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Dr Nose Knows - Rhinoplasty Surgeon in Seattle WA

Dr Nose Knows - Rhinoplasty Surgeon in Seattle WA

Dr Nose Knows - Rhinoplasty Surgeon in Seattle WA

https://www.drnoseknows.com/how-long-do-you-have-to-wait-to-see-the-finished-results/

https://www.drnoseknows.com/the-most-important-consideration-when-getting-a-rhinoplasty/

Why Does My Nose Look Bigger after Rhinoplasty

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-10-2/

Mon, 13 May 2024 05:34:42 GMT

*Question: Which procedure would help even out my side profile and lower
face?*
Answer: You only have a minimal amount of fat in the neck, so liposuction
will only give you a minimal result. Consider placement of a chin implant
to augment your recessive chin forward for better facial balance and
proportions. A closed rhinoplasty can accomplish shaving down the dorsal
hump, narrow the bridge line and refine the nasal tip with all incisions
placed on the inside of the nose. Placement of a chin implant can be done
under local anesthesia, while a rhinoplasty procedure must be done under
general anesthesia.

*Question: Would a chin implant or genioplasty be the better option to
correct my receding chin and side profile?*
Answer: Chin implants are performed under local anesthesia which takes
about 30 minutes. A sliding genioplasty is performed by an oral surgeon
under general anesthesia in a hospital setting with an overnight stay and
is much more invasive.

*Question: Is it okay to have filler done a year prior to a face and neck
lift?*
Answer: Yes, it is certainly acceptable to undergo filler placement prior
to the facelift procedure. The area that you’re thinking about having it
injected is not in area of the surgical facelift anatomy.

*Question: 9 months post liposuction – what can I do to correct scar, and
improve the appearance of my neck?*
Answer: A lower face and neck lift procedure can accomplish tightening
loose facial and neck skin, tightening loose facial and neck muscles, and
remove what appears to be residual fat deposits in your neck. Stretching
the skin back posteriorly should help to smooth out that scar.

*Question: Request for second opinion: Is this achievable results with a
mini rhino?*
Answer: he dorsal hump is composed of both bone and cartilage which must be
shaved down with a knife and scissors for the cartilage and an osteotome
for the bone. Medial and lateral Osteotomies are required to be placed in
the nasal bones to close the open roof, flattop nasal deformity created
from the hump removal itself. Spreader grafts are then usually required to
be placed underneath the concave upper lateral cartilages to prevent
collapse of them. In our practice, this procedure is performed under
general anesthesia as an plastic surgery takes about an hour and 1/2.

*Question: Do spreader grafts make the nose less flexible and do they
change tip projection?*
Answer: Spreader grafts do not make the nose less flexible and do not
change the tip projection of the nose. They are performed to help stabilize
the upper lateral cartilages from falling inward after the dorsal hump
removal. There also performed on the concave side when a crooked nose is
present.

*Question: What can I do to correct bulge after chin liposuction?*
Answer: It’s very important to understand that there are two compartments
of fat in the neck, and they are located both above and below the platysma
muscle in the neck. Liposuction can only accomplish removal the fat
deposits above the muscle. A surgical neck lift it Is required to remove
the fat deposits below the muscle which also includes a platysma plasty to
significantly improve the jawline.

*Question: Would a chin implant help me achieve a more defined side profile
or should I consider other options?*
Answer: The side profile photographs demonstrate an overly projecting nose,
and a mild recessive chin. Placement of a small chin implant can accomplish
augmenting your chin forward for better facial balance and proportions. A
closed rhinoplasty approach can accomplish decreasing the overall
projection of your nose, and shaving down the dorsal hump with all of the
incisions placed on the inside of the nose. It would be helpful to undergo
Digital computer imaging to understand what can be accomplished with your
facial features with either one or both procedures.

*Question: 42 y/o concerned about drooping jowls – Am I a candidate for
lower face or cheek lift?*
Answer: A full set of facial and neck photographs from all angles are
required to make the best determination about what is the best procedure
for you. It appears that you have a recessive chin, and significant
pre-Jowl sulcus which makes your jowls look bigger than they really are.
You may be a candidate for a chin implant to give better structural support
for the soft tissues.

