FAQs

What can rhinoplasty do for me?

Rhinoplasty can reshape, reduce or augment the nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or correct injury, birth defects, or other problems that affect breathing.

How long does the procedure take?

Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours unless more extensive work needs to be done.

Can I wear glasses after nasal surgery?

Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks.

What is Laser Skin Resurfacing?

Also known as "laser peel," laser skin resurfacing removes the uppermost, damaged layers of skin with a carbon dioxide laser beam.

What does the procedure treat?

Laser peels can treat wrinkles, sun damage, uneven pigmentation, fine lines around the mouth and the eyes, and facial scars.

What problems can a facelift correct?

facelift can reduce signs of aging (wrinkles, lines, sagging skin, drooping brow) by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face.

Can facelifts be combined with other procedures?

Facelifts can be done alone or in conjunction with a forehead lift, eyelid surgery, or nose reshaping.

I've heard that the best candidates for facelifts are in their 40s and 50s. Are older patients eligible?

Most facelift patients are in their 40s-60s, but facelifts can be done successfully on people in their 70s or 80s as well.

Will my scars be visible?

Scars are usually hidden by the hair or the natural creases of your face and ears. In addition, they will fade as time passes and should be scarcely visible.

What can a browlift do for me?

Browlifts can revitalize drooping or lined foreheads by tightening skin and muscles above the eyes, smoothing wrinkles and raising the eyebrows, helping you to look less angry, sad or tired.

What will I look like after surgery?

Try standing in front of a mirror and placing the palms of your hands to the sides of your eyes above the eyebrows. Then pull the skin back from the eyes, raising the forehead. This is approximately how the procedure will make you look.

What's the difference between traditional and endoscopic methods?

The main difference lies in the type of incision made. In a traditional browlift the surgeon makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. In a minimally invasive endoscopic browlift the surgeon makes three to five short incisions (less than an inch long) behind the hairline. The endoscope -- a slim instrument with a camera on the end -- is placed in one incision so the surgeon can see beneath the skin, while he or she lifts the skin and adjusts muscles through the other incisions.

What are the advantages of blepharoplasty (eyelid surgery)?

By removing excess fat, skin and muscle from the upper and lower eyelids, eyelid surgery can rejuvenate puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient's field of vision.

Will I have visible scars?

Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids) to minimize scar visibility. If no skin needs to be removed during surgery, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.

How soon after surgery can I wear my contact lenses?

Contact lenses may not be worn for two weeks. Glasses may be worn immediately.

Why should I consider chin surgery (mentoplasty)?

Patients undergoing nose or neck surgery may consider chin surgery in order to maintain an attractive facial proportion.

Elongated Slits for Eyes 2 Week Post-Midface Lift, is this normal?

Two weeks post-op is still somewhat early to be evaluating the results of the surgery especially given the enormous extent of post-op swelling. However, it is possible that the surgeon may have performed a canthopexy or canthoplasty on the lower eyelid concurrently with the surgery, for which slit-like eyes immediately post-op are normal and will fade over time.

What Can I do about Residual Fat Pocket After Lower Facelift?

A fat pocket left over from surgery can easily be removed with direct skin excision or even through direct removal.

Irregularities After Endotine

It is common for people with thin skin to feel the endotine device under their skin, but the device does dissolve over a period of one year. Dimpling may occur during this point, but the endotine device should not be visible.

Lingering Pain 1 Year Post-Facelift, is this normal?

If a patient is dealing with pain and tightness 1 year post-op, a second opinion is definitely needed. Consult with several surgeons to see what may have gone wrong and whether revision surgery may be needed.

Lump in Eye Socket Following Fat Removal from Lower Lids

This problem could be attributed to several things, namely an organized blood clot, scar tissue, cyst, retained fat, etc. A full exam is definitely in order to determine the nature of the lump.

Bumpy, Loose Skin Post-Facelift

Excess fat can usually be trimmed through liposuction, while excess skin must be surgically removed through a face or neck lift. Ulthera can also be used for short-term laxity issues.

What are Some Improvements after Several Months Post-Facelift?

Though changes after a facelift vary from patient to patient, some basic results of a standard lift include a better defined jawline, tightening of the skin under the chin, and elimination of muscle banding in front of the neck. As healing progresses, fluid collection and swelling should decrease dramatically and tissue should begin to soften.

What is the Minimum Age for Facelift?

A facelift is not done based on age, but rather based on the symptoms of a patient. Generally speaking, skin laxity is the number one issue for which a facelift is necessary, an issue which is rarely present in younger patients (who more often have problems relating to volume loss).

When Can I Have Scar Revision or Hair Implant Post-facelift?

Patients should wait for at least 4-6 months post-op before considering hair growth procedures, as surgery may have “shocked” hair follicles for a long, but temporary, period of time. However, if re-growth does not occur, the best option could be follicular unit grafting.

What is Healing after Deep Plane Facelift Like?

Full healing does not take place until about 6-12 months, but patients will generally be ready for public events after around 3 weeks. Again, it is important for the sake of the patient that he/she quit smoking and other habits which could inhibit or, at least, prolong healing.

What is Difference Between Lower Facelift+Neck Lift and Full Facelift+Neck Lift?

A traditional facelift IS a lower facelift in that it addresses mainly the lower 1/3 of the face and takes care of issues like jowling and sagging of the neck and lower jaw. The term “lower” facelift is used simply to differentiate a facelift from a “mid” facelift which addresses the cheek area and a “brow” lift which addresses the upper third of the face.

Facelift after EGC Diet

Patients are recommended to be in their best nutritional state before surgery, but they must make sure that their weight is fully stable before undergoing elective cosmetic surgery.

Pulled Rippled Look 4 Days Post-facelift?

In the early stages of surgery, it is easy to dismiss the results of the surgery as “bad”. But, patients must remain calm, especially as bruising and swelling tend to be the greatest at this point. Allowing for time to heal such symptoms is probably the best option for such patients.

Facelift Acupuncture

Personally, I do not approve of unproven, “gimmick” procedures like facelift acupuncture especially because they offer no elevation of the face.

Nasolabial Folding + Cheek Area was Not Addressed?

Patients should remember that a midface lift only alleviates nasolabial folding; it does not treat it completely. Again, for this area and the cheek area, the best option would be fillers and/or fat grafting, perhaps even implants for the cheek.

Is Weakness in Upper Lip Normal?

Generally, muscle weakness, if temporary, takes within 3-6 months to fully recover.

How Can I Treat Heavy Brows + Deep Nasolabial Folds?

Low brows can generally be treated with neuromodulators like Botox and nasolabial folds with fillers like Juvederm. Yet, partial MACS Lift surgery could also be an option. Consult with your plastic surgeon about your options.

What is the Healing Time After Facelift Surgery?

Most patients look presentable after 2 weeks post-op, but healing tends to carry on for a period of many months.

What is Swelling Like After Facelift Surgery?

It is perfectly normal for patients to experience lumps and areas of firmness, indicative of early post-op inflammation, in the initial stages of recovery. It will most likely take within 3-6 months for swelling to completely die down, but again patience is key to recovery.

What is the Difference Between Sculptra and Hyaluronic Acid Filler?

Sculptra is generally used as a deeper volumizer primarily used within the cheeks and the temples and may require multiple treatment sessions for the desired effect. Acid fillers are probably better for under eye filling, as are fat transfer options.

What are non-surgical options for facial rejuvenation?

Exploring options with the plastic surgeon may be the best option for patients looking for non-surgical paths of facial rejuvenation. However, there is an abundance of options out there, including fillers, neuromodulators, CO2 laser treatments, soft tissue tighteners, and light based procedures.

Cheek Implant Shifted Post-Facelift?

Generally, it is important for doctors after a cheek implant to fix it in place with a screw which may require surgical incision. A simpler method of treatment could be to inject fat into the area to hold up the implant in place.

What is Decadron?

Decadron is a steroid which works on the cellular level to decrease swelling and nausea in the patient. Even patients taking hydrocortisone for adrenal insufficiency are able to take this medication

What Role does Valium Play into Surgery?

Valium is an anti-anxiety medication which allows the patient to rest for the immediate post-op period. It is good for patients looking to avoid hematomas which are usually attributed to strenuous activity in this post-op period (rise in heart rate and blood pressure). Consult with your surgeon, however, for long-term use.

My neck is Sagging, do I need a Facelift?

Often, patients dealing with neck sagging can have their issues addressed without a facelift procedure. Liposuction and neck skin resection may be all that is needed, but again consult with your plastic surgeon about your option.

I had a cold, can I have a facelift surgery?

It is probably best to have facial surgery when the respiratory system is clear and breathing isn’t affected. If the body is generally stabilized at this point, the facelift should be fine.

Will my Scars be Visble After Facelift Surgery?

Experienced surgeons, again, will attempt to create scars in as inconspicuous of a place as possible, meaning that scarring is often tailored to the priorities of the patient. It is usually based on a number of characteristics including degree of facial aging, skin laxity, hairline, and other unique characteristics.

What is Polydiaxonone suture (PDS) in facelift surgery?

The PDS is a reabsorbable monofilament suture which is slowly broken down in the body and retains tensile strength for months after a surgery. It is commonly used as a method of fixating repositioned deep tissues.

I am 21 years old, can I undergo facelift surgery?

Unless for extreme reasons, patients at the age of 21 rarely have problems with skin laxity and thus achieve little benefits from a facelift. More often, the issue relates to volume loss which can easily be treated with fillers, fat injections, etc.

Is it possible to change the tip or completely reshape the nose during a rhinoplasty?

Going into a rhinoplasty, a patient must be aware that there is only so much a surgeon can actually do. In other words, we cannot completely reshape a nose into a form which it is not, but we CAN modify its existing structure. A droopy tip, for example, can easily be fixed.

Can I get a Kim Kardashian style nose for myself?

As stated in other similar questions, a surgeon can only work with what he or she has, meaning that we cannot reshape a nose completely into something that is not. However, giving a surgeon pictures of your ideal nose during your consultation is helpful for us to understand what changes you would like to be made (elevated tip, etc.).

I drove on a bumpy road for a long period of time six weeks after my rhinoplasty. Should I be concerned?

Other than a direct blow to the nose, there is little else that can really impact a rhinoplasty six weeks out. No concern is needed.

Can I afford a rhinoplasty on a modest salary?

This is probably a question that is best answered by your personal surgeon. The costs of a rhinoplasty is driven by three main factors: operating room time, the surgeon’s individual fee for the operation, and the anaesthesia/individual equipment used. Many offices will have financing options that make these procedures surprisingly affordable.

Cost of a rhinoplasty?

The costs of a rhinoplasty is driven by three main factors: operating room time, the surgeon’s individual fee for the operation, and the anaesthesia/individual equipment used. First time rhinoplasties will typically hover around $6,000-$7,000, while revisions may be several thousand higher. However, financing options will probably exist in your surgeon’s office that will make the surgery more affordable.

How long does recovery typically take?

The final shape of the nose following a rhinoplasty does not truly finalize until after a year following the procedure. When the cast is removed after about a week, swelling will be readily apparent, but this will eventually subside enough within 10-14 days after the procedure for patients to be “restaurant-ready” (recovered enough to go out in public). 75-80% of your results will be mostly apparent after 3-4 weeks. 

How can I tell if my nose is actually broken or just crooked?

It can be difficult to tell if a nose is truly broken, other than very obvious signs like a major deviation to one side or severe flattening or depression of the nose. However, if the concern arises after a nasal trauma, patients may have a broken nose if the trauma was followed by a bloody nose. This is an indication of tearing of the periosteum (supplies blood to the nose), which usually occurs when nasal bone fractures.

How long does swelling take to subside post-rhinoplasty?

Swelling is variable from patient to patient depending on factors like age, smoking habits, etc. However, as a general rule, 2-3 weeks is the benchmark for when most of the swelling subsides, at which point the remaining swelling will only be visible to the patient and his/her surgeon. The remaining swelling will gradually dissipate in the next 6-12 months.

How long should I not drink alcohol prior to surgery?

As a benchmark, try to avoid anything that increases the risk of excessive bleeding during surgery starting 1-2 weeks prior to surgery. This includes alcohol, herbal supplements, fish oil, and non-steroidal anti-inflammatory medicines like ibuprofen

How is a tip rhinoplasty different from a typical rhinoplasty?

A tip rhinoplasty, as the name suggests, is only dedicated to the reshaping (usually elevation or depression), rotation, or other modification of the tip. In this procedure, the nasal bones are not tampered with, leading to quicker recovery times. However, this option is usually limited to select patients because, often, rhinoplasties often need to engage the bridge of the nose.

Can I reduce the size of my nose non-surgically?

Unfortunately, this is highly unlikely. Non-surgical nasal modifications, by their nature, use fillers to make certain areas bigger in relation to others, so surgery is the only option to reduce nose size.

How do I choose a surgeon for rhinoplasties?

Recommendations for ideal surgeons for rhinoplasties include board certification in plastic surgery/otolaryngology, specialization in nasal surgeries, and experience in doing your specific type of surgery. I would personally recommend looking at their before and after catalogue to see if their work is satisfactory for your needs.

What are non-surgical options which mimic rhinoplasty procedures?

