need a facelift. You have a prominent pre-Jowl sulcus, so consider a small chin implant which can improve your chin area. This procedure can be performed under a local anesthesia as an outpatient procedure. A chin implant would offer a permanent augmentation, and you can also consider fillers placed in there for a temporary augmentation.

Question: Considering a rhinoplasty to correct a deviated septum that causes sleep apnea. Would a PS or an ENT deliver optimal results? 
Answer: A rhinoplasty is done for purely cosmetic purposes, while a septoplasty fixes a deviated nasal septum. Sleep apnea is multi factorial, not just from a deviated septum alone. Both a functional septoplasty and a cosmetic rhinoplasty can be performed simultaneously. Look for a double board certified ENT/facial plastic surgeon who can handle both components of the nose.

Question: Sliding genioplasty or chin implant – Which procedure would deliver a more balanced look?
Answer: A sliding genioplasty is performed by an oral surgeon in a hospital setting under general anesthesia with an overnight stay at the hospital and is much more invasive. Placement of a chin implant can be performed under local anesthesia in thenoffice setting as an outpatient procedure which takes about 30 minutes.

Question: Do I need jowl liposuction along with my chin lipo?
Answer: You do not have any jowls, and in our practice for over thirty years we have never done jowl liposuction. What you do have is a recessive chin in addition to fat deposits located BOTH above and below your platysma muscle in the neck. Consider placement of a chin implant to augment your chin forward for better facial balance, proportions, and structural support for the soft tissues in the neck. Liposuction will only accomplish removal of the fat deposits above the platysma muscle and will be minimally effective. Most of your fat is located below the platysma muscle. A surgical neck lift is required to extract that fat deposit below the muscle, which also includes a platysma-plasty to significantly improve the jawline. No skin removal is required.

Question: What kind of nose surgery would I need?
Answer: A Closed Rhinoplasty approach can accomplish decreasing the projection of the Nose, shaving down the Dorsal Hump, and Improving the Drooping Tip with all Incisions placed on the inside of the Nose.

Question: Can eyelid surgery fix asymmetrical eyelids that don’t have an underlying cause?
Answer: Everyone has some degree of Facial and Eyelid Asymmetry. A conservative skin only upper Blephararoplasty can accomplish your goals. This can be performed under local anesthesia.

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    The Anchorage Center for Facial Plastic Surgery ®

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    Anchorage AK 99503

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