*Question: 53 years old: am I ready for a lower facelift?*
Answer: From the one very limited photograph, you do appear to have enough
laxity in your jowls And neck to be a candidate for a lower face and neck
lift procedure. In our practice, a lower face and neck lift accomplishes
tightening loose facial and neck skin, tightening loose facial and neck
muscles, lifting the jowls, in addition to removing fat deposits in the
neck which also includes a platysma plasty to significantly improve the
jawline. Study your prospective surgeon’s before and after facelift photo
Gallery looking for lots of natural results.
The post Facial Plastic Surgery Questions and Answers: Part 10 first
appeared on Seattle Nose Surgeon.

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-09/

Mon, 13 May 2024 05:27:07 GMT

*Question: Asymmetric nostrils & crooked columella, what do you think about
my rhinoplasty?*
Answer: Your nostril asymmetry is within normal limits, since there’s no
perfect nose. The biggest issue you have is your hanging columella. Once
that is reduced, it will probably help straighten it as well. Best to wait
at least one year after your primary rhinoplasty to undergo revision.

*Question: Order of facial and scalp cosmetic surgeries?*
Answer: Hairline lowering surgery and an eyebrow lift should be performed
together. Hair transplant would be done separately. Facelift, eyelid
surgery, rhinoplasty and chin implant can be performed together
simultaneously under one anesthesia with one recovery. A full set of facial
photographs from all angles are required to make a determination about
being a candidate all these procedures.

*Question: Can rhinoplasty cause nasal polyps?*
Answer: No, polyps Located inside the nose recalled allergic nasal polyps,
and are related to allergies, not previous surgery.

*Question: Valve collapse on my left nostril?*
Answer: Valve collapse on my left nostril functional nasal surgery such as
surgery for a valve prolapse may be submitted to medical insurance once
medical necessity and preauthorization have occurred with your medical
insurance company. Anticipate co-pays and deductibles associated with your
medical insurance. Placement of a alar batten graft or a spreader graft may
be of some benefit. Making any other changes to the nose such as shaving
down the dorsal hump, reduction of the bulbous tip, and narrowing the
bridge line are all considered cosmetic, and must be paid for by the
patient.

*Question: Do I need a brow lift or upper blepharoplasty?*
Answer: The eyebrow position is acceptable, and a brow lift is not
necessary, because you look too surprised. Consider aconservative upper
blepharoplasty to remove the excess eyelid skin and create more of a
curvature to your upper eyelid fold.

*Question: Trying to fix a bump on my nose that is trauma related I
believe?*
Answer: The limited photographs demonstrated dorsal hump which is composed
of both bone and cartilage. A closed rhinoplasty approach can accomplish
shaving down the dorsal hump, and then osteotomies placed in the nasal
bones are going to be required to close the open roof nasal deformity
created from the hump removal itself. Also important to straighten the
nasal bones related to any trauma. Also important to evaluate if there is a
deviated septum on the inside of the nose creating breathing difficulty.

*Question: How is my front/side profile in terms of jaw and chin?*
Answer: The side profile photographs demonstrate a recessive chin profile
for which a chin implant can give improvement. The Implants can be
performed under local anesthesia as an outpatient procedure which takes
approximately 30 minutes.

*Question: I’m 45 years old, very healthy. Am I a candidate for facelift,
rhinoplasty and facial implants?*
Answer: From the photograph presented, you do not appear to be a good
candidate for a rhinoplasty procedure, since your nose looks quite good and
very little improvement could be achieved. A neck lift alone can accomplish
removal of the fat deposits above and below the platysma muscle in your
neck along with the platysma plasty to significantly improve the jawline. A
full lower face and neck lift would not be required as long as your skin
tone is acceptable in the neck. You do appear to be a good candidate for
upper and lower eyelid surgery. The goal of upper eyelid surgery is to
remove the excess skin creating the hooded look, and the goal of lower
eyelid surgery is to get rid of the fat bags creating the puffy look. Your
midface does appear rather flat, and a set of small cheek implants can
accomplish augmentation in that area.

*Question: I was wondering if achieving a nose like this would be possible?*
Answer: There are certainly improvements and refinements to your nose that
can be made, but they may not be exactly like the model photographs.
Digital computer imaging of your nose upon your facial features would be
helpful to understand what can be accomplished with your current nasal
anatomy.