Unfortunately, there are not any non-surgical options which get as much mileage as an actual rhinoplasty. However, for certain cases, injectable fillers like Restylane can be used to smooth out rough edges (ex. Fill areas around the bump on a bridge to make the bump seem less conspicuous) for lesser cost. These might be helpful for people with overly scooped noses (ski slope noses), noses with small humps, etc (in other words, people who need areas filled, rather than reduced).

Long-term cocaine use caused a hole to develop in my nasal membranes. What can I do?

First of all, it is important that patients who are serious about achieving a permanent solution to this type of problem lay off cocaine, which is a major vasoconstrictor (narrower of the blood vessels). Vasoconstriction of the nasal membrane blood vessels causes nasal membranes to die, thus leading to the development of holes, etc. Reconstructive nasal surgery may be done with the use of grafts but the chance of success is much lower than typical rhinoplasties.

How long can I wait post-rhinoplasty to fly or exercise?

Two weeks post-op is generally the benchmark to begin exercising again, but ease into your regular exercise regimen and don’t go heavy with the exercise until three weeks post-op. Flying can generally be done a week after the procedure, but it is recommended that patients wait about 10 days to 2 weeks.

How can a patient limit bruising after a rhinoplasty?

Although bruising post-op is generally a consequence of the surgeon’s actions, patients can help reduce bruising by avoiding anti-inflammatory medications like ibuprofen at least 1-2 weeks prior to surgery, applying ice to the surgery site for the first two days after surgery, and keeping their head elevated.

I have a crooked nose after rhinoplasty. Should I be concerned?

It is recommended that patients not worry about the results of a rhinoplasty until about 3-4 months post-op, at which point the majority of the swelling which may skew the appearance of the results will subside. Check again at this point and consult with your surgeon if you are still unhappy.

What is a “good” male nose?

Male noses generally have straight bridges without deviation/curvature, thicker skin at the tip, and are generally a bit larger than female noses.

Should my nose continue to grow in my 20s?

Nasal growth typically ends in a patient’s 20s, but other changes may be responsible for making the nose seem larger. Acne outbreaks and rubbing the nose due to allergies may thicken the nasal skin and changes in the underlying nasal bones and cartilage may cause drooping of the tip.

What’s the ideal age for a rhinoplasty?

This is a variable benchmark that depends on the physical maturity of the patient’s nose (operating on a still-developing nose can impede nasal growth), the emotional maturity of the patient, etc. But, generally speaking, after 15-17 for women and 16-18 for men is the ideal.

Does the product “Nose Up” actually work?

This product may temporarily press up your nasal tissue, but it won’t lead to any permanent changes.

Can a deviated tip be corrected without rhinoplasty (ex. Grafts, etc.)?

Yes, this can be done. It is rare, but grafts can be applied to the tip area to help with deviation, especially one that is caused by nasal trauma (punch to the face, etc.). Fillers may also help if you are for non-surgical solutions.

Does weight gain impact rhinoplasty results?

No, not at all. Nasal tissue has very little fat, so weight gain or loss will not impact the results of a rhinoplasty.

Is the removal of splints following a rhinoplasty painful?

Nowadays, when the packing used for rhinoplasties is less than it used to be, the removal of splints should not cause any major discomfort for the patient. 

Can rhinoplasty correct a wide nose without touching the nostrils?

The ala base (the middle part of the nose) can definitely be corrected in a rhinoplasty without any impact on the nostrils. 

I removed a dissolvable stitch after a rhinoplasty by accident. Should I be concerned?

Given that stitches will generally dissolve within 5-7 days post-op, there shouldn’t be any problem with accidentally pulling out a stitch. No concern is necessary, but be careful not to remove more.

Can rhinoplasty scar tissue be corrected/fixed?

While slight scarring is common for rhinoplasty procedures, unsightly scarring in the sites of external incisions, etc. is relatively rare and may warrant aggressive treatments like kenalog (steroid) injections. However, a consultation may be needed for this.

What should I do about scabs inside my nostrils after a rhinoplasty?

Nasal vestibulitis (the development of scar/scab tissue in the nostrils) is a common occurrence post-op, especially for patients with a history of seasonal allergies. It is suggested that patients with this condition see their doctors, who may suggest applying OTC hydrocortisone with a Q-tip to site of scar development (this will generally fix the problem within a week).

Can a bulbous nose be fixed with a rhinoplasty?

A rhinoplasty can absolutely help correct a bulbous nose. However, it is important that patients when considering this procedure find a board-certified plastic surgeon whose before-and-after pictures online are to their liking.

My nose is upturned after surgery, almost unnaturally. Will it come down?

Patients who experience an upturn in the tip of their nose post-op most likely had a surgeon who overcorrected the original condition. However, this is not a concern as the tip should come down within 2-3 weeks after surgery. It is also possible that the upturn may be caused by swelling which is perfectly normal post-op and should come down within the same period of time.

Can a small hump in the nose be fixed through closed rhinoplasty?

Closed rhinoplasty, which does not involve incisions on the columella (the bottom part of the nose), can absolutely be used to correct a small hump in the nose. However, there is really no significant difference between an open and closed rhinoplasty other than the incisions on the columella in the open version of the procedure.

How is a bulbous nose corrected?

Bulbous noses are most often corrected via an open rhinoplasty where the soft tissues of the nose are elevated to expose the lower lateral cartilage underneath and narrowing them.

I have small, hard bumps on my nose after my rhinoplasty. Is this normal?

Generally, hard bumps on the nose post-op are the results of swelling due to the instruments used in osteotomies (controlled breaks in the nose made to correct the nasal deformities). Patients should consult with their surgeons upon seeing these bumps, just in case they are the results of other issues, but should generally not be concerned.

What foods are ideal after a rhinoplasty?

Hot liquid and spicy foods dilate blood vessels and increase the risk of bleeding post-op, so it is best to avoid these types of food for about 24-48 hours post-op. After this, the swelling will begin to subside gradually and diet will become less of a concern.

My nose is getting bigger. Will rhinoplasty help?

Nasal growth generally stops after a patient reaches his/her 20s. However, acne outbreaks and rubbing the nose due to allergies may thicken the nasal skin and changes in the underlying nasal bones and cartilage may cause drooping of the tip. In this case, rhinoplasty will help with the appearance of a patient’s nose.

How should I sleep post-rhinoplasty?

It is recommended that patients sleep with head elevated post-op in order to reduce discomfort and swelling. It is also advised that patients avoid sleeping on their side because this may lead to movements that could potentially squeeze the nasal area, but this is generally not a concern because the cast will mostly hold everything in place.

My nose tip looks too round post-rhinoplasty. Should I be concerned?

As surgeons will tell you, the REAL post-op look after a rhinoplasty does not actually form until about a year after the surgery is completed. Minor swelling, particularly in the tip, may exist until then, but it should not be a concern to the patient.

Can a broken nose be corrected years after the original injury?

Although it is advised that patients fix a broken nose before the body’s natural healing process takes full form, a broken nose can be “reset” through a fracture-reduction rhinoplasty, but it will require re-breaking of the nose through an osteotomy and resetting of the nasal bones.

Why are my ears ringing after surgery?

Ringing in the ears could be attributed to residual blood from the surgery resting on the eardrum, but further consultation with an ENT may be necessary.

How should I fix a newly broken nose?

If the nose was displaced during the trauma, a fracture-reduction rhinoplasty may be necessary. However, depending on how soon the corrections take place, the treatment may require re-breaking of the nose through an osteotomy and resetting of the nasal bones. Consult your surgeon about this before proceeding.

How much of a difference can rhinoplasty make for a bulbous nose?

A tip rhinoplasty is, in most cases, the best course of action for a bulbous nose because it can reduce the tip area without changing the nasal bones. However, it is important for the patient to realize that true results will not materialize until about a year or two after the procedure is completed, so patience is a major key here.

Can I clean out dried blood one day after a rhinoplasty?

Most surgeons will recommend that patients utilize saline solution and apply it to problem areas via Q-tip, and then use another Q-tip to then absorb the remaining crusted blood loosened by the first Q-tip.

When will I notice more natural results after facelift surgery?

Patients worried about having more natural results after a surgery can expect the features of the face, after 2 weeks of initial tightness, to soften within the next couple of weeks, yielding more natural results.

Can trauma to the nose cause a dorsal hump?

It is possible for a hit to the nose to cause the development of a small dorsal hump due to the slight separation of the upper lateral cartilages from the bone which can occur. This can be corrected via cartilage grafting. However, it is important to also recognize that trauma to the nose may just create swelling that may look like a dorsal hump, so it is important to ice the area in question and evaluate.

There is a bad smell in my nose post-rhinoplasty. What is wrong?

A nasty smell inside the nose following surgery may just be the result of dried, crusted blood development or extraneous mucous which infiltrated the area, both of which are perfectly normal post-op conditions that can be corrected with saline spray. However, a consultation with a surgeon may be advised in order to evaluate for a possible infection.

Do celebrities get better nose jobs?

This is an excellent question because it addresses a great misconception in the plastic surgery world. Bad surgeons exist in any area, even in Hollywood, so do not use price alone to evaluate a surgeon’s competency prior to scheduling a surgery with them. Recommendations for ideal surgeons for rhinoplasties include board certification in plastic surgery/otolaryngology, specialization in nasal surgeries, and experience in doing your specific type of surgery. I would personally recommend looking at their before and after catalogue to see if their work is satisfactory for your needs.

What is the Cost of Facelift Surgery?

In general, facelift cost vary depending on location, surgeon’s skill, facility and anesthesia fees, overhead costs, and other factors.

Does “Beauty Lift High Nose” work?

Many gimmicks like these work to simply temporarily compress nasal tissues, but do not lead to any substantial changes. There is no substitution for professional work when it comes to optimizing nasal structure.

Can steroid injections help if I have a hard tip following surgery?

Steroid injections about a year or so post-op can definitely help with any residual swelling and can soften up the tissue in problem areas, but have your surgeon complete these procedures.

Why is my nose tip still swollen after surgery?

As stated in other queries, the true results of a rhinoplasty do not materialize fully until after a year post-op. Residual swelling particularly in the tip is extremely common among rhinoplasty patients, so no concern is necessary if this condition persists.

What is the MACS lift?

MACS Lift is a surgery which works well for some patients and not so well for others. Patients in the latter category, because of the rather limited nature of the MACS Lift, may need to undergo secondary facelift or mini-lift surgery to achieve optimum results.

Does massaging the nose after rhinoplasty help?

It is generally recommended that, unless done by the hands of a surgeon, patients avoid massaging the nasal area post-op. This is because the subtle pressures of the hand may create shifts in the nasal structure that could cause major problems later on

What is the cost of a deviated septum plus rhinoplasty surgery?

Again, the costs of a rhinoplasty surgery will vary depending on a number of factors including geographic area, qualifications of the surgeon, equipment used, etc. However, a general ballpark for this type of surgery may entail somewhere between $5000 and $10,000. I would advise patients to place less priority on cost and more on the qualifications of the surgeon, because corrective surgery is often much more expensive than first-time procedures.

Can I smoke after a rhinoplasty?

Nicotine in cigarettes is a powerful vasoconstrictor (causes narrowing of the blood vessels) and must thus be avoided in order to speed up the healing process post-op. It is recommended that patients wait at least 4 weeks or so post-op to resume smoking again, but not doing so is even better.

Can a deviated septum and post-trauma deformation of the nose be corrected and covered by insurance?

Generally speaking, the deviation of a septum is usually a functional problem and is often covered under insurance because it can improve the patient’s breathing. However, any changes to the nose would most likely be seen as “cosmetic” rather than functional changes and will most likely not be covered under this plan. These procedures are often performed hand-in-hand, though, so it is best to evaluate any financing plans with your surgeon of choice

Can rhinoplasty correct flaring nostrils?

Nostril flares can be corrected with procedures like the alarplasty/alar base reduction in which the nostrils are narrowed and an alar base resection is performed with the help of a crescent-shaped wedge removal in the nostril wall. However, this procedure is rather difficult as it entails extreme precision in order to reduce the likelihood of asymmetrical nostril development.

I have septum pain and deviation as well as enlarged turbinates. What should I do?

Generally, deviation of the septum and enlarged turbinates are not associated with pain unless combined with a sinus infection. Consulting with your surgeon is probably the best course of action, but the solution may simply be dryness of the nasal canal.

What Can I Expect Post Facelift, Nose Job, Upper Blephroplast and Fat Transplant?

A month after such a procedure, it is common for swelling to occur heavily and residual numbness is also found frequently. Consult with your doctor if there are still any concerns.

How soon can I exercise after a rhinoplasty?

It is advised that patients avoid heavy exercise for at least a month post-op and particularly avoid contact sports for 6-8 weeks post-op, mostly to avoid the risks of bleeding and the complications which follow from that.

What is your opinion of Gore-Tex and silicone in a rhinoplasty?

Personally, I am more partial to avoiding man-made materials during rhinoplasty which can often pop out post-op and, in the case of Gore-Tex, have a high probability of infection. I prefer to use septal cartilage from the patient’s nose or, if that is not available, from the patient’s ear because the body is accustomed to it.

Why am I swollen 9 Months After Surgery?

Hardness and swelling 9 months post-op is usually indicative of a maturing scar. However, it could also be attributed to fat necrosis or a small, unresolved hematoma.

