Facial Plastic Surgery Questions and Answers: Part 07

Question: Should I do chin lipsuction, Kybella, or something else?
Answer: The photographs are rather limited, however it appears that there’s recessive chin present, and fat deposits in the neck which are most likely located above and below the platysma muscle in the neck. Consider placement of a chin implant to augment the chin forward. A neck lift procedure would include liposuction to remove the fat deposits above the muscle and surgical extraction the fat deposits below muscle which also includes a platysma-plasty.

Question: Do I need a second revision rhinoplasty for tip that keeps drooping?
Answer: Much more information is needed, such as a full set of facial photographs from all angles including the side profile smiling photo to see if you have an active depressor septi ligament. If you do, releasing that ligament will prevent it from drooping dynamically when smiling.

Question: Eye bags that won’t go away Restylane filler in tear troughs. Will a blepharoplasty correct this?
Answer: The photographs demonstrate herniated fat bags in the lower lids for which a trans-conjunctival approach lower blepharoplasty procedure can improve. The incision is completely located on the inside of the lower lid.

Question: Is a result like the morph achievable or realistic for my nose in profile?
Answer: The morphed results of both your nose and chin are certainly achievable. Consider a closed rhinoplasty approach to accomplish shaving down the dorsal hump and decreasing the overall projection of the nose with all incisions placed on the inside of the nose itself. No external incisions are required and no painful packing is required. A small chin implant can be placed through a submental incision to augment the chin forward for better facial balance and proportions.

Question: Do I need a brow lift, upper bleph or both?
Answer: Your eyebrow position is acceptable, and a brow lift is not required. You have an upper blepharoplasty performed as the excess skin on the upper lids is bothering you. Ptosis correction will actually open up the aperture of the Eyelid so that your upper eyelid margin is not cutting across the black part of your pupil and improves vision.

Question: How long to wait in between surgeries to be safe?
Answer: Since both procedures are going to be performed under general anesthesia, it’s probably best to wait at least one month in between surgeries to allow full healing from the first plastic surgery and recover from the anesthesia itself.

Question: Is my edited nose attainable with a rhinoplasty? If so, what type of procedures would I need to have?
Answer: A closed rhinoplasty approach can accomplish your edited photos. One of the limitations in the nasal tip is going to be thick skin present in the tip of the nose which prevents refinement in that area. Your edited photos do appear realistic. The dorsal hump can be shaved down, the bridge line narrowed with osteotomies, and a conservative amount of cephalic trim of the lower lateral cartilages can accomplish refinement of nasal tip. You may need steroid shots in the tip of the nose to reduce swelling in the area after the surgery.

Question: Should I get a septorhinoplasty or 2nd septoplasty to correct deviated septum(c-shape)/crooked nose?
Answer: A septoplasty is performed in the back of the nose to improve airflow dynamics and will not straighten the crooked nose. Consider a rhinoplasty procedure to accomplish straightening the nose. Osteotomies placed in the nasal bones, A spreader graft placed on the concave midportion of the nose, and a tip-plasty are all going to be required to straighten your crooked nose.

Question: Can my asymmetrical nasal tip be improved?
Answer: Much more information is needed, such as a full set of facial and nasal photographs from all angles, since the nose is a three dimensional structure, rhinoplasty is performed in all three dimensions, and the nose heals three-dimensionally after rhinoplasty surgery. From these photographs, it’s not worth the risk for such a minor asymmetry. Revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery and revisions are always less predictable, especially when there is thick skin and scar tissue present in the the tip.

Question: How can I improve my facial profile?
Answer: Regarding your neck, it’s important to understand that there are two compartments of fat located both above and below the platysma muscle in your neck. Liposuction can accomplish removal of the fat compartment above the muscle, and surgical extraction of the fat below the muscle is considered a Neck lift. This also includes a platysma-plasty to significantly improve the jawline. You have a mildly recessive mandible, so consider placement of a small chin implant to augment your chin forward for better facial balance and proportions, especially with respect to your nose. Regarding your nose, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, and reducing the hanging columella present. All the incisions are placed on the inside of the nose. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon very wisely based on extensive experience. All of these procedures can be performed under one anesthesia with one recovery period.


    Schedule a Consultation Today

    The Anchorage Center for Facial Plastic Surgery

    The Anchorage Center for Facial Plastic Surgery ®

    510 West Tudor Rd Suite 7
    Anchorage AK 99503

    Schedule an Appointment