*Question: Rhinoplasty for breathing issues and cosmetic – should doctor be
ENT too?*
Answer: Rhinoplasty is one of the most difficult procedure to perform In
the entire field of cosmetic surgery, so it is important defined and very
experienced double board-certified ENT/facial plastic surgeon who could
address both the functional surgery such as a septoplasty, and cosmetic
rhinoplasty simultaneously. An internal examination of the nose is going be
required for medical necessity and insurance prior authorization. Expect
the patient for the cosmetic component yourself.
The post Facial Plastic Surgery Questions and Answers: Part 09 first
appeared on Seattle Nose Surgeon.

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-08/

Mon, 13 May 2024 05:21:22 GMT

*Question: I am looking into having rhinoplasty. Is what I am hoping to
achieve realistic?*
Answer: A closed rhinoplasty approach can accomplish narrowing the entire
bridge line and nasal tip. An alar plasty can accomplish narrowing wide
nostrils. The thick skin in the tip of the nose is going to prevent
refinement in that area, so it is important to have realistic expectations.
Also expect to receive steroid shots in the tip of the nose to reduce
swelling during the several months after the procedure.

*Question: Candidate for chin aug, chin lipo, and buccal fat removal?*
Answer: The Photographs demonstrate a very recessive chin profile and only
a small amount of fat in the neck. A chin implant would offer the best
benefit by augmenting the chin forward for better facial balance and
proportions. Simple liposuction of the neck can remove the small amount of
fat deposits in that location. Both procedures can be performed under local
or general anesthesia.

*Question: Why is my nose deformed? I had a septoplasty 9 years ago *
Answer: Your septoplasty had nothing to do with the issue on your nasal tip
cartilages. On the left side of your nose, You have a normal convex lower
lateral cartilage. The lateral crus of your right lower lateral cartilage
is concave. This usually requires cartilage grafting techniques to make the
right side look more like the left. It’s important to know how much
cartilage is left over on the inside of your nose for grafting purposes,
since you a cal had septoplasty in the past And you may have a cartilage
depleted nose.

*Question: Will a chin implant and neck liposuction be sufficient for
desired results with my low hyoid bone?*
Answer: The Side profile photograph demonstrates a recessive chin and
significant fat deposits in the neck located both above and below the
platysma muscle in your neck. For best results, you would require a chin
implant to augment the recessive chin forward because your mandible never
grew far enough forward. This will offer improved structural support for
the soft tissues in the neck. Liposuction alone will be an effective
because it’s only going to remove the small compartment of fat above the
muscle. Most of your fat is deep in the neck below the platysma muscle
which is going to require a neck lift procedure, which also includes a
platysma-plasty to significantly improve the jawline. No skin removal is
required at age 32. The combination of a neck lift and chin implant should
give you a fantastic result even if you have a low hyoid bone. Study your
perspective surgeon’s before and after necklift photo Gallery to make sure
that is extensive with results similar to your own that look very natural.

*Question: 1 year post revision rhino. Can adding cartilage to the tip fix
crookedness?*
Answer: Revision rhinoplasty is the most difficult operation to perform in
the entire field of cosmetic surgery, so much more information is needed
such as a full set of facial photographs from all angles, and copies of the
operative reports to find out what was accomplished the first two
procedures before embarking on a third procedure. It’s very important to
know how much cartilage is left over on the inside of the nose for
potential grafting purposes.

*Question: I live in the Charlotte area. Several consults, all different.
What do I really need? My neck and under eyes bother me*
Answer: From the photographs presented, you show the normal signs of aging
in your neck and jowls for which a lower face and neck lift is going to be
required. In our practice, 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 the fat deposits in the neck above and below the
platysma muscle which also includes a platysma-plasty to significantly
improve your jawline. Regarding your lower lids, you have Festoons and a
lower blepharoplasty procedure is not going to help with that. You have
excess skin on your upper lids, and an upper blepharoplasty can accomplish
a Nice improvement. Study your prospective surgeon’s eyelid and facelift
photo Gallery to make sure that it is extensive with results that you like.

*Question: Would I benefit more from fillers or a facelift?*
Answer: The photographs demonstrate significant facial asymmetry which can
be improved, but your face will not be perfect. Consider placement of a
chin implant to augment your recessive chin forward, and custom carved to
build up your left side of your chin more than your right. This can be done
in combination with the lower face and neck lift to lift the Jowls, tighten
loose facial and neck skin, tighten loose facial and neck muscles, and
remove any fat deposits in the neck.

