Question
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Is this a case for revisions rhinoplasty?
Rhinoplasty Revision
May 31, 2021
Dear Dolewhip 96, from your history and the attached photographs it appears that concerns are valid. It is unfortunate that you did not get the results you wanted and it has been sufficient time to have all the healing process being completed. There is asymmetry and tip depression as you described and the indentation on the dorsal aspect may be due to malposition bone or Cartilage segments. In order to determine the full extent of the revision you would need a detailed consultation to…
Post-Genioplasty: Chin bone & lower lip
genioplasty healing
Jan 31, 2016
If you are satisfied with your profile there is no harm in waiting for a little longer for the bone remodelling to complete the healing process. The lip crookedness is most likely due to surgical injury to the lip muscles and as the muscle heal it will restore to normal function. Have you seen your surgeon for your follow up appointments? He or she can explain to you the bone healing process and how long you have to wait for revisions if any is indicated. .
Can I achieve the results I want with thin skin?
dynamic droopy tip
Jan 31, 2016
Hello!. Your photos are informative. On reviewing them it appears that two anatomical factors contribute the appearance you wish to be corrected. 1. elongated septal cartilage with anterior projection. 2, hypertrophied or overly active Depressor septi muscles( the muscle that pull the septum down). A carefully performed tip rhinoplasty addressing these two factors with minimal Alar base reduction will give the results you desire,
Will rhinoplasty also fix my non symmetrical top lip?
Tilting tip
Jan 23, 2016
First, with out any photographs it is difficult to give you any specific answers, From your description I gather that your Nasal spine and septum are deviated to one side ,That in turn has distorted lip muscle attachments causing the the lip pull to onside. Any competent Rhinoplastic Surgeon who looks at the total harmony instead of focusing on one structure should be able to fix the problem. Please discuss your concerns during your consultation and get specific answers before you…
Dent between bridge of nose and tip one month post op
Dent in the nose
Dec 31, 2015
From your history and the photos it is clear that there is a post surgical deformity. It is more visible on one side than the other. The location would indicate a little over resection of upper lateral cartilage . However it is early in the healing process for rhinoplasty to see the effects of remodeling of tissue and scar maturation. Your nose is cute and you can accept it and live with it .If you want perfection you can have HA fillers injected…
What type of chin surgery is needed?
chin surgery.
Dec 30, 2015
The dynamics of your smile show the projection may be due to soft tissue( muscle and fat) over the chin bone. Therefore you will need a through evaluation with 3-D CT scans and properly planned procedure to balance your nose and chin. Too much bone removal can cause disastrous result later in your life .
How can I make this less obvious?
infra orbital folds
Dec 30, 2015
They normal folds exaggerated by the lack of malar eminences in your case. HA fillers will help the problem.
Crooked nose after Rhinoplasty; why does that happen?
Crooked nose.
Dec 30, 2015
You have to understand that nose is a 3-Dimensional structure. The structure that determines the straightness is the nasal septum which is made of bone and cartilage. The cartilage has memory and spring back tendency. If one has a preexisting septal deviation and if that condition is not addressed during rhinoplasty the nose will eventual veer to the side of the deviation. It is not “environmental” due to global warming etc. Incomplete evaluation and treatment is the cause.
Do I have an open roof?
open roof
Dec 30, 2015
Your pictures show an unusual wideness of the dorsum(bridge) for an open rhinoplasty procedure. May be your osteotomies were incomplete or not done at all. “Open roof deformity ” is caused by incomplete osteotomies. The nose is a pyramidal structure formed by the two nasal bones fusing in the mid line. When the dorsal hump is removed or the dorsum ( bridge) is lowered by removing the bone, a gap develops between the two bones and that has to be closed by osteotomies and in-fracturing…
Eyelid multi layer folds after double eyelid stitching. What can be done?
Multiple folds
Nov 4, 2015
Did you have a non incision double lid operation or incision procedure. Any way the the skin is fixed at a higher level than the ideal location causing the problem you have. So you have two options 1 wait it out for the scar to soften up or fade away or2. Have a revision surgery BTW where was the surgery done. You should also revisit the doctor and get his or her advice also.
Why does my face seem so asymmetrical?
Hemifacial Microsomia
Sep 26, 2015
There is a congenital condition called Hemifacial Microsomia that can distort the face as you grow up. It can manifest in various degrees , from gross deformity to some degree of facial asymmetry. There are surgical remedies to restore the balance by changing the bone structure by ostiotomies or bone grafts and like procedures. These are time consuming and costly procedures. You may also accept it and learn to live with it.Congratulations on your impending wedding.
How to remove a few fillers from lips without surgery?
super lips
Sep 26, 2015
If it is Hyaluronic acid (HA) filler it may be dissolved by injection of Hyaluronidase(Vidase), an enzyme that dissolves HA incrementally till you get the result you want. If it is Radiesse or MMA based fillers you may have to wait it out or undergo complicated surgical procedures to remove it. Results may be worse than where you started from. Good Luck.
“Sinus” pain/pressure after brow lift. Do I have an infection?
Pain after brow lift
Sep 26, 2015
If you had a negative sinus scan the pain is not likely from your sinus. It is probably due to spasm or injured sensory nerves of your frontalis muscle on the left side.As it is not obviously an infection antibiotics are not helpful. Anti inflammatory steroids Like prednisone , NSAIDs like Motrin may help. The most effective relief of pain may be obtained by infiltration of long acting local anesthetic or Botox into to the muscle ( same principle as Botox for Migraine head…
Any surgeons in the US experienced with chin ptosis/witch’s chin
Bad chin.
Apr 19, 2015
First a good front and profile views of your chin with and with out smiling would help in analyzing your problem. As you are a young person it is not an aging change.From your description it appears to be caused by some malfunction of mentalis muscle. So it can be fixed by restructuring the muscle , fat pad etc.. Hope that answers your question.
I want to do a chin augmentation, should I choose dermal filler or surgery?
For a better profile
Mar 26, 2015
Considering your age and your facial configuration a genioplasty with sliding osteotomy will be the best option. It is a permanent procedure rearranging your own chin bone. Everything else will be problematic sooner or later.