Can rhinoplasty be covered by insurance?

Generally speaking, rhinoplasty is considered a cosmetic procedure and will likely NOT be covered under insurance regulations. 

Is Swelling after Nasal Trauma an indication of permanent damage?

This is a problem that is better addressed on a case by case basis, but generally, I would say that patients who experience swelling after a nasal injury will find that most of their problems will be solved with some ice. However, it is best to go to a qualified surgeon for evaluation in order to check for nasal fractures.

Do non-surgical fillers have long-term effects?

Surgical fillers have been FDA approved for use on the face for wrinkles, but surgeons have been using them for a long time for nasal injections (off-label use, of course). I am not aware of any particular diseases which result from the use of fillers, but there have been reports of patients who are unhappy in the long-term with the use of fillers and would rather have rhinoplasties done to correct the original problem.

My nose looks bigger after my rhinoplasty. Why?

It is perfectly normal for swelling to be apparent for up to a year post-op, so residual swelling particularly on the tip area several months post-op is perfectly normal and should not be a concern. Your surgeon did not do “anything wrong”.

Can a rhinoplasty correct a deviated bridge?

Deviated septa are a primary motivation for patients getting rhinoplasties. Such procedures often involved the creation of osteotomies (purposeful breaking of the nose in order to align the septa properly) and subsequent adjusting of the surrounding cartilage and nasal tissue. Sometimes, cartilage grafts may be required from the patient’s ear, but this is up to the surgeon’s discretion.

Does Facial Exercises Improve Asymetry?

Try all you want, but, unfortunately, facial exercises have not been proven to have any effect on improving facial asymmetry.

When can I wear glasses after a rhinoplasty?

It is recommended that, if patients have contact lenses, that they utilize those rather than glasses for at least 4 weeks post-op. However, if glasses are the only vision correcting tool available, they can be worn over the splint. When the splint is removed, however, patients are recommended to tape their glasses to their forehead or acquire a common pharmacy device which allows the glasses to rest on the cheeks.

Can a headbutt cause a permanent bump on the bridge of the nose?

Generally, patients will be aware if a nasal fracture has occurred immediately after a trauma. In most cases, bumps on the nose following trauma are a result of soft tissue damage particularly in the periosteum (where the nasal blood supply is housed) and will degrade eventually.

Why do I have Muscle Tightening After Facelift?

Most facelifts frequently used today, whether they be SMAS, deep-plane, or even mini facelift, have at least some interaction with the SMAS layer beneath the skin. Tightening of the muscle layers underneath the skin usually always happens with any of these procedures.

Is an upturned nose post-rhinoplasty deserving of a revision surgery?

In most cases, the post-op result of an upturned nose where the tip is over-elevated is the result of an overaggressive approach by the surgeon. However, patients should generally not be concerned as the tip will most likely begin to descend into place as the year after the surgery progresses. If improvement does not occur, non-surgical options can be used by your surgeon like fillers or surgical options can be utilized including a derotation of the tip, etc.

How long does tip hardness last?

Surgeons generally advise their patients to count on ¾ of the swelling post-op to dissipate within 3-4 weeks post-op and then for the rest of the swelling to disappear within the course of a year post-op. 

What are the risks of shaving down a nasal dorsal hump?

Nasal dorsal humps can be reduced through rhinoplasty. However, one major risk, particularly if the surgeon is not well experienced, is the appearance of nasal bones through the skin (check for well-experienced, qualified surgeons to avoid this). Other than that, the other risks are pretty standard for rhinoplasty and can be mitigated in the hands of a qualified, experienced surgeon.

How long will my nose feel stuffed up after a rhinoplasty?

Easier breathing will generally come 10-14 days post-op and will continue to improve for 6-8 weeks afterwards.

Is Migrating Feeling of Tightness Post-Mini Facelift Normal?

It is not unusual to feel migrating tightness post-mini facelift. Normal post-operative scars will feel their tightest at around 6-12 weeks post-op, but can be easily treated with massage and hydrocortisone cream.

How does weight loss/gain affect the appearance of the nose?

While weight loss or gain may affect the appearance of the nose in relation to other structures (as the face gets thinner, the nose takes up a greater proportion of the face and thus looks “bigger”), the nose itself has little fat within it and is not actually affected in terms of size by changes in overall fat for the patient.

How long do Kenalog injections take to work?

Many patients feel the Kenalog working within the first two weeks of injection, but may even feel it as soon as 1-2 days post-injection. Often, surgeons will follow up the initial injection with another one 2-4 weeks after the first one.

When is it safe to blow my nose after a rhinoplasty?

Generally, as long as the nose blowing is not too strenuous, patients can generally blow their nose one week post-op. Until then, it is recommended that patients use saline to break up any chunks which may accumulate in the nose and then use a Q-tip to extract them.

Will a bulbous nose that developed during pregnancy return to normal?

It is unlikely that, especially after a year since the pregnancy was completed, bulbous noses which developed in those nine months will return to normal. At that point, any corrections will have to come from rhinoplasty.

Is it bad to bump the nose following rhinoplasty?

It is important that patients keep in mind the fragility of the nose following the rhinoplasty, especially considering the osteotomies (purposeful breaks in the nose) which were likely created during the procedure. Thus, keeping the nose protected is a top priority. By bumping their nose, patients risk septal hematoma (accumulation of blood in the nasal septa) which must be treated in the ER. 

Does a rhinoplasty drastically change the face?

Generally speaking, it is unlikely for people around a potential patient to pay attention to the nose unless there is a defect there, instead focusing mainly on the cheeks, lips and eyes. With that said, rhinoplasties do not alter nasal structure in a way that substitutes one nose for another, but rather modify the existing nasal structure to conform with the patient’s needs (elevation of the tip, slimming of the nostrils, etc.). 

How long does it take for dissolvable stitches to dissolve?

Generally, dissolvable stitches will dissolve at an average of around 3 weeks post-op. However, stitches come in many types, meaning that some will take a week or so and others around 4 weeks.

How can I prevent excessive swelling after a rhinoplasty?

To prevent excessive swelling post-op, patients are advised not to drink alcohol or smoke or engage in behaviors which will result in altered blood flow to the surgical area. They are also advised to sleep with their head elevated and keep ice on the surgical area for the first 2 days post-op. 

How long does bruising persist after a rhinoplasty?

Bruising from rhinoplasty as a general rule will mostly fade away within 2-3 weeks post-op. In the majority of cases, however, it will disappear even sooner (within 1-2 weeks).

Will a nose job affect my smile?

The cutting and stretching of nerves around the tip and the upper lip/teeth during a rhinoplasty will definitely cause a general numbing of the area, particularly if the surgery in question was a revision rhinoplasty where extensive cutting of scar tissue occurred. However, these symptoms are very temporary and will probably dissipate within 2-3 weeks post-op.

How much is dorsal hump removal?

Dorsal hump removal is generally a component of rhinoplasty and thus the costs of it will be very much in line with that of a typical rhinoplasty. As stated before, geographic area, equipment used, and other factors deeply impact the cost of these procedures, but an average rhinoplasty will run somewhere in the area of $5,000 to $10,000. 

I have bone-like bumps on my bridge after rhinoplasty. What’s wrong?

During a rhinoplasty, the trimming of cartilage in the nose often entails the subsequent trimming of bone tissue in the nose with the use of osteotomies (purposeful breaking of the nasal bones). Unevenness during this process, which will eventually work itself out in the post-op period, can cause suspicious bumps in the nasal area, but patients are advised not to panic when this occurs.

What can be done to correct a crooked nose?

Most often, the optimal correction procedure for a crooked nose particularly after trauma is open rhinoplasty where the nasal fracture is reduced, potentially with cartilage graftings to even out the area surrounding the break.

When can I drink after a rhinoplasty?

It is advised that patients refrain from alcohol for at least one week post-op. However, this drinking is to be in moderation, with more heavy drinking reserved for at least one month post-op.

What is this bump on my nose following rhinoplasty?

Bumps on the nose following rhinoplasty are generally the remnants of swelling and will usually resolve themselves after 3-4 weeks post-op. Harder bumps may also be evidence of calluses forming in the healing bone which will eventually dissipate as the healing process occurs. Either way, patients should not concern themselves when this occurs.

Did a nasal fracture cause my headaches?

It is definitely not uncommon for patients who experience nasal fractures to experience headaches. It is best for these patients to go to a well-qualified surgeon to plan their best course of action.

Is it possible to restrict my nasal widening during smiling with surgery?

Many surgeons may be able to correct this problem with an alar cinching procedure that prevents side-to-side movement of the nostril during smiling. However, these procedures should be done very judiciously as over-thinning of the skin can lead to the development of an overly skinny nose (a la Michael Jackson).

How much does the nose grow during the teenage years?

As you probably learned in your middle school health classes, puberty is a time of great changes for the body and, as such, it is also a time of great changes for your nose. Before nasal growth stops permanently in one’s 20s, it progresses extensively in the teenage years and features which stood out before on the nasal area will stand out further (bumps will grow, etc.). 

Can a tip rhinoplasty lead to a thinner nose?

It is important for patients when considering a tip rhinoplasty to consider the name of the procedure carefully. A “tip” rhinoplasty restricts itself essentially to its namesake, the tip of the nose, not the bridge or any other area. Therefore, it is a procedure which is limited to a specific set of patients with tip-related deformities only. Often, patients who desire a thinner nose will need to have a full rhinoplasty done so that the tip does not look disproportionately thin.

Does picking your nose post-rhinoplasty cause changes in nasal structure?

It does indeed. Patients, especially those considering having surgery, must work to stop themselves from obsessive nose-picking which can lead to problems post-op. Obviously, poking yourself in the nose so many times especially post-op will lead to changes in nasal structure.

What is the difference between open and closed rhinoplasty?

The main factor which distinguishes the open and closed rhinoplasty procedures is the presence of an incision in the columella, the skin between the nostrils on the underside of the nose (the open form has the incision, while the closed form does not). This incision is rather conspicuous and patients will often opt for the closed form which makes incisions inside the nose, thus leading to no visible scars.

Are breathing problems common after rhinoplasty?

The short-term swelling post-op which is almost universal for rhinoplasty patients often lead to a restriction of the airflow in the nose, thus leading to breathing problems. These problems are often exacerbated by the development of mucous and crusted, dried blood deposits during the recovery. Unless these problems persist long-term, that is, several months after the surgery occurs, the patient should not be concerned.

My baby’s nose is flat. Should I be concerned?

Especially during puberty, there will be a great deal of growth and changes in the nasal area. Parents should refrain about worrying about a child’s nose until well into their teenage years.

Does a tip rhinoplasty carry a shorter recovery time?

In terms of swelling, a majority of the recovery time in a full rhinoplasty is restricted to the tip anyway, so the dissipation of swelling in both cases will eventually go for about a year. However, the bruising caused by the tip procedure is definitely much less extensive and will subside within 2-4 weeks.

Can touching the nose affect its shape over time?

Constantly touching the nose may lead to minimal changes in nose thickness, stretching of the nostrils, etc, but not to any noticeable extent.

Why does my nose whistle when I breathe after my rhinoplasty?

Whistling in the nose post-op is generally caused by a small opening, usually a minor septal perforation (hole in the septum of the nose). This may have been caused by the harvesting of septal cartilage and should be evaluated by your doctor.

Does septoplasty and rhinoplasty get covered by insurance?

As stated in another query, rhinoplasties are strictly cosmetic procedures and are usually not covered by insurance. However, septoplasties (often performed concurrently with rhinoplasties) are functional surgeries which can be used to correct breathing defects and are thus usually covered by insurance providers.

Can rhinoplasty correct asymmetrical nostrils?

Asymmetrical nostrils may be the result of an uneven septum which can easily be corrected with a rhinoplasty procedure. However, in the case that they are not, rhinoplasties can correct them still, but the procedure is much more difficult and involves the cutting away of skin from the nostril area.

After taking off the cast, my nose ballooned up. Is that normal?

This is absolutely normal. Patients will often find that the swelling which was kept down by the cast returns with a vengeance when the cast is removed. However, they should not be concerned as the healing process over the next three weeks post-op will cause this swelling to die down.

Can removing the nasal splint early ruin my results?

As other surgeons will tell you, there are rare cases when patients will remove the nasal splint and, in a majority of those cases, the results of the surgery are permanently altered. Splints are used to hold the nasal skin in place over the cartilage and bones which were modified, so removal of them must be done carefully. Patients will often remove them incorrectly, pulling at the skin and causing irreparable damage to the results.

Can the fatty tissue in my nose be thinned out?

Many ethnic patients, particularly African-Americans, have thickened nasal tips as a result of excess fibro-fatty tissue. During a rhinoplasty, this tissue is removed and cartilage is harvested from the ear, etc. to shape the tip.

What is the cost for rhinoplasty in the LA area?

Of course, given the increased overhead costs in big cities like Los Angeles and New York, costs for procedures in these areas will cost more than they will in other parts of the country. As such, a rhinoplasty in these areas will generally hover in the $8000-$10,000 area.

Can a nasal hump be removed via non-surgical methods?

Unfortunately, non-surgical methods do not take away anything from a nasal hump but rather camouflage it. Fillers are applied to the area around the hump to make it less conspicuous, but because humps are mostly cartilage, they can only be reduced via rhinoplasty procedures.