*Question: Is a genioplasty right for me?*
Answer: A genioplasty is performed by an oral surgeon under general
anesthesia in a hospital setting with an overnight stay, and can help with
sleep apnea. For purely cosmetic purposes, a chin implant can augment your
chin forward, and a neck lift procedure can accomplish removal of the fat
deposits in your neck located both above and below your platysma muscle in
the neck to get a more aesthetically pleasing jawline. You’ll still have
sleep apnea with elective cosmetic surgery.

*Question: What are my permanent options to correct my eyelids and achieve
a less tired look?*
Answer: A trans-conjunctival lower blepharoplasty accomplishes removal of
the fat bags that are creating the puffy look in the lower lids. The
incisions are completely located on the inside of the eyelid, and there are
no external incisions.

*Question: Age 32, is ear surgery a relatively straightforward procedure?*
Answer: In our practice, we perform otoplasty under local anesthesia as an
outpatient procedure. Pinning the ear back requires making a small incision
behind the ear and Using permanent sutures to hold it here backwards
against your scalp. We try to match your left ear closely to your right
ear. Your earlobes look just fine. We would definitely not recommend going
to Mexico to have elective cosmetic surgery performed.
The post Facial Plastic Surgery Questions and Answers: Part 08 first
appeared on Seattle Nose Surgeon.

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-07/

Mon, 13 May 2024 05:17:45 GMT

*Question: Can I get a nose job a year after fillers?*
Answer: A septoplasty is performed in the back the nose to improve airflow
dynamics when there is a deviated nasal septum present. Medical necessity
needs to be performed at the time of an in-person examination, and then
preauthorization is then required for your medical insurance company.
Anticipate co-pay and deductibles. A rhinoplasty is performed for cosmetic
purposes, and there is no medical necessity. Plan on paying for that
component of the surgery yourself. In our practice, both procedures are
performed under general anesthesia by a board certified physician
anesthesiologist for patient safety and comfort. It is not a good idea to
perform this under local anesthesia since it will be very painful.

*Question: Does Kybella not work for some people? Advice?*
Answer: Kybella Is not very effective, and we do not use it in our practice
for that reason. The limited photograph demonstrates fat deposits above and
below the platysma muscle in the neck. Liposuction can accomplish fat
removal above the platysma muscle, however a surgical neck lift with a
platysma plasty is going to be required to remove the fat deposits below
the platysma muscle which will significantly improve the jawline.

*Question: What surgical or non-surgical options do I have to correct my
jawline?*
Answer: The side profile photograph demonstrates an overly projecting nose
and an under projecting chin. A closed rhinoplasty procedure can accomplish
decreasing the overall projection of the nose, shaving down the dorsal
hump, refinement of the nasal tip, and narrowing the bridge line if
necessary. All incisions are placed on the inside of the nose. No external
incisions are required and no painful packing as required either. Placement
of a small chin implant can 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 under
general anesthesia as an outpatient procedure. Rhinoplasty is the most
difficult operation to perform correctly in the entire field of cosmetic
surgery, so choose your surgeon wisely based on extensive experience.

*Question: Can an endoscopic brow lift correct deep horizontal forehead
lines?*
Answer: Deep horizontal forehead lines are corrected only through a coronal
approach forehead lift with the incision placed behind the hairline. The
frontalis muscle is softened. The corrugator or “scowling” muscle can also
be softened as well as lifting the height of your eyebrows and adjusting
eyebrow asymmetries, since your right eyebrow is lower than your left.

*Question: Which procedure would help me achieve a stronger looking jaw?*
Answer: The side profile photograph demonstrates a recessive chin profile,
so consider placement of a chin implant which can be done with local
anesthesia. The procedure takes about a half an hour in our outpatient
surgery Center. If you’re looking to remove the fat deposits in your neck,
liposuction can accomplish removal of the fat deposits above the muscle,
however a necklift maybe required to remove fat deposits below the platysma
muscle which also includes a platysma-plasty to significantly improve the
jawline. No skin removal is required.

