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4 days post-op for mini facelift. When will the lumpiness on cheeks go away?
Lumpiness after facelift
Dec 10, 2018
Thank you for your question and photo which shows your concern very well. This early on in the healing process, some lumpiness and irregularity is completely normal and is almost the “norm”. Even in a “mini” facelift, there is significant dissection under the facial tissues and this does take some time to heal. In general, by 2-3 months after surgery, most irregularities and “lumps” resolve and at that point if these concerns still exist, you and your surgeon can discuss…
I’m 2 months post op nose job but I don’t like my front view. One of my nostrils is bigger and hig
Time will tell
Nov 14, 2018
Thank you for your question and the photo you provided. Even though 2 months seems like quite a while, in the grand scheme of post-surgical healing it is actually very early and your nose will continue to become more refined over many months. In general, the healing process continues for up to a year, sometimes even longer. A couple of millimeters can make a big difference when evaluating nostril symmetry, so it is imperative to ensure that all swelling has resolved prior to…
What FFS do you recommend?
Combination of surgical and non-surgical intervention
Nov 13, 2018
Thank you for your question and the photos you provided and sincere congratulations on beginning your journey. There are multiple ways to embark in facial feminization and I think you will certainly be pleased with the changes you experience after HRT, however when starting this later in life, there are certain features that will not change dramatically without additional intervention. In the upper face, reducing the prominence of your brow, perhaps with the addition of brow…
Transgender, have had face surgery, but would like a more feminine facial appearance
Increased feminization with rhinoplasty and Adam’s apple reduction
Nov 13, 2018
Thank you very much for your question and the excellent photos you provided. The surgeries you have had have given you a very feminine jawline and forehead which many people continuously strive for and I think was an excellent place to start. I think you would gain the most additional feminization from a rhinoplasty to alter the contour of the nasal bridge and dorsum as well as lifting the tip which are classically feminine features. If you wanted to stick to…
Non-surgical nose job vs. closed rhinoplasty: which is safer?
Both reasonable options in the right hands
Nov 9, 2018
Thank you for your question- it is a great one that many patients have and there are many conflicting opinions on this. What is most important is that you schedule a consultation with a board certified specialist in nasal surgery. After discussion of what you hope to achieve and thorough examination he or she will be able to discuss the pros and cons of nonsurgical rhinoplasty versus closed or open rhinoplasty with you. There are certainly benefits to each, and each…
Will nose go back down to the size and shape it was when I had the cast off?
Observation and continued follow-up
Nov 9, 2018
Thank you for this question and the photos you provided. Rhinoplasty is one of the most challenging surgeries to perform as a surgeon and to go through as a patient. This is largely because of the many factors that contribute to proper healing and stable structure. When the cast initially comes off, there is expectedly still a great deal of swelling which tends to obscure the underlying nasal structure. Once this swelling begins to resolve the true underlying shape of the nose becomes…
Not satisfied after upper blepharoplasty revision: How do I approach doctor who says it’s fine? (p
Observation
Nov 9, 2018
I am so sorry to hear you are experiencing this after going through surgery a second time. The good news is, it is ultimately very early in the healing process and this is certainly within the realm of normal healing in the early post-operative period. The final appearance of incisions can take many months, (6-12 months in some areas) to become evident and it is far too early to make any conclusions at this point. The delicate skin of the upper eyelid tends to heal…
Do I need lower eyelid blepharoplasty because I see the sclera?
canthoplasty/canthopexy versus no intervention
Nov 9, 2018
Thank you for your question and photos. There is absolutely no reason to intervene just because inferior scleral show is present. This is within the spectrum of normal. If this is something that significantly bothers you or there is a concern that the lower eyelid may be weak and this could increase over time, then correction with a canthoplasty or canthopexy would be appropriate in order to potentially shorten and tighten the lower eyelid and tack it up to the outer corner of the…
Need help. How can I get rid of this fat lower eyelid?
Non-surgical treatment of under eye area
Nov 9, 2018
Thank you for this question and well-taken photos that show your concerns. It appears that you have a shadowing mostly of the medial aspect of the lower eyelids. This is often called a “tear trough” and can be very easily treated with filler in a short office procedure by a specifically trained practitioner. This would improve the appearance from the front as well as from the side and efface or “fill in” that dark shadowing. Given your age and the ease of treating this…
39 w/ circles under my eyes. What can I do at what cost? Implants? What happens to them as you age
Blepharoplasty versus fillers
Oct 30, 2018
Thank you for your inquiry on this topic. The periorbital region is frequently one of the first to show signs of aging. What I can see based on the photos you posted is that you have started to exhibit fat pseudoherniation, which is the term used for when the connective tissues weaken with age allowing the orbital fat to herniate out and lead to the appearance of “bags”. The good thing is that this can easily be treated with eyelid surgery called blepharoplasty which either…
Is Bump After Broken Nose from Swelling or Permanent?
Post-traumatic nasal bump
Oct 22, 2018
Thank you for your question and I am sorry that you had this accident and are going through this! I do not think it has been long enough since the injury to definitively know whether or not the bump will resolve or not as likely there is almost certainly swelling still contributing at this point. After about 3 months, a rhinoplasty specialist should be able to perform a thorough examination and discuss corrective options with you if the bump is still present at this time. If the bump is the…
What Can Be Done if my Nose Seems Too Narrow and I Have Trouble Breathing Thru It?
Nasal obstruction
Oct 22, 2018
Thank you for this inquiry and I am sorry to hear you are dealing with this problem. The nasal septum and turbinates are common causes of nasal obstruction, but there are also other causes which must be considered. If the cartilages are weak or flimsy, as you would imagine, the force of inspiration (breathing in) will easily collapse them leading to airflow blockage. This can happen congenitally or can be a result of reducing the size or integrity of the cartilages with surgery. This problem…
My nose keeps changing since an accident, what can I do to fix it?
Post-tramatic nasal reconstruction
Oct 22, 2018
Thank you for your question and I am sorry that you sustained this accident. It is difficult to tell exactly what is going on just from these photos but an in-office examination by a facial plastic surgeon or plastic surgeon who specializes in rhinoplasty would likely be very revealing and helpful to assess both the external and internal aspects of the nose and feel how nasal support may have been affected by the accident. It certainly appears as if the nasal cartilages have been compromised…