Question: Is a lower lid blepharoplasty the best option after other failed Belotero attempts?
Answer: The primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look through an incision on the inside of the eyelids known as trends-conjunctival approach. An in person examination is going to be required to sort through your issues.
Question: Will vitiligo spread or worsen with a facelift, blepharoplasty and SMAS lip augmentation?
Answer: A facelift and eyelid surgery and should not affect your vitiligo. I was best asked her operative surgeon.
Question: What neck lift surgical style would give me the best revision results?
Answer: Much more information is needed, such as you age, and a full set of facial photographs from all angles in addition to a copy of the operative report to see what you had done in the past. In our practice, a neck lift on the removed fat in the neck which includes a platysma plasty. No skin removal is required. A lower face and neck lift is required when there is loose and inelastic skin in the face and neck.
Question: My nose is two different colors at the bottom and top. It also isn’t straight. Can this be fixed?
Answer: From the Limited photograph it demonstrates a bulbous nasal tip, and an inverted V deformity and wide nasal bones. A revision rhinoplasty can accomplish improvement in all 3 of these areas. The color of the skin will be best treated with intense pulse light therapy, not surgery.
Question: I would like a rhinoplasty. Based on my photo, what would you recommend?
Answer: A full set of pictures are required to make a determination about how best to proceed, since the nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. To reduce the bulbous nasal tip requires suture techniques and conservative cartilage removal. Thick-skin in the tip of the nose prevents refinement in that area, so very important have realistic expectations. Osteotomies Accomplish narrowing the bridgeline. This can be accomplished with a closed rhinoplasty approach with all of the incisions placed on the inside of the nose.
Question: I like my nose shape but I have to much cartridge on the tip of my nose, I would like to remove it. Options?
Answer: The bulbous nasal tip can be reduced with a combination of cartilage removal and suture techniques when there is wide cartilage is present. Thick skin in the tip of the nose prevents refinement in that area, so is important to have realistic expectations.
Question: I had a rhinoplasty consultation today and was told that I have thick skin. Is rhinoplasty impossible on thick skin like mine?
Answer: Yes, rhinoplasty is certainly possible with thick skin, It is just important to have realistic expectations. The width of the bulbous nasal tip can be created from either thick-skin or wide cartilages. A Rhinoplasty procedure can only accomplish improvement on the wide cartilages. It’s impossible to make the skin any thinner.
Question: What is the best procedure to achieve the most aesthetic chin augmentation results?
Answer: The profile photographs demonstrate a recessive chin profile for which a chin implant can improve. Chin implants offer a permanent augmentation to the chin. They are usually placed under local anesthesia as an outpatient procedure. We place chin implants through a sub-mental incision. For over 25 years, we have used Implantech brand of solid silicone chin implants with an excellent success rate.
Question: Req second opinion: Is a revision rhino for shaving down the supratip and removal of hanging columella very complex?
Answer: Revision rhinoplasty is always more difficult than a primary rhinoplasty due to the fact that there have been previous alterations to the normal anatomy and scar tissue present. Thick skin in the tip of the nose prevents refinements in that area, so it is important to have realistic expectations. The digitally altered photographs do appear realistic.
Question: Is it possible to have a minor revision to my nose?
Answer: There are many issues going on in your nose which include residual dorsal hump, a droopy tip, hanging columella, left-sided alar notching and an inverted V deformity. A full revision rhinoplasty is going to be required to address all of these issues. It is very important to know how much cartilage left on the inside of the nose for grafting purposes since you will require spreader grafts placed in the midportion of the nose. Osteotomies will be required to narrow bridge after the dorsal hump has been shaved down. To reduce the alar notching will require a composite graft of cartilage and skin harvested from the ear. Reduction of the hanging columella and lifting nasal tip can be accomplished by removal of excess skin and cartilage in that area on the inside of the nose. A closed rhinoplasty approach can accomplish these all of your goals. All incisions are placed on the inside of the nose. No external incisions are required.
Question: Am I a good candidate for a chin implant?
Answer: The One photograph demonstrates a recessive and weak chin profile for which a chin implant can improve. Chin implants are manufactured in a large array of thicknesses, sizes, and shapes which is best determined at the time the consultation and examination. In our practice, we place chin implants through sub-mental approach under local anesthesia as an outpatient procedure which takes approximately 30 minutes.
Question: Is 24 too young to get blepharoplasty?
Answer: There’s no hard and fast rule about what age to get a lower blepharoplasty. When there’s herniated fat pads in the lower lids as in the photographs presented, then consider a trans-conjunctival approach conservative fat removal lower blepharoplasty. The incision is load located completely on the inside of the lids. In our practice, we do not recommend fillers placed in that location for a variety of reasons.