*Question: Are there non surgical options to improve my profile that would
give me optimal results? If not, what would you suggest?*
Answer: The side profile photograph demonstrates an overly projecting nose,
an under projecting chin, and significant fat deposits above AND below the
platysma muscle in the neck. A surgical closed rhinoplasty can accomplish
decreasing the overall projection of the nose, narrowing and straightening
the bridge line, and refining the nasal tip with all of the incisions
placed on the inside of the nose. No external incisions are required.
Consider placement of a small chin implant to augment the chin forward for
better facial balance and proportions. Liposuction will only remove fat
deposits in the neck above the platysma muscle which will be only minimal
benefit.. A surgical neck lift procedure is going to be required to remove
the fat deposits underneath the platysma muscle which also includes a
platysma plasty to significantly improve the jawline.

*Question: Would an oculoplast be equally qualified (to a plastic surgeon)
to perform a browlift?*
Answer: The generalized answer would be a yes, but it depends on the
individual oculoplastic surgeons training and expertise. Study their photo
gallery for brow lift procedures to make sure that it is extensive with
results that you like.

*Question: Do I need eyebrow lift or/ and blepharoplasty to look less
tired/angry?*
Answer: The photographs demonstrate hooded and excess upper eyelid skin for
which an upper blepharoplasty procedure can accomplish significant
improvement. The eyebrow position is totally acceptable and a brow lift is
not required. A brow lift would only make you look surprised. The
Horizontal wrinkles between your eyebrows are related to hyperactive
corrugator muscles. Botox would be the most conservative treatment for
those vertical lines.

*Question: Should I do a nose job, chin implant or buccal fat removal
first?*
Answer: A full set of facial photographs, especially from the side profile
going to be required to make a determination about how best to proceed with
a nose job and chin implant.

*Question: Will insurance cover a portion of my nose surgery?*
Answer: Medical insurance may only participate in the payment for nasal
obstruction issues. Co-pays and deductibles will apply, such as a
septoplasty for deviated septum They will not cover removal of a dorsal
hump.
The post Facial Plastic Surgery Questions and Answers: Part 07 first
appeared on Seattle Nose Surgeon.

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-06/

Mon, 13 May 2024 05:13:54 GMT

*Question: Can my nose be improved without too much risk?*
Answer: The photographs demonstrate an overly projecting nose with a
bulbous nasal tip, and an under projecting chin. The underprojection of the
chin makes the nose look bigger than it really is. A septoplasty is
performed in the back of the nose to improve airflow dynamics and can be
performed at the same time, if needed. A closed rhinoplasty approach can
accomplish reduction of the bulbous nasal tip, decreasing the overall
projection of the nose and narrowing and straightening the bridge line.
Rhinoplasty is the most difficult operation to perform correctly in the
entire field of cosmetic surgery, so choose your surgeon wisely based on
extensive experience. Consider placement of a chin implant to augment the
chin forward for better facial balance and proportions. Both procedures are
complementary to each other.

*Question: Is this normal after two rhinoplasties? Huge knot on bridge of
my nose, no progress. What can I do?*
Answer: The photographs demonstrate a residual bony and cartilaginous
dorsal hump along with a wide tip and wide bridge. Best to wait a full year
before embarking on another rhinoplasty procedure which can accomplish
shaving down the dorsal hump which is composed of both bone and cartilage.
Osteotomies placed in the nasal bones will be necessary as well. Also
probably best to reduce the wide nasal tip so that all the components of
the nose are balanced.

*Question: Do I have a recessed lower jaw? Genioplasty candidate?*
Answer: A genioplasty is performed by an oral surgeon under general
anesthesia in a hospital setting with an overnight stay in the hospital,
and is much more invasive. If you’re looking for just cosmetic improvement,
a chin implant can be placed under local anesthesia is an outpatient
procedure which takes about 30 minutes.

*Question: What could be done with my nose for it to look more natural and
in line with the rest of my face for a better symmetry?*
Answer: A closed rhinoplasty approach can accomplish narrowing your nose
from the front and shaving down the dorsal hump from the side profile. All
of the incisions are placed on the inside of the nose. An alar-plasty can
address narrowing your wide nostrils and those incisions are usually placed
inconspicuously at the base of the nostrils. It’s important to release the
depressor septi ligament which dynamically pulls your nasal tip downward
when smiling. Thick skin in the tip of the nose is going to prevent
refinement in that area, so it is important to have realistic expectations.
Digital computer imaging of your nose upon your facial features would also
be helpful in the education process to understand what can be accomplished
with your nose upon your facial features. Rhinoplasty is the most difficult
operation to perform correctly in the entire field of cosmetic surgery, so
to choose your surgeon wisely based on extensive experience.