Are uneven nostrils normal post-rhinoplasty?

As I tell my patients, it is key that they remain patient in the post-op period. The first few weeks post-op will be accompanied by a great deal of swelling and bruising that will skew the appearance of the surgical results and make them look significantly worse than they actually are. It is best to wait at least 6-8 weeks to evaluate for asymmetry.

How long post-rhinoplasty should I wait to have sex?

It is best for patients to avoid any form of strenuous activity, including sex, for at least 3 weeks post-op in order to reduce the risks of cut down on swelling and mitigate the risks of hematoma and post-operative bleeding.

How long does a nose job last?

Ideally, patients will only require one rhinoplasty within their lifetime. Subtle changes will occur over time: the tip of the nose will begin to descend gradually, because the new nose ages with the rest of the body. However, such changes are subtle and will not require additional surgeries.

I have a bump on my bridge. Will it need surgery to be corrected?

This is probably left best to the discretion of your surgeon, as it depends on the bump’s size. Smaller bumps may not require surgery and may be easily camouflaged with the use of fillers like Restylane. However, larger humps will require a full rhinoplasty with osteotomies (breaking of the bone in a purposeful way).

Are the scars from rhinoplasties too much to handle?

Rhinoplasties come in two main forms: open and closed, with the only difference being that closed rhinoplasties are done via incisions on the inside of the nose (that is, not visible) and open rhinoplasties having more apparent incisions especially on the columella area (the skin between your two nostrils). The incision on the columella in the open rhinoplasty is the only one that has the potential to be apparent, but even these should heal beautifully over time.

Can I make my nostrils smaller without surgery, especially after a recent rhinoplasty?

Without surgery, there is no option of reducing nostril size. This procedure consists of taking skin from the inside of the nostril via removal of a crescent-shaped wedge. However, it is recommended that patients wait at least a year post-rhinoplasty to have other changes made on the nose.

Can I do certain exercises/massages to help elevate the tip of my nose?

Unfortunately, there are no easy fixes for tip elevation like exercises or massages and the only option which is known to surgeons today to correct droopy tips is a full rhinoplasty which will help elevate the cartilage within the nose and reposition the muscle (depressor septi) which is responsible for the drooping.

When can I wear sunglasses post-rhinoplasty?

Because of the trauma which your nose undergoes during a rhinoplasty procedure (the coagulation of blood, elevation of cartilage and other internal structures), the nose is much noticeably weaker post-op and is more prone to burns and discoloration from UV rays. It is recommended that patients wait at least 4 weeks, potentially even 6, before wearing sunglasses.

What type of anesthetic is used during a rhinoplasty?

During a surgery such as this, a top priority among surgeons is the patient’s comfort and safety. Thus, we suit the anesthesia to your needs and wants. Patients can choose from local anesthesia (patient is fully awake and the area is numbed), local sedation (patient is given local anesthetic plus a sedative so that he or she falls asleep during surgery), or general anesthesia (patient is fully sedated and given a breathing tube). Patients with health problems may be recommended for the first two options as general anesthesia puts more strain on the heart and the lungs.

I have a noticeable dorsal hump following surgery. Is this bad?

Often, post-op patients will notice small bumps here and there which they will interpret as a surgery gone bad. Most likely, however, especially several months after, it is residual swelling which will eventually dissipate over the course of a year after the surgery is done. Harder bumps may be signs of a possible callus, which is less common, but also disappears over time.

Is a crooked nose more costly or painful to fix?

Not at all. The procedure of a rhinoplasty often entails osteotomies if necessary, that is, the purposeful breaking of the nasal bones to ensure their correct repositioning. Therefore, there is no additional cost and the “pain” is no more than a traditional rhinoplasty, which is basically none at all. 

My nasal tip is still swollen. Why?

Patients will often find that residual swelling is pronounced particularly in the tip. This is generally a pretty heavy surgical site during the rhinoplasty procedure and will be subject to the greatest proportion of the swelling. Regardless, patients need not worry as residual swelling gradually dissipates over the course of a year.

When does my smile return to normal post-rhinoplasty?

Particularly during septo-rhinoplasties, muscle fibers in the base of the nose and in the upper lip are slightly separated to allow for proper healing of the tip of the nose. Thus, the smile will be a little skewed as the upper lip may not properly elevate. However, this should return to normal within the first few weeks post-op.

Can I sleep on my side post-rhinoplasty?

Patients can sleep on their sides post-op. However, it is suggested that they maintain extra caution to not bump their nose on the bed frame or a pillow. It might be advisable to sleep with extra pillows under your head to help with this and to counter swelling which will occur in the few days post-op.

When can I go out in the sun post-rhinoplasty?

It is recommended that patients wait at least 4-6 weeks before going out into environments with high sun exposure. However, even then, it is advised that patients avoid direct sunlight contact with their surgery site and wear plenty of sunscreen, as the trauma undergone by the nose during rhinoplasty causes it to be much weaker and number and thus prone to burns and discolorations from UV rays.

How much will a rhinoplasty for a broken nose cost?

In general, a rhinoplasty for a deviated septum will cost somewhere in the neighborhood of $8,000-$10,000. However, this can vary widely depending on factors like geographic area, anesthesia used, etc.

Do rhinoplasty results really take a year to show?

In general, full healing (that is, full dissipation of the swelling from the procedure) will take up to a year to heal properly. However, the bruising and swelling which results varies widely depending on if osteotomies were performed, the type of rhinoplasty performed, etc. The majority of the swelling, however, in most cases will resolve itself within 4 months and the nose will generally be presentable to the public without significant issues within 1-2 months.

How can I fix a hereditary crooked nose?

Any crooked nose (that is, where there is septum deviation), regardless of whether it was caused by injury or by genetics, can be fixed with a traditional rhinoplasty procedure. However, patients should consult with a surgeon and see whether fillers or other non-surgical options could also work for them.

Can blowing the nose or touching the nose area affect nostril width?

Unless you are a member of certain African tribes who dilate his/her nostrils with nose rings that apply CONSTANT, heavy pressure, it is unlikely that touching the nose and blowing it every now and then will permanently affect nostril width to an appreciable degree.

Why do I have cartilage lumps post-rhinoplasty?

In most cases, small lumps and bumps post-op are simply the result of residual swelling from surgeries which tends to dissipate over the course of a year. Sometimes, they could be from residual shavings of cartilage which will also be reabsorbed by the body. 

Can I use a Q-tip to clean the inside of my nose post-rhinoplasty?

After a period of a few weeks post-op, patients can begin to clean their nose gently with saline or a hydrogen peroxide/water mixture. However, it is crucial that they remain gentle while doing so, applying a slight rotational, rather than a pushing, motion.

Can I get a rhinoplasty at age 14?

As I addressed in another query, it is recommended that patients wait until their nose is fully developed before choosing to go ahead with rhinoplasty. Timing for a rhinoplasty after ages 15-17 for women and 16-18 for men is the ideal.

Is my nose broken during a rhinoplasty?

It often scares patients to think that their nasal bones will be broken during rhinoplasty procedures. However, they should be aware that the breaking is not at all similar to a typical nose break caused by a punch to the nose, but is rather more precise and done with instruments. Also, rhinoplasty procedures take place under anesthesia, so the only pain which will be felt is afterwards (and it is a mild pain, similar to a headache following a broken nose).

What I can do post-rhinoplasty to reduce scar tissue formation?

Other than staying protected from sun exposure for at least 4-6 weeks post-op, there is little that a patient can do to prevent scar buildup as it is a product of the body’s natural healing process and varies widely from patient to patient. Fortunately, heavy scarring is rare following a rhinoplasty and, in the extreme cases where they do occur, steroid injections have been shown to reduce or even completely mitigate their appearance.

There is some nostril asymmetry following my rhinoplasty. Should I be concerned?

Not at all. Again, swelling is a perfectly normal part of the post-rhinoplasty healing process and will take up to a year to fully dissipate (especially in the tip and nostril area). Therefore, most imperfections seen post-op are merely the result of swelling and will also disappear.

How long does numbness after rhinoplasty last?

Typically, numbness following rhinoplasty is a common symptom and resolves itself within 8-12 weeks following surgery. However, it may take as long as a year or two before symptoms resolve themselves completely. Patients will know when the nerves regenerate because they are usually accompanied by itching and brief, shock-like sensations 

Why has my swelling not gone down months post-rhinoplasty?

Again, as I answered with many of my patients, swelling especially in the tip and nostril area following a rhinoplasty will resolve itself almost completely after a year post-op, with most of the swelling being gone around 3-4 months post-op. It is key that patients remain calm and wait out the results.

Can rhinoplasty be done under local anesthesia?

It depends on the procedure. In our offices, we generally like to use general anesthesia to protect the patient’s airways, but tip rhinoplasties (which only work on the very bottom of the nose and do not involve the breaking of nasal bones) can be done under local anesthesia. 

Can indentations at the tip of my nose be fixed non-surgically?

Although some surgeons will recommend using fillers for indentations in the nose, these fillers offer only a temporary fix to a more permanent problem and have been shown to cause other problems like redness of the skin. Often, what patients are dealing with in these types of indentations are separation of cartilages in the nose which can only be corrected with rhinoplasty procedures.

How long should I take Arnica and Bromelain for rhinoplasty swelling?

These medications are typically used for anti-swelling purposes and are best used in the week prior to and after the rhinoplasty. If patients do not see any results after this period, the swelling which they believe they might see may be the result of thicker skin (genetic).

Does a pixie nose require a rhinoplasty?

It is difficult to say without seeing a patient whether they are in need of a rhinoplasty procedure or not. However, a small, up-turned nose is one which requires a great deal of precision and is best handled by an experienced surgeon. Be careful when choosing your surgeon to find one that is board-certified and has had experience with these types of procedures before.

There is significant swelling in my tip post-rhinoplasty. Should I be worried?

Due to the repositioning of cartilage which occurs extensively in the tip of the nose during rhinoplasty, the tip is one of the most prone areas to swelling post-op. Patients should not be concerned if the tip appears swollen for a longer period of time than other areas of the nose post-op.

If I already have a broken nose, do I need to wait longer before getting a rhinoplasty?

Absolutely not. Because rhinoplasties often require osteotomies anyway, I would recommend that patients, if they do have a broken nose that they wish to have repaired, come after 5-7 days but no later than 2 weeks post-injury. At the 2 week mark, the bones will have already begun to heal and it may be more difficult for surgeons to correct the original defect.

Can picking my nose cause nostril asymmetry?

It has been shown that repetitive stretching and pulling of the skin can cause irregularities, but this only occurs with constant pressure. Nostril asymmetry is more often caused by an irregularly shifted nasal midline that can be repaired surgically.

I have breathing problems and a cracking noise in my nose. What’s wrong?

This problem is probably best addressed by an examination in a qualified surgeon’s office. However, pure speculation indicates that this may be an issue of the nasal conchae or caused by septal deviation, both of which require surgical solutions.

Can I die from complications of rhinoplasty?

Of course, every surgery carries with an inherent risk. However, as long as the patient in question is healthy and gives us a full run-down of anything (allergies, etc.) which could cause problems, the risk of them driving to my office to do the rhinoplasty has more inherent risks than the rhinoplasty itself. 

Can I correct my deviated septum and do a rhinoplasty together?

Absolutely. Septoplasty and rhinoplasty procedures are often performed hand-in-hand because they work in essentially the same neighborhood. If the surgeon you are planning on working with is qualified and experienced, I would definitely check in to investing in one complete procedure because it carries less recovery and surgical time.

Why do I have a hard tip following rhinoplasty?

A hard tip following rhinoplasty is most likely caused by residual swelling or scar tissue which may have formed, as well as cartilage grafts which may have been used during a patient’s rhinoplasty procedure. As I mentioned in previous queries, the tip of the nose undergoes the greatest proportion of the swelling post-op, so healing takes a while in this area.

How do I get natural rhinoplasty results?

The best tip for achieving a natural rhinoplasty look is first to find an experienced surgeon that is board-certified in plastic surgery AND specializes in these types of procedures. The second tip is to not set your expectations unrealistically high. Very often, patients will come in demanding a “Kim Kardashian nose” or something like that when it is impossible for me as a surgeon to make it look natural. What rhinoplasties do is essentially modify an existing nose to correct defects, not substitute one nose for another. Our goal as surgeons is to simply enhance the nose you already have. 

Is there a problem if my splint is crooked?

The purpose of the splint post-op is to protect the nose and also ensure a decrease in post-procedure swelling. However, even if the splint is crooked, the surgical tape underneath it is probably applied correctly. Consult with your surgeon about this, though.

Are there any side effects of a rhinoplasty?

The most common side effects of a rhinoplasty are relatively mild and include bruising and swelling which dissipates within weeks to months following the procedure. Some much rarer risks include bleeding (which is more of an issue for patients with a history of using blood thinners and NSAIDS), scarring which can be corrected with steroid injections, and potential infections which can be mitigated in the hands of an experienced surgeon.

Why is there tape on my nose post-rhinoplasty?

This is merely for the purpose of reducing swelling.

Can caving in the middle of my nose be corrected non-surgically?

