The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

Facial Plastic Surgery Questions and Answers: Part 1

Very broad, droopy nose. Am I able to have surgery?

A closed rhinoplasty approach can accomplish narrowing the bridgeline, refining the nasal tip, and narrowing the nostrils if necessary. Also important to release the depressor septi ligament which dynamically pulls the tip downwards when smiling. All the incisions are placed on the inside of the nose. No external incisions are required and no painful packing is required either.

Is my chin recessed? What can I do to fix it?

The side profile photograph demonstrates a recessivechin profile for which a chin implant can improve. Chin implants are manufactured in a larger array of thicknesses, sizes, and shapes. They can be inserted through a submental approach under local anesthesia as an outpatient surgical procedure which takes approximately 30 minutes.

How intensive would my nose job have to be?

A closed rhinoplasty approach is less invasive than an open rhinoplasty approach, and all incisions are placed on the inside of the nose. The bulbous nasal tip can be reduced, and dorsal hump shaved down. A Cast is applied across the bridge of the nose for one week, and there’ll be visible bruising and swelling for two weeks. Full healing is one year after a rhinoplasty procedure.

What procedure would I need to have done to look better?

The pictures are inadequate. Please submit a full set of facial photographs from all angles that are in focus to make a determination about how best to proceed. A rhinoplasty procedure can accomplish narrowing the bridge and the tip.

How long after an upper blepharoplasty should I wait before rhinoplasty ?

In our practice, we perform both procedures simultaneously Under general anesthesia as an outpatient surgical procedure. If you’re going to perform them separately, an upper blepharoplasty can be performed under local anesthesia, while General anesthesia is required for a rhinoplasty. One month of time should be adequate separation between both procedures performed separately.

Is it sometimes impossible to safely straighten a nose?

Straightening the crooked nose is a routine request when performing a rhinoplasty procedure. This involves placement of osteotomies in the nasal bones to straighten them, insertion of a cartilaginous spreader graft on the concave side in the midportion of the nose, and sometimes a tip plasty to straighten the crooked nasal tip. Also very important during repair a deviated nasal septum (if present) on the inside of the nose as well. Rhinoplasty for the crooked nose is a very safe procedure performed under general anesthesia. In our practice, straightening a crooked nose is performed with close rhinoplasty techniques and all incisions are placed on the inside of the nose, no external incisions are required, and no painful packing is required.

Am I a candidate for a mini facelift?

No, you are not a candidate for a mini facelift. You do not have jowls. You do have a prominent pre-Jowl sulcus on both sides of your chin. You can augment that area temporarily with fillers, or permanently with a chin implant performed under local anesthesia. A full set of pictures from all angles are required to make a determination about which type and size of chin implant would be required.

Do I have a recessed chin / need an implant?

You appear to have a very mild chin recession for which a chin implant can improve. This would help with facial balance and proportions, especially with respect to the projection of your nose. In our practice, placement of chin implants can be performed under local anesthesia as an outpatient procedure which takes about 30 minutes.

Does it look like I’d need cartilage for a revision rhinoplasty?

Based on the photographs alone, it appears you will not require cartilage grafting techniques which would only make your nose bigger since you’re adding volume. It’s important to try to make your nose smaller. Also strongly consider placement of a chin implant to augment your chin forward for better facial balance and proportions, especially with respect the continued over projection of your nose even after your first rhinoplasty. Without placement of a chin implant, your nose will still appear too large.

Would I benefit from a chin implant, or rhinoplasty to balance my face?

A chin implant can augment your chin forward for better facial balance and proportions. Augmenting your bridge line on your nose would also be helpful as well. Both procedures can be done together or separately. Digital computer imaging of both your chin and your nose would be helpful to understand what can be accomplished with either one or both procedures.

Will Sliding Genioplasty help me with my weak chin?

A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and is more invasive. It is usually performed when the teeth are significantly out of alignment. Consider placement of a chin implant to augment your chin forward which can be done under local anesthesia as an outpatient procedure.

The Seattle

Plastic Surgery Center

About.

Award Winning Highly Rated & Reviewed plastic surgeon Dr & medical clinic serving Seattle Wa 98104, King County, Bellevue, Kirkland, and Surrounding Areas. We offer a variety of surgical procedures and non surgical treatments for enhancement and rejuvenation.

Reach Us.

Copyright © 2022. The Seattle Plastic Surgery Center. All rights reserved.