The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

Facial Plastic Surgery Questions and Answers: Part 5

Question: Is it possible to achieve these nose shapes from a rhinoplasty with my current nose shape?
Answer: Yes, it is possible to improve your nose with a closed rhinoplasty procedure. All the incisions are placed on the inside of the nose. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with your current anatomy. It is possible to shave down the dorsal hump, straighten a crooked nose, refine the nasal tip, and reduce the hanging columella.

Question: Is it a reasonable expectation for me to go back to my desk job five days after facelift surgery when working remotely?
Answer: Most patients go back to work at one week after a face lift surgery. You’ll find yourself quite tired the first two weeks after a lower face and neck lift procedure. At five days, you can certainly answer phone calls and limited emails.

Question: Would a nose job improve the look of my nose or am I seeing something so subtle it’s not worth changing?
Answer: A full set of facial photographs from all angles are required to make a determination about whether you are a candidate for a surgical closed rhinoplasty procedure. A cosmetic rhinoplasty and a functional septoplasty can certainly be performed together when needed.

Question: Dorsal Hump Procedure – would it be possible to do it with fillers?
Answer: A full set of facial photographs from all angles are required to make a determination about how best to proceed. If your nasal dorsum is quite low, cartilage grafts harvested from the nose can accomplish building up your bridge line.

Question: Non-surgical nose job, Seattle, WA: what is the cost, risk, and expected results?
Answer: Placement of fillers in the nose is only going to make the nose itself larger on a temporary basis. There are significant complications that can happen, such as skin necrosis, requiring reconstructive surgery. For a permanent result, it’s probably best to undergo a closed rhinoplasty procedure, which is less invasive than an open rhinoplasty to accomplish shaving down the dorsal hump, refinement of the nasal tip, with all of the incisions placed on the inside of the nose. Best to undergo digital computer imaging to understand what can be accomplished with your nose upon your facial features.

Question: Is cutting muscle and needing fillers still normal (lower bleph)?
Answer: The primary goal of lower eyelid surgery is to remove excess fat bags, and secondary and minor goal is to conservatively tighten up lower lid skin. Fat is removed through a Trans-conjunctival approach on the inside of the lower lids. If there’s excess skin at rest, then a small 2 mm pinch of that extra skin can be removed through the external incision along the lash line. We close this incision tissue glue. We never cut muscle out of the lower lids.

Question: Would I be a good candidate for a closed rhinoplasty?
Answer: Closed rhinoplasty can certainly give you some improvements to your nose, but a full set of facial photographs from all angles are required to make that determination about how best to proceed. With closed rhinoplasty, the incisions are located on the inside of the nose, and there’s no external incisions. You will heal faster with closed rhinoplasty. Digital computer imaging from multiple angles would also be helpful in the education process.

Question: I’m looking to get a Rhinoplasty, but I’m not sure what shape best suits me?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, and narrowing the bridge line. It’s very important not to turn the nose up too much, because it will look overdone. Digital computer imaging of your nose upon your facial features would be helpful in the consultation process to understand what can and cannot be accomplished with your anatomy and facial features. Choose your plastic surgeon wisely based on extensive experience producing natural results, since rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery.

Question: Is there any way to keep my bump while also deprojecting my nose?
Answer: What are you were asking for is a very oddly shaped nose that will be out of balance and proportions. It’s very important to understand that the nose is three-dimensional, and it must look good in all the different angles. Surgery is performed in all three dimensions, and it heals three dimensionally. Digital computer imaging of your nose upon your facial features would be helpful in education processed to ensure that you get a very natural appearing nose, and it doesn’t look operated upon. Choose your surgeon wisely based on extensive experience, since rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery.

Question: Is this realistic for liquid rhinoplasty?
Answer: Liquid rhinoplasty is not FDA approved, it’s only temporary, and can have significant complications such as skin necrosis. Skin necrosis would require extensive nasal reconstruction. Trying to add filler in the tip of the nose is even more risky than the bridge of the nose. Strongly consider getting a surgical closed rhinoplasty procedure to address all of your concerns in a three-dimensional fashion.

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Plastic Surgery Center

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