Often, patients with indentations in the nose are dealing with irregularities in the underlying lower lateral cartilage tissue, problems which can only be addressed via a full rhinoplasty procedure. Fillers have shown to be ineffective in these scenarios and only provide temporary relief for the issue at hand.

When can I smoke marijuana post-rhinoplasty?

Smoking any substance like marijuana will cause pulmonary irritation that will cause a longer healing process. I would recommend waiting at least 3-4 weeks before doing anything of the sort.

Can I Have Facelift 1 Year after Sculptra?

Generally, at this point, the facial structure should have healed nicely after Sculptra treatment. Therefore, having a facelift should not be a problem, especially considering that Sculptra is often done concurrently with a facelift.

How can I reduce my droopy tip?

The tip can often be corrected via repositioning of the depressor septi muscles as well as repositioning of the cartilage at the tip already and cartilage grafts.

There is an odd cheesy smell in my nose post-rhinoplasty. Should I be concerned?

It is rare for patients to experience this sort of symptom post-op. This may be a sign of an infection and must be looked at immediately by your surgeon.

Is it safe to cough and sneeze post-rhinoplasty?

It is recommended that patients, when sneezing or coughing post-op, use their mouth as much as possible in order to relieve unneeded pressure from the nose. Especially during the first week, take care not to blow your nose if not necessary.

Does the nasal tip drop after rhinoplasty?

Of course, after the surgery, the nose ages just like the rest of the body and drooping does occur. However, this only occurs at a gradual rate and is unlikely to look unnatural. For patients concerned with the possibility of an upturned nose following surgery, it is important to recognize that there will be significant swelling in the columella region (the bottom part of the nose where the incision was made) that will cause upward rotation of the nose, but this will dissipate over time.

Is Nose Right a scam?

Many gimmicks like these work to simply temporarily compress nasal tissues, but do not lead to any substantial changes. There is no substitution for professional work when it comes to optimizing nasal structure.

Can a wide, flat nose be fixed via rhinoplasty?

A wide, flat nose is typically among certain ethnic communities, particularly those of East Asian or African-American ancestry. Cartilage grafts from the septum or the ear will often help adjusting the nose in order to give it more “height” and protrusion and this can be done during a rhinoplasty.

Is nose cracking normal post-rhinoplasty?

This is a very unusual symptom, not at all common. I would recommend seeing a board-certified surgeon immediately to check what the issue might be. It may be the sign of a re-broken nose.

Can a nasal rinse be used post-rhinoplasty?

Nasal rinses can start to be used one week post-op, but patients must remain gentle with them.

Can the nasal tip be reduced via rhinoplasty?

Patients with a bulbous nose (wide) can easily have this defect correct via rhinoplasty. However, they should also take care to consider additional revisions in the bridge of the nose to ensure that the corrections made at the tip will not look disproportionate.

Did hitting my nose 6 weeks post-rhinoplasty cause problems?

It is unlikely that after 6 weeks post-op, any minor hit to the nose caused irreparable problems in the nose’s structure.

Are there any recommended vitamins to take pre- and post- surgery?

Often, the question which patients must come to terms with during these times is actually which vitamins to AVOID. Vitamin E is known to cause unnecessary post-op bleeding and should be avoided in the week after surgery. Certain vitamins can help, including Vitamin A and Vitamin C, as well as certain herbs like Bromelin and Arnica which can reduce swelling. 

Is my nose still supposed to be swollen months post-rhinoplasty?

It is completely normal for swelling, particularly in the tip of the nose, to still be present up to a year post-op.

Can Alar Base Reduction be done simply on the nostril area?

Yes absolutely. It is possible for this procedure to be done without touching the tip or the bridge of the nose because the incision is made as a crescent shape on the inner wall of the nostril. However, it is rare for patients to expect a reduction in nostril area without reducing anything else, especially the tip.

How harmful is cocaine post-rhinoplasty?

Because cocaine acts as a powerful vasoconstrictor, it decreases blood supply to nasal tissues and thus inhibits the healing process and even causes these tissues to be necrotic and die. I would highly advise AGAINST using it simply because of hearing cases where patients run into an array of issues post-op, including septal perforations

Is there a risk in flying post-rhinoplasty?

Generally, a week is enough time to fly again post-op (2 weeks for turbinate or septal surgery). Spraying the nose with Afrin ½ hour before take-off and landing will likely help.

Are rhinoplasties necessarily obvious?

It is important for patients to recognize that, as surgeons, our goal is to modify an existing nose and correct defects during rhinoplasties, rather than substitute one nose for another. If the surgeon you chose was competent, the rhinoplasty should enhance your overall appearance and give your face a degree of greater harmony.

Can the nose collapse during rhinoplasty surgery?

Generally speaking, in the case of a competent, experienced surgeon, middle vault collapse of the nose is exceedingly rare. This is usually caused by scar contracture and shrinking of the skin that could affect the middle of the nose and the tip. However, this can be avoided by strengthening the nasal structure with cartilage grafts.

How long does swelling last post-rhinoplasty?

Most, if not all, of the swelling will disappear by the one-year post-op mark. However, the majority of the swelling should be gone within 3-4 months post-op.

Did tape on my nose post-rhinoplasty cause an overly raised tip?

Not likely. Taping of the nose post-op is more a measure of reducing swelling rather than maintaining the shape of the nose.

Did I make a mistake by waiting too long to fix a broken nose?

Not fixing a broken/deviated nose immediately does not necessarily make it impossible to correct the original defect, but it definitely makes it more difficult. Nasal fractures are best treated within 10-14 days of the original injury before the nasal bones begin to reset in the newly established manner.

How much does alar base reduction cost?

If done under local anesthesia, this procedure will typically run within the $2000-$3000 dollar range. However, this cost can vary depending on geographic area, the patient’s choice of anesthesia, etc.

Can you change the shape of your nose non-surgically?

Unfortunately, changing the shape of your nose requires movement and repositioning of the underlying skeleton and cartilaginous structure. Fillers and other non-surgical tools will typically only camouflage defects like a dorsal hump, etc by filling it areas around the defects. 

When should the cast be removed post-rhinoplasty?

The cast, which is kept on to reduce swelling and post-op bleeding, should ideally be removed 6-7 days post-op by an experienced surgeon.

Can I run 2 weeks post-rhinoplasty?

Any activity which increases blood pressure (even light exercise) can present a problem in terms of swelling. I often recommend to my patients that they refrain from running until at least 3 weeks post-op.

How much will a tip rhinoplasty cost?

Though the figure varies widely, a typical tip rhinoplasty will run in the range of $6,000-$8,000. However, do not let cost guide you and seek a board-certified surgeon who specializes in these procedures because having to spend for a revision surgery is more expensive than just doing it right the first time.

When can I start lifting weights?

Patients can resume light exercise after 3 weeks post-op and then build up to strenuous exercise over the next couple of weeks after. However, I often recommend that they stop if they detect additional pressure in the nasal area. Increased blood flow to the area could increase the amount of potential scar tissue that forms post-op.

Does using a nasal splint longer than a week help?

Not usually. One must remember that the nasal splint goes OVER the surgical tape underneath, and both of these measures are used to reduce swelling post-op. At 7 days post-op, the nasal bones and cartilage are usually stable enough to not require the splint anymore.

How can I get rid of bruising under my eyes post-rhinoplasty?

Unfortunately, other than the tips which your surgeon probably gave you (avoiding blood thinners like aspirin, not smoking, etc.), there is little else that you can really do to reduce bruising as it is part of the body’s natural healing process.

Can I reduce the roundness of my nose via rhinoplasty?

Absolutely. A bulbous tip, as this is called, can easily be reduced by a tip rhinoplasty (tip-plasty) which focuses specifically on the bottom point of your nasal structure and gives it a more natural contour.

I removed blackheads from my nose by squeezing it post-rhinoplasty. Did I damage anything?

Unless the manipulation occurred within the first few days post-op, there is little to worry about for patients who did this. Temporary swelling may occur, but this is nothing to worry about. However, I would recommend against squeezing them in the future because it could cause bacterial infection.

Why is my nose still the same size post-rhinoplasty?

As I tell many of my patients, the key to success in the post-op period following the rhinoplasty can be encompassed in one word: Relax. Very often, the residual swelling from the surgery, which tends to mostly resolve itself within 3-4 months with some swelling remaining up to 1 year post-op, can make the results of the surgery look much worse than they actually are. Patients are advised to keep this in mind and remain calm.

Can I get a Megan Fox nose?

It is important for patients to recognize that we as surgeons cannot substitute one nose for another, but can only modify an existing nose and correct it for defects. Therefore, not everything, even in the hands of the best surgeon, can end up with the exact look of a celebrity because the underlying basic structure is too different. Also, even if a perfect recreation of a particular celebrity’s nose is done, it may not work well in relation to a patient’s other facial features.

Can massaging improve nasal shape?

No, while massaging may temporarily cause minor changes in nasal structure via compression of nasal tissue, these changes are by no means permanent or effective.

Do I need nasal packing following a rhinoplasty?

Although improved methods of post-op care have generally made nasal packing after a rhinoplasty relatively obsolete, many surgeons today still use nasal packing as a way of preventing excess post-op bleeding. However, it is usually not needed except in rare cases where other methods to stop bleeding have not helped.

Can I have rhinoplasty in India and achieve good results?

It is highly recommended that patients looking to go abroad to have surgeries done take a second look at this idea and perhaps err on the side of caution and choose a surgeon closer to home. While there may be wonderful doctors abroad, it is important that, should something go wrong in the post-op phase, the surgeon who treated you also be able to evaluate you. 

Why is there asymmetrical swelling post-rhinoplasty?

Generally, it is normal for patients to experience asymmetrical swelling, that is, one side of the nose healing faster than the other. I would not worry too much, but take care to see your surgeon as this may be the result of simple fluid accumulation (edema) which will heal itself over time.

Can pushing the nose in certain directions over time change nose shape?

Highly unlikely. Cartilage is very elastic and bounces back to its original shape, even after repeated pressure.

Can I remove the scabs in my nose post-rhinoplasty?

I would not recommend removing the scabs directly as it could lead to infection. Patients who wish to breathe better can apply saline or a water/hydrogen peroxide mix in order to relieve the crusting, but gentleness is key.

Will insurance cover fixing my broken nose?

Generally, surgeries which work to improve the quality of life (in this case, the goal is improving breathing) tend to be accepted readily by insurance. However, if the septum is not deviated and breathing is not an issue, the surgery will only be counted as an aesthetic/cosmetic one and will NOT be covered by insurance.

When can I go diving after a rhinoplasty?

It is advised that light exercise be postponed until 3 weeks post-op and more heavy contact sports be postponed until 6-8 weeks post-op. For diving specifically, due to the risk of potential nose bleeding (and the problems with wildlife that might ensue), I would recommend waiting at least 8 weeks for the nose to fully heal.

How safe is rhinoplasty?

In the hands of a well-experienced, competent surgeon, rhinoplasty carries with it only the typical risks of any major surgery. With that said, in these circumstances, you are more likely to have an accident on your way TO the surgery than to have complications during the surgery itself. However, it is the patient’s responsibility to find a surgeon who is board-certified in plastic surgery and has experience with these procedures.

Can rhinoplasty be used to reduce nostril size?

Yes this can be done with an alarplasty in which a crescent-shaped wedge of skin is taken out from the nostril via an incision inside the nostril tissue and the resulting hole is closed up to reduce nostril size. However, this is a rather difficult procedure with great potential for asymmetrical results, so work with a surgeon who is very competent and has a history with these procedures.

Can I remove excessive cartilage without an osteotomy?

This can only be answered on a case-by-case basis. If the excess cartilage in question is around the tip, a tip-plasty can be performed without osteotomies. However, extra wideness on the bridge of the nose or any areas other than the tip will most likely require a careful breaking of the nose which only an osteotomy can provide.

Why is there a transverse crease in my upper lip?

Often, creases in these areas are caused by repeated motions of the muscles, much in the same way that laugh lines or crow’s feet developed. Mild solutions like Botox or Dysport may provide relief.

Should I be bleeding after a rhinoplasty?

Some bleeding is generally expected post-op within the first few days, but bleeding in which the dressing is soaked or blood is emerging from the pharynx (throat) is rare. For this, consultation with a qualified ENT surgeon might be necessary. If the bleeding in question is years post-op, it is more likely caused by dryness in the nose, as are most nosebleeds.

Can rhinoplasties affect my singing voice?

Correction of a nasal septum deviation during rhinoplasties will definitely cause a change in the voice, the extent of which can vary, due to change in airflow and the subsequent effects it has. However, unless the septum is being manipulated, it is unlikely that other types of rhinoplasty would affect the voice in a noticeable manner.

I am a teenager whose nose has been getting more crooked with time. Is this normal?

During puberty, there is an explosion of growth particularly in the nose and midface areas, meaning that any noticeable features which existed before generally become more noticeable. However, by ages 15-17 for women and 16-18 for men, the growth should stabilize, at which point septoplasties and rhinoplasties can be performed.

Is thick skin a problem for rhinoplasty?

Rhinoplasties can definitely be performed on patients with thick skin. However, there may be some limitations. Rhinoplasties work by lifting up the skin, adjusting the underlying muscle and cartilage, and then re-draping the skin. However, the skin needs to be tight in the last step which may be difficult to do for patients with more elastic, thick skin, so extra thinning of the underlying tissue might be needed.