*Question: Why do most doctors remove buccal fat during a facelift?*
Answer: In our practice, we’ve never removed buccal fat during a facelift
procedure. In our practice, the goal of a lower face and neck lift is too
tighten loose facial and neck skin, tighten loose facial and neck muscles,
lift the jowls, and remove any fat deposits in the neck which also includes
a platysma- plasty to significantly improve the jawline. If you’re
considering traveling for a facelift, Best to do that within United States
to get the best results.

*Question: Which surgery, neck lift or body work? Why such protruding
stomach? Folds on hips*
Answer: Congratulations on your 60 pound weight loss. Best to perform the
procedure of your body part that bothers you the most. If your neck and
jowls bother you the most, a lower face and neck lift is going to be
required. In our practice a lower face and necklift accomplishes tightening
loose facial and neck skin, tightening loose facial and neck muscles,
lifting the jowls, and removing both of the fat compartments in the neck
located above and below your platysma muscle which also includes a platysma
plastic to significantly improve the jawline.

*Question: Can a Septoplasty change the appearance of your nose?*
Answer: No, a septoplasty does not change the appearance of your nose. A
septoplasty is performed in the back of the nose for airflow improvement. A
cosmetic rhinoplasty accomplishes straightening the crooked nose. Both can
be performed together when necessary. To straighten the crooked nose
requires osteotomies placed in the nasal bones, a spreader graft placed in
the midportion of the nose under the concave upper lateral cartilage, and
asymmetric nasal tip surgery when needed.

*Question: Overprojected nose or chin augmentation?*
Answer: Your nose looks great, and there’s no sense in redoing it. The
reason your nose looks so over projecting is because your chin is so under
projecting. consider placement of a chin implant to augment your chin
forward for better facial balance and proportions. In our practice, this
procedure can be performed under local anesthesia as an outpatient
procedure.

*Question: What can I do about the skin below my jaw/jowl area?*
Answer: More information is needed such as your age, and BMI. The very
limited photograph your side profile demonstrates fat deposits located both
above and below the platysma muscle. Liposuction can only accomplish
removal of the fat deposits above the muscle and will be only a minimal
benefit. A surgical neck lift is required to remove both compartments of
fat which also includes a platysma plasty to significantly improve the
jawline.

*Question: What procedure am I a good candidate for? My double chin
disappears when I put my tongue on the roof my mouth.*
Answer: A full set of pictures From all angles are required to make a
determination about how best to proceed. It is important to understand
there are two compartments a fat in the neck, and they’re located both
above and below the platysma muscle itself. Liposuction can accomplish only
removal of the fat deposits above the platysma muscle, while a surgical
neck lift is required to remove the fat deposits below the platysma muscle
which also includes a platysma plasty to significantly improve the jawline.
The post Facial Plastic Surgery Questions and Answers: Part 06 first
appeared on Seattle Nose Surgeon.

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-05/

Mon, 13 May 2024 05:10:41 GMT

*Question: Do I need a revision rhinoplasty?*
Answer: Much more information is needed, such as a full set of facial
photographs from all angles because the nose is a 3-dimensional structure.
A copy of the operative report would also be helpful. It is very important
to know if there is any cartilage left over on the inside of the nose for
grafting purposes, since you may need spreader grafts and possibly a dorsal
onlay graft as well.

*Question: Should I consult for surgery? Or is it something I can correct
on my own? *
Answer: The dorsal bump is composed of both bone and cartilage and becomes
larger related to trauma. Massaging your nose will not help. You will
require a surgical rhinoplasty to shave down the dorsal hump. You’re be may
require a septoplasty for a deviated nasal septum which is blocking your
airflow, but this must be confirmed at the time of the examination.

*Question: What can be done for my alar retraction?*
Answer: From the photographs presented, you have a right-sided alar
retraction, and a hanging columella. You going to need a columella-plasty
to reduce the hanging columella, and a composite graft from the ear and
placed inside the nostril to reduce that alar retraction. There will be
improvement, but there is no perfect nose, especially since this will be
your tertiary rhinoplasty.

