Facial Plastic Surgery Questions and Answers: Part 3

Question: Would a revision rhinoplasty be worth it?
Answer: If the crooked appearance of your nose bothers you enough, then consider undergoing a revision rhinoplasty to straighten the nose. That’s the most obvious issue the photographs presented. The amount of refinement in the nasal tip may only be subtle, and is going to depend upon how thick the skin is in the tip of the nose. Expect only minimal results in the nasal tip.

Question: Which kind of lipo would be best for me? Can chin lipo be extended to the lower jawline?
Answer: Liposuction can accomplish removal of fat deposits above the platysma muscle, while a surgical neck lift is required to remove the fat below the platysma muscle . A full set of facial and neck photographs are required to make A determination about how best to proceed.

Question: Would a chin implant be the best option to improve the look of my chin, neck, and jowls?
Answer: The photographs demonstrate an under projecting chin, and fat deposits in the neck located above and below the platysma muscle. Placement of a chin implant can augment the chin forward to help with better facial balance and proportions, especially with respect to your nose from the side profile. A Neck lift procedure can accomplish removal of the fat deposits above and below the muscle Which also includes a platysma plasty to significantly improve the jawline. Both procedures can be performed together under one anesthesia with one recovery period.

Question: Should I consider revision rhinoplasty? 
Answer: Since it is been one year, full healing has occurred. If the very slight bump bothers you enough, check back in with your original surgeon to have that shaved down.

Question: Would a mini facelift work for my sagging jowls?
Answer: If you’re referring to the loose skin on the outer corners of your mouth, then a mini facelift would probably be able to tighten that skin and the fascia layer underneath it for more of a permanent result. A full set of face and neck photographs from all angles are going to be required to make a determination about being a candidate for surgery.

Question: Am I a candidate for a mini lower facelift?
Answer: A full set of facial and neck photographs from all angles are going to be required to make a determination about how best to proceed. At 28 years of age, your skin tone in your neck should be just fine and a face/necklift should not be necessary . This procedure is usually performed on patients in their 50s, 60s and 70s.

Question: What procedure would make the biggest difference in opening the upper part of my face? Brow lift?
Answer: A brow lift procedure can accomplish lifting your brows and surgically softening the corrugator muscles that are also adding to the depressor function of your central forehead. A brow lift procedure can also improve some of the hooded appearance of your upper eyelids simply by raising the forehead.

Question: Already had lipo – what more can I do to get a better profile and jawline?
Answer: It’s best to wait at least six months before electing to undergo any further surgery in your neck. Placement of a chin implant augments the chin forward. A necklift procedure can accomplish removal of the fat deposits located below the platysma muscle which also includes the platysma plasty to significantly improve the jawline. No skin removal is required.

Question: What procedure would work best to balance out my nose?
Answer: The side profile photographs demonstrate an overly projecting nose, and an under projecting chin. Consider a closed rhinoplasty to accomplish shaving down the dorsal hump, refinement of the nasal tip, and decreasing the overall projection of the nose with all of the incisions placed on the inside of the nose. No external incisions are acquired, and no painful packing is required either. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the over projection of the nose from the side profile. Both procedures can be performed together under one anesthesia one recovery period.

Question: Rhinoplasty under deep sedation?
Answer: In our practice, we perform all of our rhinoplasty procedures under general anesthesia by a board certified physician anesthesiologist for patient safety and comfort. Patient have a controlled airway in place using a laryngeal mask airway, otherwise known as an LMA which protects the airway. Trying to perform Rhinoplasty under sedation can be difficult. With sedation, you may also have conscious awareness of the osteotomies placed in your nasal bones as well.


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    The Anchorage Center for Facial Plastic Surgery ®

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    Anchorage AK 99503

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