Will my nose continue to grow after a nose job?

For most patients, nose growth will stop when they reach their 20s. However, rhinoplasties can be performed at ages 15-17 for women and 16-18 for men because growth is a gradual process and the nasal area can adapt and age with the rest of the body.

Why do I have nasal bumps which I didn’t have before? I am a teenager.

During puberty, certain areas of the body tend to expand more than others, these areas including the nose. Bumps may form at this time, but cannot be removed except via rhinoplasty at the appropriate age (15-17 for women and 16-18 for men). 

Why do I need to tape my nose even after splint removal?

This step is taken to counter and minimize the inevitable swelling which occurs and to counteract the pressures caused by minimal forces to the nose (ex. Eyeglasses).

I had two bumps to my nose several days after rhinoplasty. Should I be concerned?

Unfortunately, given the early nature of these traumas post-op, it may be necessary to visit your surgeon for an evaluation.

What should I ask my doctor during my rhinoplasty consultation?

Excellent question. Some things to ask your surgeon before you allow him to operate in order to determine whether he/she is worth your time could include:

What board certifications do you have?

How many rhinoplasty surgeries have you performed, especially within the last year?

May I see before and after pictures of your work, particularly with my type of surgery?

How much will this surgery cost? And how many revisions have you had to do on your work and what does that cost?

What sort of anesthesia do you use for my type of procedure?

Which hospital are you affiliated with?

Can picking the nose post-rhinoplasty impact results?

If you have to ask the question, I would say you answered it yourself. Any poking or prodding of a surgery site, especially within the early weeks of the post-op period, will inevitably cause undesired results.

Does a crooked nose necessarily mean a deviated septum?

Not necessarily. While a deviated septum could create a crooked nose, problems in the alignment of the underlying cartilage (upper lateral, specifically) or bone may also play a part in creating a misshapen bridge. It is recommended that patients be professionally evaluated in a surgeon’s office.

My nostrils flare too much when I smile. What can I do?

Patients with this condition may benefit from a Weir excision in which skin from the inside of the nostril is removed and the hole is tightened to prevent excess spreading during smiling. However, even non-surgical options like Botox could help with this problem by relaxing the muscles that spread the nostrils.

Is it bad if the surgeon left in a stitch?

Not necessarily. I would not recommend trying to remove it yourself, but would rather opt to go to the surgeon for professional removal in order to prevent infection.

When can I wear makeup after a rhinoplasty?

Because of the inherent difficult in keeping the splint dry when there is makeup next to it, it is recommended that patients wait until the splint is removed (1 week post-op) before applying makeup.

Does the nose become smaller following rhinoplasty surgery?

Due to the contraction of scar tissue as well as the reduction of residual swelling, the nose does indeed decrease in size over the course of the post-op period to match the expectations (hopefully) of the surgeon and the patient.

How long can I use saline rinse post-rhinoplasty?

Saline rinse is generally advisable for the first 2 weeks post-op simply to clear crusting blood and excess mucus deposits within the inner wall of the nostril. However, it is best to follow your surgeon’s recommendations regarding nasal cleaning post-op.

How long is the healing period after a rhinoplasty?

The full healing period post-op takes up to a full year, when all the swelling will eventually dissipate. However, patients will generally recover from surgery within the first few days post-op and will be ready for work within a week. After three weeks, you can even return to light exercise.

When can I drink coffee and wine post-rhinoplasty?

The recommendation is that patients wait at least 10-14 days post-op to resume drinking coffee and wine, as the former can raise blood pressure (presents risk of increases in swelling) and the latter may also present problems with swelling.

How can I fix a crooked nasal cartilaginous bridge?

This condition can be fixed by manipulating the upper lateral cartilages and performing a septoplasty which will inevitably require an osteotomy. However, upper lateral cartilages may need to be bolstered via a cartilage graft from the septum or the ear. It is best to consult your surgeon for the best course of action.

Can shaving the nasal bones reduce the width of the nose?

Theoretically, yes. However, this is a relatively temporary fix and also makes the lower nose look much wider and misshapen. In cases where the bridge is seen as too wide, a full rhinoplasty may be required, complete with osteotomies (which break the bone in a purposeful manner).

My nose is runny after rhinoplasty. What should I do?

This is a condition called vasomotor rhinitis which can be resolved with sprays like ipatroprium bromide or atropine. Consultation might be necessary, however, to make sure it is not part of a more serious issue.

When will internal swelling subside post-rhinoplasty? I want to breathe!

In some cases, rhinoplasty patients will experience a permanent decrease in breathing due to factors like smaller nostrils, formation of scar tissue on the inside wall of the nostril, etc. Generally, though, breathing difficulties should subside within 2-3 months post-op, but may dissipate as soon as 2-3 weeks.

Can I correct asymmetrical cartilage deposits?

It is difficult to answer this question, primarily because it is unclear where the cartilage deposits are. In the simplest case, a tip rhinoplasty can be performed via small incisions through which the excess cartilage will be shaved. However, there may be more complicated procedures which need to be performed.

How can I tell if I have thick skin on my nose or just excess cartilage?

This is probably best evaluated by your surgeon. However, for a rough method of evaluation, you can feel the difference between thick skin and cartilage by feeling your cheek and then feeling your ear. Thick noses can contain a mixture of both, however.

Why has my post-rhinoplasty swelling moved to my cheeks?

This is an extremely common occurrence and it is advised that patients refrain from panicking. Instead, just maintain a low-sodium diet and keep the head elevated in order to reduce swelling, as always.

Why does the skin thicken after a rhinoplasty?

Unnatural thickening of the nose, other than from swelling, may be caused by the buildup of scar tissue underneath the skin, particularly if the patient has had multiple rhinoplasties. This can be solved by cortisone or Kenalog injections. 

How can I correct a over-upturned nose?

This can be corrected via an incision within the nose that will free up the tip and allow it to drop down naturally. Additional reinforcements may be needed in the form of cartilage grafts at the base of the septum. Trimming the cartilage near the tip of the nose may also provide the loss of support and thus the derotation which is desired.

What are some alternatives to surgery?

Although strategies for nasal beautification are not as effective or long-term as a full rhinoplasty, they can be good short-term fixes. The main alternative to surgery is the use of fillers like Restylane or Radiesse which camouflage defects by filling in areas around the site of defect. But, these must be used judiciously because, otherwise, the patient risks having too much filling in areas where it is not necessary.

A hump is forming on my nose post-rhinoplasty. Why?

A hard bump forming on the nose is an indication of a minor bone callus which will eventually resolve itself within six months. In some cases, a minor revision may be required to shave it off if it is not resolved by that point.

My upper lip and tip of my nose are not moving after my rhinoplasty. Why?

Numbness following a rhinoplasty is not uncommon, but a consultation with the surgeon is probably necessary just in case. Speculation would seem to indicate that the numbness in the tip of the nose is caused by the resection of the depressor septi muscle, the symptoms of which will probably dissipate after three months. The numbness in the upper lip is most likely the symptoms of nerve aggravation which will also resolve itself as time goes on.

I have pain in the roof of my mouth post-rhinoplasty. Is this common?

This is a relatively common complaint due to the disruption of nerves which occurs when work is done on the septum. As it happens, the palate and the septum share some nerves which are disrupted during the surgery. The subsequent regeneration of the nerves comes with dull throbbing and pain which will resolve itself

Why do some surgeons recommend massages post-rhinoplasty and others don’t?

Surgeons disagree over massage simply because of the underlying issue of whether pressure from the massage could alter the structure of the nose which was determined during the surgery. Some will claim, however, that it reduces swelling. There is not enough proof to really support either side, so it is more of a practice which passes from mentor to student.

How long is a rhinoplasty procedure?

A typical rhinoplasty will take around 2 hours to perform.

Will putting pressure on an area induce bone resorption there?

Unfortunately, it is not that easy. Single finger pressure cannot induce bone resorption. 

Why is the nose broken during rhinoplasties and is it done all the time?

An osteotomy (controlled breaking of the nasal bone) is not performed in all rhinoplasties, but rather is only performed in cases where the upper portion of the nose needs narrowing. This occurs when a dorsal hump is shaved down, when there is septum deviation correction, and when a wide nose needs to be generally narrowed.

What should I do about this bump on the top of my nose?

Dorsal humps are a primary motivation for many patients to get rhinoplasties. Depending on the size of the bump, it may be able to be shaved down without much hassle, but may require an osteotomy (controlled fracture of the nasal bone). 

When can I start smoking following surgery?

Though I would rather patients quit smoking entirely after surgery, I would wait at least 4 weeks post-op to begin again. Cigarettes contain nicotine and carbon monoxide, the first of which is a vasoconstrictor and causes tissue death in the surgical area by limiting blood flow and the second of which decreases the blood’s oxygen capacity and also causes tissue death.

Can I remove a dorsal hump/bump via non-surgical methods?

Sometimes, dorsal humps can be disguised via the use of fillers around the hump so that it does not stand out as much as it did. However, this method generally increases the overall size of the nose and thus only works well for those with smaller noses. Those with larger noses will unfortunately require a much larger operation like a rhinoplasty where osteotomies are performed.

Why do I have uneven swelling?

In the first couple of weeks post-op especially, uneven swelling and bruising is common. Because the full cycle of healing does not end up at least a year post-op, with most of it subsiding by 3-4 months, patients need not worry about asymmetrical swelling.

Who are the best rhinoplasty surgeons in Chicago?

It is difficult for me to call this for myself. It is more of a decision for the patients, that is, “Who is the best surgeon for you?” When evaluating surgeons, patients need to make certain that their surgeon of choice is board-certified, specialized in their desired type of procedure and has experience doing these surgeries, has satisfactory before-and-after photos, etc.

Is there any fat in the nose, or is it bone and cartilage?

There is a small proportion of fat in the nose within the lateral alar sections, but this is nowhere near where surgeons typically operate. The nostrils, the bridge, and other typical surgical sites for rhinoplasty are generally bone and cartilage, meaning that weight gain or loss does not have a major impact on the results of a rhinoplasty.

How delicate is my nose in the first days post-rhinoplasty?

The reason why surgeons will almost always apply a splint in the first week post-op is because of the delicacy of the nose in this period. Small forces, even a slight hit with a towel, can have large impacts simply because the cartilage underneath the skin has been shifted, so patients are advised to be careful.

Can I preview results of my rhinoplasty prior to surgery?

Most surgeons will have some of imaging software that allows patients, during consultations, to see EXACTLY what the doctor plans on doing and also lets them do a before-and-after side-by-side comparison of the results. I have found that this very comforting for patients and highly advise patients to see a surgeon who has this software.

Can I get a cheaper rhinoplasty by residents at a university?

It is certainly possible for these arrangements to be made. However, one must remember that rhinoplasty is one of the most difficult procedures in the plastic surgery world and is ideally conducted by a doctor with a great deal of experience and the proper credentials in order to ensure a good result.

Should I go to an ENT doctor or a plastic surgeon for a rhinoplasty?

In general, both types of surgeons should theoretically be qualified to conduct this procedure. Therefore, the choice really comes down to who the surgeon will be, rather than their practice. Make sure to obtain a surgeon who is board-certified, specializes in your procedure, has good before-and-after results, etc.

How can I fix a broken nose tip?

Generally, the tip is composed of a great deal of cartilage and thus may be prone to fracture. These types of injuries are generally only treatable with a rhinoplasty procedure.

I have a wide nasal bridge. What can I do?

This is generally best taken care of with a rhinoplasty in which medial and lateral osteotomies are performed to lessen the lateral width of the nose and the nasal bones are turned more inward. In cases where patients have a sunken upper-third of the nose, cartilage grafts may also be required.

How can I reduce swelling post-rhinoplasty?

Patients can reduce swelling by asking surgeons to apply surgical tape to the area and also practicing good habits such as reducing alcohol/smoking habits, reducing sodium in the diet, and (if swelling is persistent after several months) engaging in light exercise.

How much does a hump filing cost?

It is difficult to determine the cost of reducing a hump because patients will have different requirements. Small humps will require smaller procedures, but typically, the cost to reduce a hump is synonymous with the cost of a rhinoplasty which will cost in the neighborhood of $8000-$10,000. 

How I reduce my bulbous tip?

Bulbous tips can be reduced via a tip rhinoplasty in which the nasal bones are not tampered with and the tip cartilages are simply manipulated. However, an in-house consultation with a patient’s surgeon might be necessary to evaluate this for sure.

I found a stitch years post-rhinoplasty. What should I do?

It is rare for stitches to find their way into the inner nose, but it sometimes happens. In cases like these, patients should NOT pull out the stitch by themselves, but rather have it removed by their surgeon.

Is it possible to remove the bump on my nose without manipulating the tip?

This depends on the patient’s circumstances, that is, what size the bump is. Smaller bumps can usually be shaved off with a rasp tool, but shaving off larger bumps in this manner can lead to an open roof deformity on the nose which can only be corrected during the procedure via an osteotomy in a rhinoplasty. Here, the nasal bones are carefully fractured and pushed inward to close up the hole created by the hump reduction.

Can I die from a rhinoplasty?