*Question: Is this mock-up before and after photo a realistic
representation of an achievable result for chin liposuction?*
Answer: The before and after photo mockup is realistic, but not with just
liposuction alone. It’s very important to understand that there are two
compartments of fat in the neck, and you have both deposit is a fat above
and below the muscle. Liposuction can only accomplish removal of fat above
the muscle and will not give you those results by itself. A surgical neck
lift not only accomplishes removal of the fat above the muscle with
liposuction, but also surgical extraction of the fat deposits below the
muscle which also includes a platysmaplasty to significantly improve the
jawline. You will require a necklift procedure to get the results you’re
looking for. Also, you might consider placement of a small chin implant to
augment augment your recessive chin forward for better facial balance and
proportions, especially with respect to the projection of your nose.
Placement of the chin implant will also give better structural support for
the soft tissues in your neck and give you a better jawline as well.

*Question: Will rhinoplasty, fat transfer and lip lift help balance my
overall face?*
Answer: A closed rhinoplasty can accomplish shaving down the dorsal hump,
refinement of the nasal tip, reduce the hanging columella and narrow the
bridge line with all of the incisions placed on the inside of the nose.
Digital computer imaging of your nose would be helpful to understand what
can be accomplished with a rhinoplasty procedure upon your facial features.
In our practice, we do not perform lip lift operations or fat injections
for a variety of reasons.

*Question: Neck surgery with Hashimotos, am I a good candidate?*
Answer: Much more information is needed, such as a full set of facial and
neck photographs from all angles, your age, BMI and the status of your skin
tone in the neck. You will also need clearance by your endocrinologist
prior to undergoing elective cosmetic surgery.

*Question: Do you think this is an achievable and reasonable result from a
rhinoplasty?*
Answer: Yes, the digitally morphed photographs do appear realistic and
achievable. Choose your surgeon wisely based on extensive experience, since
rhinoplasty is the most difficult procedure in the entire field of cosmetic
surgery.

*Question: I am wanting a facelift, eyelid lift, and need treatment for
wrinkles around my lips, any suggestions.*
Answer: A full set of facial photographs from all angles with your hair
pulled back behind your ears is going be required to make a determination
about being a candidate for three different surgical procedures. 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 which also includes a platysma-plasty. The goal of
upper eyelids surgery is to remove excess skin creating the hooded look. In
our practice, significant upper lip wrinkles are treated with dermabrasion.
For many before-and-after examples and our current price list, please see
the link below. No hospitalization is required, since this is an outpatient
surgical procedure.

*Question: Can you perform an osteotomy on a nose with spreader grafts?*
Answer: Yes, me both medial and lateral osteotomies can be performed after
a patient has had spreader grafts placed on prior rhinoplasty. Osteotomy’s
accomplish narrowing the upper two thirds of the nose and the bridge line.

*Question: Will rhinoplasty make me look younger?*
Answer: The nose is a 3-dimensional structure, so a full set of facial
photographs are going to be required to make a determination about how best
to proceed. Digital computer imaging of your nose upon your facial features
would also be helpful to understand what can be accomplished with
procedure. Rhinoplasty is a very difficult endeavor, so choose your surgeon
based on extensive experience producing natural results.
The post Facial Plastic Surgery Questions and Answers: Part 05 first
appeared on Seattle Nose Surgeon.

https://www.drnoseknows.com/facial-plastic-surgery-questions-and-answers-part-04/

Mon, 13 May 2024 05:06:19 GMT

*Question: Is my goal of a smaller nose achievable with an African American
Rhinoplasty?*
Answer: The Model nose photographs presented are not achievable and are
unrealistic. Since the side profile looks very good, the only changes that
would be made would be from the frontal view. It is possible to narrow the
bridge line, refine the nasal tip, and narrow the nostrils with an
alar-plasty.

*Question: There does seem to be loose skin so I was considering a neck
lift or other procedures?*
Answer: Much more information is needed such as your age, and status of the
skin tone in your neck. In our practice, a neck lift procedure involves
liposuction with fat removal above the platysma muscle and surgical
extraction of the fat deposits below the platysma muscle in addition to a
platysma plasty. If you are less than 50 years of age, no skin is usually
removed. Over 5o years of age, or patients who have very inelastic skin
will require a lower face and neck lift.

