Facial Plastic Surgery Questions and Answers: Part 4

Question: Would I be a good candidate for a lower facelift?
Answer: No, you’re not a candidate for a facelift at age 30, since your skin tone is not an issue at that age. You have fat deposits in the neck and a recessive chin profile. Consider a neck lift with a platysma plasty and placement of a small, chin implant to Augment your recessive chin forward. Both procedures are complementary to each other to improve your neck.

Question: Sagging skin under my chin – What are my options?
Answer: Congratulations on your significant weight loss. Due to the deflation of your neck tissues from the weight loss, there is now loose and inelastic skin along with platysma muscle bands present. A lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, which also includes a platysma plasty to significantly improve your jawline.

Question: What is the best option to fix sagging skin after neck liposuction? 
Answer: At age 59, you’re going to have loose and inelastic skin in the neck made worse by liposuction alone. A lower face and neck lift procedure is required to tighten loose facial and neck skin in addition to tightening loose facial and neck muscles.

Question: Candidate for Revision Rhinoplasty?
Answer: As long as you have reasonable expectations, there is room for improvement on your nose. Just remember, it will never be perfect. The dorsal irregularities across your bridge line can be smoothed down, and the notched nostril can be improved as well with a composite graft from the ear. The attachment of your ala on the left is much higher than the right, and you were born that way with facial asymmetries. That cannot be improved. Choose your plastic surgeon wisely based on extensive experience.

Question: Suggestions for non surgical lower face improvement?
Answer: To give you a better answer, it requires you posting a full set of facial and neck photographs from all angles to make a determination about how best to proceed. The non-surgical treatments only offer minimal improvement, at best.

Question: Well, lower face and neck lift help my neck?
Answer: Yes, indeed, a lower face and neck lift would accomplish tightening loose, facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat compartments in the neck located both above and below the platysma muscle in the neck itself. This also includes a platysma plasty to significantly improve your jawline. Choose your surgeon wisely, based on extensive experience producing natural results.

Question: Likelihood of empty nose syndrome with a septoplasty, turbinate reduction/spur removal & adenoidectomy? 
Answer: Empty nose syndrome is not caused from a septoplasty, spur removal or adenoidectomy. It is only caused by an excessive resection of turbinates, therefore, make sure your surgeon is doing conservative turbinate surgery.

Question: Mid-30s, healthy weight, chin liposuction or deep plane neck lift?
Answer: From the one limited photograph, you have significant fat deposits located both above and below the platysma muscle in your neck. Liposuction alone can only remove the fat compartment above the muscle which will be insufficient for you. You’re gonna need a deep plane neck lift procedure to remove both compartments of fat above and below the muscle which also includes a platysma plasty to significantly improve the jawline.

Question: Part of the nose bridge still projects outwards 11 months post-op, do I need a revision rhinoplasty?
Answer: From these limited photographs, you have a residual dorsal hump, crooked nasal bones, and an inverted V deformity. A revision rhinoplasty is going to be required to not only straighten the nasal bones, but narrow them, shave down the dorsal hump, and placement of spreader grafts for the inverted V deformity. Choose your second surgeon wisely based on extensive experience producing natural results, since revision rhinoplasty is more difficult than a primary. It’s also important know how much cartilage is left over on the inside of the nose for grafting purposes.

Question: Would tip plasty be enough for my face to look more harmonious?
Answer: No, a tip plasty it’s only a component of your nose. To narrow the nose requires a full rhinoplasty which includes osteotomies to narrow the nasal bones, a tip plasty to narrow the nasal tip cartilages, and an alar plasty to narrow wide nostrils. You also have thick skin in the tip of the nose which is going to prevent significant refinement in that area of the nasal tip itself.


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