It is rare for patients to die of complications directly associated with rhinoplasty, simply because the nose is not exactly crucial for survival. If deaths do occur, and this is EXTREMELY rare, it will occur due to complications with anesthesia or because of prior health concerns which are not disclosed to the surgeon. Make sure, during your consultation, to tell your surgeon everything and also look into general anesthesia in which a breathing tube is inserted to ensure proper ventilation.

Why is my columella so swollen after surgery and will it get better?

The tip/columella area is a primary surgical site during a rhinoplasty and will take longer to heal in terms of swelling than other areas of the nose. The swelling will tend to gradually dissipate over the course of a year, but should be generally resolved within 6 months.

The columella is hanging post-rhinoplasty. Is this bad?

As stated in other questions, the columella area is a primary incision site during the surgery and undergoes more trauma than other portions of the nose in the procedure. Lymph flow may be disrupted in this area causing fluid buildup (edema), but this will resolve itself over time.

Can I have fractured cartilage in spite of a negative X-ray?

Definitely. X-rays only show fractures in hard tissues such as bones and not soft connective tissue, like cartilage. Evaluation by a surgeon is probably the best avenue to determine whether cartilage is indeed fractured.

Is a long nose only shortened by rotating the tip?

It depends on the nose which the surgeon is starting with. This type of technique is ideal for patients who have the combination of a droopy tip and a long nose. However, if the tip is normally rotated, there is no need to mess with it and the issue would be better resolved by shortening the septum and bringing the inferior tissues upward. Consultation with a surgeon is probably the best way to determine a patient’s course of action here.

Can the cartilage be fractured without breaking the bone in the case of nasal trauma?

It is certainly possible for nasal trauma to fracture cartilage and cause deviation of nasal tissues without actually breaking the bone. In this case, separation of the cartilages in the nose may be necessary for evaluation and cartilage grafts will be introduced to supplement weaken structures.

I want a smaller nose. Do I need a rhinoplasty?

In the case of reduction rhinoplasty, it is important for patients to keep their expectations realistic. The nose must be modified in a way that maintain the patient’s natural look and keeps it proportional to the surrounding facial structures. In addition, thick skin may also be more difficult to handle as it is more elastic. Consulting a surgeon is necessary to answer further questions.

How long is the time period from consultation to surgery?

This really depends on the surgeon’s schedule, the patient’s schedule, and the need to obtain medical clearances. 

What is an I-implant versus an L-implant?

An L-implant shapes the columella area (bottom of the nose) and the dorsum area, while the I-implant only shapes the dorsum area. Patients may want to reconsider getting these silicone implants, however, and may want to instead opt for natural cartilage from the septum or the ear.

Can the cost for a septoplasty and a rhinoplasty be lowered if they are done concurrently?

In some cases, surgeons will offer discount rates to do both at the same time, but patients should be wary of surgeons who are offering TOO much of a discount. As the old saying goes, “If it’s too good to be true, it probably is”. This surgeon may not be properly certified. In any case, though, septoplasties are generally covered by insurance so costs can be lowered in this manner.

What is this funny smell in my nose after my rhinoplasty?

It may be best for patients to evaluate with their surgeon if they detect unusual smells. This may be the sign of a residual suture which needs to be removed, but could also be indicative of an infection.

How can I tell if I have thick nasal skin?

The best way to evaluate thickness is probably by pinching individual portions of the nose from top to bottom and examining how thickness increases going in this direction. Thick skin is generally relevant in the tip and tends to be rather oily. If the patient easily manipulate the skin over the tip, it is thinner.

How does the nose hold up as one ages?

Generally, the nose will tend to age with the rest of the body following rhinoplasty. Open rhinoplasties which support the nasal tissues with cartilage grafts will tend to hold up better, but they too will not stop the aging process completely.

Why do steroid injections only work temporarily?

Steroid injections, though present for a little while after they are introduced to the body, only provide a temporary preview of the final result of the procedure before being absorbed by the body.

Why does some packing come with nasal tubes?

A major complaint which patients have with nasal packing (gauze which pushes the skin against the septum for better healing) is that they feel congested and are forced to breathe through their mouths. For this reason, nasal packing with tubes are introduced to help the patient breathe through the nose and feel less congested.

Can I re-break my own nose in order to straighten it?

This is highly inadvisable as patients often do not know the precise motions which are required to set the nose in a perfectly straight manner. It is recommended that patients with a deviated nose go to a professional to have it fixed.

What should I do for a flat nasal bridge?

If the flat bridge is from fractures, then osteotomies can be done to narrow a wide nose.  If congenital then osteotomies may not be enough and dorsal onlay grafts may be necessary.  

What are the pros and cons of steroid injections post-rhinoplasty?

Steroid injections are introduced in patients to prevent the buildup of scar tissue that can actually deform the tip. However, while helpful, it can also cause atrophy of surrounding tissues and overthinning of the skin if not used judiciously.

When can I swim post-rhinoplasty?

It is acceptable for patients to go back in the pool after a month or so post-op, but take care not to bump your nose on anything. I would, however, postpone swimming in the ocean to 8 weeks because of the risks of a bleeding nose and the subsequent problems which could occur with sharks and other wildlife.

Are dark circles under the eyes after a rhinoplasty normal?

This is an indication of blood trapped in the lower rim of the eye, which will eventually dissipate after a period of 6 months or so. 

There is still swelling years post-rhinoplasty. Is something wrong?

This may be something that is best evaluated by your surgeon, but the likely cause of this is poor lymphatic drainage and scar tissue which may have accumulated.

My stitches aren’t dissolving one month post-rhinoplasty. Why?

Generally, these stitches should not last longer than a week or two (absorbable). Evaluate with your surgeon to have them removed.

How is the nose shortened during rhinoplasty?

This is up to the discretion of the surgeon. However, some methods can include reducing of the septum, upward rotation of the tip (in the case of longer noses with droopy tips), and modification/elevation of the tip cartilages.

Is it weird to have mucous/nasal drip post-rhinoplasty?

The inflammation caused by rhinoplasty tends to cause excess mucous production that will last for a month or so post-op. Patients need not worry if this occurs.

Can scar tissue be removed post-rhinoplasty?

Technically it can be. However, patients must realize that scar tissue tends to thin over time and surgery with the intention of removing it may cause the formation of new scar tissue and steroid injections may also present complications.

Can I reduce my large nose to a much smaller nose?

It is important for patients to recognize that surgeons have a responsibility to modify the nose in a way that makes it look natural in relation to the rest of the surrounding facial features. Thus, while surgeons can reduce a nose via manipulation of the underlying cartilage and shortening of the septum, it must look aesthetically pleasing.

Am I developing a Polly-beak deformity? I see swelling right above my tip.

This is best evaluated by a surgeon. However, if temporary pressure via the hand can help in reducing it for a short period of time, it is probably swelling which will subside.

Can I have breast augmentation and rhinoplasty at the same time?

As long as the patient is healthy enough to have both procedures at the same time and the surgeon of choice is qualified to do both procedures, there does not seem to be a problem with doing them together. However, care must be taken to avoid infection and this is done by choosing a well-qualified surgeon.

Why did I lose my sense of smell post-rhinoplasty?

Loss of smell immediately post-op is usually temporary due to the blockage of nasal passageways from swelling. However, it may be advisable to wait and, if things do not improve, to visit an otolaryngologist for a smell test to check for damage to the olfactory nerve.

What is your opinion on Gortex nasal implants?

It is a general consensus among surgeons that they prefer cartilage over man-made implants simply because there is less risk of infections and other complications.

Is the nasal hump made of bone and cartilage?

Normally, it consists of both and is best reduced through surgery.

Can a spreader graft fix nasal valve collapse?

Generally, most surgeons will use a spreader graft or even an onlay graft (which strengthens the cartilage more than a spreader graft, but does not really lift or support it) for open rhinoplasties, rather than closed ones. Collapsing nasal valve may be better served with an onlay graft in order to bolster the cartilage wall.

Can I fly with a broken nose?

Yes this is fine. I would recommend carrying Afrin spray and applying it 30 minutes prior to takeoff and landing to mitigate the risk of nosebleeds.

When can I play contact sports post-rhinoplasty?

I would recommend waiting 6-8 weeks simply because of the risk which a bump to the nose can have on the results of a rhinoplasty.

A flesh covered ball came out post-rhinoplasty. Is that normal?

Completely. It is normal for residual blood and tissue to remain within the nose, especially if the patient does not blow their nose post-op (which they shouldn’t), and mix with the mucous produced there.

When can I do intensive cardio post-rhinoplasty?

It is probably best to wait 4-5 weeks or so before beginning “Insanity-type” cardio workouts simply because of the risk of increasing blood pressure and inducing nosebleeds.

It has been almost a year since my rhinoplasty. Why is my tip still hard?

At this point, it is still normal to have some swelling from the rhinoplasty still present in the tip. However, unless a graft was placed in that area, it should have at least a small degree of give. If not, evaluate with your surgeon your best course of action.

Why is my nose tip is still crooked post-rhinoplasty?

Swelling in the tip, the hardest-hit area in terms of trauma, tends to persist for about a year and can distort the appearance of results. Please be patient in evaluating your results.

Why is my nose itchy in the first week after a rhinoplasty?

Chances are this is the result of the splint which is admittedly somewhat irritating and does not allow much oxygen flow to the skin. Itching is good, however, and indicates the absence of infection.

Is it normal to have headaches every day following rhinoplasty?

Because rhinoplasties often entail the narrowing of the bridge of the nose, it is normal for a minority of patients to experience sensitivity and discomfort for a period of weeks. No concern is needed.

Can I cause an infection by picking my nose post-rhinoplasty?

Generally speaking, patients should take care not to exert any pressure on surgical areas post-op. If the crusting bothers patients that much, they may be better served with saline spray.

Can heavier glasses deform the nasal bones?

It is unlikely that heavier glasses will necessarily deform nasal bones, especially in a nose which has not undergone rhinoplasty. Patients can try going to lighter frames and see what occurs, however, if they are curious as to what could happen.

Do alarplasty scars take a long time to heal?

Generally, alarplasty scars though pretty much permanent are extremely well hidden along the alar/nasal intersection and will generally fade over time.

How much will it cost to correct a bulbous tip and a profile?

This can be done via a rhinoplasty which will generally hover in the cost neighborhood of about $8,000-$10,000.

What is the difference between twilight sedation and the sedation caused by general anesthesia?

Generally speaking, the major difference between these two procedures is the presence of a endotracheal breathing tube in the general anesthesia route which helps secure the patient’s airway. In twilight sedation, the patient breathes on his/her own. Either practice is generally safe.

How can one reduce nose size without excess skin?

In reality, thick skin is more difficult to manage and drape over a newly created cartilage foundation than thin skin because it is more elastic and willing to stretch. Therefore, reduction rhinoplasty is considerably more difficult under these circumstances because, while skin does contract, thick skin does so far less.

Can nasal implants be infected years post-op?

While it is rare for these cases to occur, they do occur once in about a thousand times. Generally though, if the patient bolsters their immune system with antibiotics, it will go a lot way to preventing infections.

Can I have rhinoplasty while pregnant?

Absolutely not. There is no telling what the anesthesia or the medications needed prior to and post-op will do for the baby.

Can I clean my nose with a cotton stick post-rhinoplasty?

Sure. Gentle cleaning of the area with a Q-tip and a mixture of hydrogen peroxide and water OR saline solution can do wonders with loosening up the crusts that inevitably form post-op.

Is one week off from work enough recovery time for a rhinoplasty?

Yes, this should be enough time (7-10 days) to return to work post-op. However, patients must realize that bruising and swelling will still be apparent in this period of time. Therefore, if appearance is important, taking a couple more days off may be advisable.

Why do some many people regret rhinoplasties?

The main reason why people regret their rhinoplasties is generally because they are dissatisfied with their surgeon’s performance. In order to prevent this from happening, it is suggested that patients thoroughly research their surgeon prior to going ahead with surgery and make sure that their expectations are realistic and align with the plans of their surgeon. Communication is key to this step.

Why can’t I have the smaller nose which I want?

It is important for patients to recognize that, sometimes, a nose can be reduced to the point where it is simply not natural-looking in relation to the rest of a patient’s facial features. We as surgeons have a responsibility to not only fulfill a patient’s needs, but to stay realistic. Think of this way. We do not substitute one nose for another, but rather modify existing noses and correct defects. We maintain your original nose but tweak it, rather than giving you a new one.

How is a crooked nose corrected?

There are generally two types of crooked noses: one which starts normal but is made crooked by trauma and another which is naturally crooked. The first is resolved with correction of the septal deviation and alignment of the nasal bones, while the second may require additional steps like support via cartilage grafts.

How does the nose change from ages 10-21 (male)?

Generally, during puberty, there is an explosion of growth in the nasal and jaw areas (disproportionately so compared to the rest of the body). When this happens, slight imperfections may be accentuated --- similar to how enlarging a photo can reveal hidden flaws. As such, it is normal for slight bumps to turn into larger dorsal humps, etc.

Does removal of the nasal splint cause increased swelling?

Yes definitely, because the nasal splint serves to compress the surgical area and reduce swelling. However, nasal taping can help ease the amount to which swelling occurs.

Why did I have an infection one year post-rhinoplasty?