*Question: Why does the nose look nice right after surgery but different
when the cast is removed?*
Answer: Swelling after rhinoplasty takes many months to subside, and full
healing takes 1 year. The amount of swelling is dependent upon thickness of
the skin, and the techniques used to accomplish the changes in the nose.

*Question: Deviated septum. Will insurance pay for it?*
Answer: Documentation from your surgeon must be performed in the chart for
medical necessity, and then a letter of preauthorization is usually sent to
the patient’s medical insurance for coverage. Expect to pay for co-pays and
deductibles associated with any medical insurance. All cosmetic surgery
must be paid for by the patient. Both functional and cosmetic nasal surgery
can be performed together under one anesthesia with one recovery.

*Question: Least invasive options for jaw definition?*
Answer: Your side profile photographs demonstrate a recessesive mandible
bone, and significant fat deposits located both above and below the
platysma muscle in your neck. Noninvasive treatments will be waste of money
and time. Consider placement of a chin implant to augment your chin forward
for better facial balance and proportions. This will also give better
structural support for the soft tissues in your neck. If you’re trying to
clean up your jawline, liposuction alone will only remove that compartment
of fat above the muscle. Most of your fat in the neck is below the platysma
muscle which is going to require a necklift to remove the fat compartment
below the muscle itself. A platysma-plasty is then performed which
significantly improves your jawline. No skin removal is required. All this
can be performed through a 1 inch incision underneath your chin.

*Question: Jaw, definition, add possible neck lift *
Answer: It’s very important to understand that there are two compartment of
fat in the neck located both above and below the platysma muscle.
Liposuction can only accomplish removal of the fat deposits above the
muscle. A surgical neck lift is required to remove the fat deposits below
the muscle which also includes a platysma plasty to significantly improve
the jawline. In our practice, we do not use compression garments, we use
surgical drains left in place for two days which removes blood out from
underneath the skin.

*Question: Is this level of advancement realistic with sliding genioplasty?*
Answer: A sliding genioplasty is performed by an oral surgeon Under general
anesthesia in a hospital setting with an overnight stay, and is much more
invasive. It’s usually done when the teeth are significantly out of
alignment. If you’re looking for purely cosmetic improvement, then consider
placement of a medium sized chin implant, which can be performed under
local anesthesia which takes about 30 minutes.

*Question: How to improve side profile? Genetically saggy cheeks*
Answer: The profile photograph demonstrate early jowls, fat deposits above
and below the platysma muscle in the neck, and a recessive Chin. Consider a
neck lift procedure in combination with a chin implant. The neck lift
involves removal of fat above the model with liposuction, and surgical
extraction of the fat below the muscle which also includes a
platysma-plasty to significantly improve the jawline. No skin removal is
necessary. Placement of a chin implant can augment your chin forward which
also offers additional structural support for the soft tissues in the neck,
and gives you better facial balance and proportions. Before undergoing the
necklift, you should be your ideal body weight for best results.

*Question: Would a rhinoplasty that narrowed my bridge make my eyes look
too wide set?*
Answer: Your eyes are beautiful, and your inter-canthal distance cannot be
changed. If the width of your nose bothers you enough, then do a
rhinoplasty. It’s not going make your eyes look even wider. Digital
computer imaging by a rhinoplasty specialist would be helpful to understand
what can be accomplished with the procedure upon your facial features
Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely
based on extensive experience.

*Question: Can I get a rhinoplasty to improve the hump on my nose and my
airflow? *
Answer: A closed rhinoplasty approach can accomplish shaving down the
dorsal hump to give you a nice cosmetic improvement. All the incisions are
placed on the inside of the nose. Functional nasal surgery such as a
septoplasty or turbinate surgery may be required to improve air flow
dynamics, and is usually billed to patients medical insurance. If you’re
having headaches behind your nose, a CAT scan of your sinuses maybe
necessary. Look for a double board-certified ENT/ facial plastic surgeon
who can accomplish both functional and cosmetic nasal surgery under one
anesthesia with one recovery.
The post Facial Plastic Surgery Questions and Answers: Part 04 first
appeared on Seattle Nose Surgeon.