An infection post-op can have many causes, including an infected implant, introduction of a foreign body, etc. When an infection occurs, patients are advised to look for the cause by having any mucus or discharge cultured and to take the antibiotics which are recommended by their surgeons.

Can a nose be made longer?

The nose can be made to appear longer via downward rotation of the tip or the introduction of extension cartilage grafts. However, this is a much more complicated procedure than shortening of the nose and so must be done by an especially well-experienced surgeon.

What does a nasal valve collapse surgery entail?

Generally speaking, this procedure involves the use of cartilage grafts to strengthen the cartilage on the inner nasal wall and to widen the openings. Collapse of the internal nasal valve requires a spreader graft, which is more intensive. Collapse of the external nasal valve may be alleviated with a smaller graft.

Can rhinoplasty be used to widen nostrils?

This procedure is generally less common than using rhinoplasty to narrow the nostrils and typically uses cartilage grafts from the tip of the nose or the ear. Consultation with a surgeon is best, however, to determine a patient’s particular course of action.

Why is my tip so stiff 6 months post-rhinoplasty?

Especially if cartilage grafts were introduced, it is normal for stiffness to remain post-op for up to a year due to the trauma which the tip of the nose in particular undergoes during the procedure.

Can I take pills besides Arnica to help with swelling post-rhinoplasty?

Bromelain may help with bruising and swelling, but both of these medications should be taken one week prior to and following surgery. In addition, make sure when sleeping or lying down to keep your head elevated above the heart.

Do I need to pack the nose following rhinoplasty?

Generally, the nasal packing (gauze which would line the inner nostrils) which doctors would often use post-op has been replaced with internal splints that prevent the formation of scars and septal hematoma. This is also supplemented by an external splint which puts more pressure on the skin and guides it into place on top of the underlying cartilage and muscle tissue.

I had bad acne breakouts following removal of the tape. What should I do?

This is especially common due to the blockage of sebaceous glands on the skin by the tape. Common acne regimens should be fine to help alleviate this.

What can be done to reduce a wide nose?

Depending on what patients define as a wide nose, there are several procedures which can be done to alleviate this problem. Osteotomies can be done to narrow the upper nose, cartilage can be removed from the middle, alar base reductions can be done to reduce nostril width (which is usually the common problem), etc. A more thorough examination is necessary to determine exactly what should be done though.

What can be done to fix nostril flare while smiling?

Nasal flaring, depending on the severity of the problem can definitely be fixed with solutions like Botox (for small-scale procedures) or with larger-scale operations like a Weir’s reduction or an alarplasty. 

Will rhinoplasty affect my voice?

Generally no, other than during the initial period when there will probably be some nasal congestion that occurs (but this should clear up). The biggest concern in terms of vocal sound will be from the intubation needed to keep breathing up during general anesthesia application.

How long does an alarplasty take to heal?

Alarplasty scars tend to stay well hidden, but may take a while (several months) before becoming fully camouflaged. Once the swelling and bruising is resolved, the smile will develop normally after six weeks.

Why is my nose still growing at age 30?

Generally, nasal growth should cease when a patient is in his/her mid-20s. Continuous growth afterwards may be attributed to rhinophyma which is excessive growth of sebaceous glands around the lower third of the nose, but may also be just the general loss of elasticity in the skin that causes the nose to droop.

How can evaluate if my septum is swollen?

This can usually be done with a nasal speculum in a surgeon’s office which can distinguishes healthy septum tissue (pink color) from inflamed septum tissue (red color).

Will my smile be normal after rhinoplasty?

In most cases, patients are expected to make a full recovery following a rhinoplasty, so it is probable that patients experiencing smiling difficulties will find their concerns alleviated. Patients may find that the separation of the muscle fibers between the base of the nose and the upper lip during certain procedures like septorhinoplasties may reduce smiling capabilities, but these issues will eventually resolve themselves.

How bad is smoking marijuana within the first week post-rhinoplasty?

Unlike cigarette smoke, marijuana smoke presents no dangers of nicotine, a potent vasoconstrictor which has the ability to cause necrosis of nasal tissue. However, it does have carbon monoxide which limits oxygen to the surgical site and may lead to tissue death there. In addition, the coughing induced by marijuana can lead to internal bleeding post-op.

What is the ideal sleeping position post-rhinoplasty?

The best way to sleep after surgery is on one’s back with the head elevated above the heart to reduce swelling.

How much is a rhinoplasty in Dubai?

From my sources, it seems that rhinoplasties in Dubai cost exorbitant amounts of money, far more than those in the USA. While rhinoplasties in the States may cost between 8-10k, I have heard cases of double or even triple the price in Dubai.

Can a typical African-American nose be modified to a Middle Eastern nose (pointy but with a drooping tip)?

Unfortunately, due to the thick nasal skin associated with an average African-American nose, it is very unlikely that even the most skilled surgeons can complete this transformation without risking the nose being unnatural looking. The nostrils and the tip can be narrowed and the nasal bridge can be augmented, but not to the extent that many will desire.

Can I pursue boxing as a profession after a rhinoplasty?

Unfortunately, no. A rhinoplasty procedure makes the nose weaker in the days post-op and the repeated blows to the facial area and the nose from boxing risks destroying or even making worse the results of each rhinoplasty.

How long will breathing be difficult post-rhinoplasty?

Especially during the first several weeks post-op, swelling in the nasal area and crusting of blood and mucus will cause congestion of the nasal airway and thus inhibit breathing. This swelling will begin to subside, however, and will improve after 2 weeks.

What can be done to resolve cartilage shifting post-rhinoplasty?

Cartilage shifting post-op can be disguised with the use of fillers, but a more permanent solution would be to introduce cartilage grafts.

Can injury cause the formation of a hump?

This is definitely possible as trauma to a bone-dense area induces the deposition of calcium in that area in the body’s effort to strengthen that particular site of injury. 

Will the Medpor nasal implant hold for a lifetime?

In my experience, it is usually best for support to be introduced into the nasal region via natural cartilage grafts from the ear or the septum. It is not clear whether the Medpor nasal implant will work for a particular patient, but the best chance of success involves grafts from the body.

To narrow the nose, can I have the fat in my nose taken out?

Unfortunately, the amount of fat in the nose is not substantial enough nor is it confined to the right areas (it is mostly in the tip of the nose) to have it drawn out in the effort to correct a wide nose. Narrowing the nose often consists of narrowing the nasal bones themselves via osteotomies.

How should exercise habits work post-rhinoplasty?

It is generally a good habit to wait at least 6 weeks prior to beginning vigorous exercise.

Why is my nose still bulbous 2 years post-op?

Especially in thicker-skinned individuals, this could very easily be caused by the maturation of scar tissue which can contract and thus pulls the nostril sides downward, giving the appearance of a bulbous nose. Unfortunately, the only alleviation for this condition comes in the form of a revision rhinoplasty. Steroid injections would help initially when the scar was beginning to form.

Can crying after surgery affect nasal development post-rhinoplasty?

As long as the nose was not vigorously poked or prodded during the crying, there is no reason for it to impact your final result.

There is dead skin on my nose post-rhinoplasty. Can I scratch it off?

During the first couple of weeks post-rhinoplasty, it is probably best to advise against moving or disrupting the nasal structure in any way. It would be best for patients to ask surgeons for their recommendations in these cases.

Is it strange to have extensive bleeding and oozing days post-rhinoplasty?

Yes, given the freshness of the trauma endured by the nose during rhinoplasty, it is perfectly normal for patients to experience bleeding and oozing. Patients should contact their surgeon and ask about the protocol for cleaning the nose, as it varies from surgeon to surgeon.

What is this bump on the inside of my nose post-rhinoplasty?

At long periods of time post-rhinoplasty (a year or so), bumps on the inner wall of the nose will most likely be scar tissue which can alleviated with the help of steroid injections or a simple excision under local anesthesia. However, short-term bumps may be sutures that need to be taken out or swelling that will dissipate by themselves.

Could pulling on the tape in an effort to remove it have disrupted my rhinoplasty results?

This is probably best answered by the surgeon who performed the surgeon, but as long as there was no ripping of the tape off, there should not be a problem.

Is the late 40s too late to have a rhinoplasty?

No, not at all. Anytime after ages 15-17 for women and 16-18 for men is perfectly reasonable to have a rhinoplasty. However, the key is finding a board-certified surgeon specializing in nasal procedures that has before-and-after work to your liking. Please do your homework in figuring out who is best for you and do not let price guide you.

Should I get an inferior turbinate reduction in addition to my rhinoplasty to help with breathing?

This procedure can certainly be beneficial for those undergoing rhinoplasty because it helps clear the airways, not to mention that due to its functionality (necessity), it is generally covered by insurance.

Can I gargle with salt and water post-rhinoplasty?

This symptom probably resulted from the breathing tube used during the application of general anesthesia and salt water can help, as can throat lozenges.

Why are osteotomies done instead of rasping in some cases?

Both of these techniques are used in cases where there are dorsal humps. Rasping is used when there is a small dorsal hump and is what patients often refer to as a “shaving” of the dorsal hump. However, in cases where there are large dorsal humps, shaving away the dorsal hump will result in a very flat nose with a larger hole (called an open roof deformity). The solution to this are medial and lateral osteotomies which realign the nasal pyramid and close up the hole in order to produce a more aesthetically pleasing appearance.

Why do I have a bulbous, upturned tip post-rhinoplasty?

If this question is posed within a year post-rhinoplasty, both the bulbousness of the nose and the upturned appearance of the tip are probably both due to post-rhinoplasty swelling. These will all be resolved gradually within a year post-rhinoplasty. 

How long does congestion last post-rhinoplasty?

Congestion usually clears up within 6-8 weeks of a rhinoplasty and tends to get better gradually.

When Should I Stop Smoking?

Patients should generally stop smoking within 2-4 weeks before surgery, again because of the effect which nicotine has on constricting needed blood vessels.

Can an alarplasty serve as a quick fix nose job?

This depends on what exactly the patient’s needs are. If the only concern is wide nostrils, then an alarplasty or a Weir reduction is ideal. However, neither of these procedures addresses questions about the tip of the nose or the bridge which are often problem areas for patients requiring a nose job.

How soon can I get pregnant post-rhinoplasty?

If patients are trying to have a baby, it is advised that they wait at least 6-8 weeks before pursuing any vigorous activity like sex simply because of the risk of bumping the nose and also increasing blood pressure and triggering nose bleeds. 

My swelling has gone down but there is still a bump post-rhinoplasty. What do I do?

For patients without a great deal of swelling, a bump on the nose may unfortunately be permanent and may need to be fixed via fillers.

Can I have a rhinoplasty with a cold?

Generally, it is best for the patient to be as healthy as possible prior to an elective surgery like this. Many surgeons will not risk a bacterial infection during a rhinoplasty as there is a possibility for complications.

Why is my skin breaking out after surgery?

Skin breaking out may be part of the healing process, but proper skin care may be in order. Check with your surgeon to find your options.

Is it possible to augment the bridge of the nose without an implant?

Yes, this can certainly be done via the extraction of cartilage from the tip of the nose and placement of this cartilage onto the bridge.

Is It Better to Have Different Surgeons for Different Procedures?

It may seem like a better idea to have different specialist treat different aspects of the face, but patients must remember that surgeons can often specialize in several different things, meaning that different procedures can be done all at once. Again, consultation is probably key, so see which surgeons you feel comfortable with.

Does Insurance Cover Facelift Surgery?

Unfortunately, as the facelift is a cosmetic procedure, it is very unlikely that it will be paid for by the insurance company

What Should I Expect 5 Days After Surgery?

Patients should not expect massive improvement after 5 days post-op. By this point, swelling, hardness, and lumpiness will all be present in full force. Check back in 6 months or so if you want to find true improvement.

When Should I follow up immediately after facelift surgery?

Immediately after surgery, I would recommend seeing patients the first two days post-op. After that, I would recommend seeing them at least one a week for as long as they feel it is necessary.

Can Cheekbones be Repositioned During MACS Lift?

Though the cheekbone itself is not moved during a MACS lift, underlying tissue can be elevated.

What is the Difference betwwen hypertrophic and keloid scars?

It is important for post-op patients to make the distinction between a hypertrophic scar and a keloid scar. A hypertrophic scar is a thickened scar which stays within the boundaries of the original incision whereas a keloid scar spreads out from the incision and have a mushroom-like appearance. Patients who have demonstrated keloid scarring should most likely see their surgeons.

What is the Next Best thing to a facelift?

The next best thing to a facelift would probably be a mini facelift which offers small-scale improvement to jowling and other “facelift”-related symptoms. However, non-surgical options like fillers or fat grafting do exist which, depending on the patient, can provide better results.

Options for Patients w/History of Keloids?

Patients must first make the distinction between hypertrophic scars and keloids. If keloid formation is truly a problem, surgery should not be undertaken.

What is this golf sized ball after facelift surgery?

A golf-ball sized lump present after the procedure is likely a hematoma. Drainage of this area is probably the best way to avoid facial contour damage.

Can I Get Botox for Sternocleidomastoid Spasms ?

These symptoms tend to resolve themselves over time, but, if persistent, can definitely be treated with Botox treatments. However, patients should be wary that a possible side effect of this treatment could be weakness at the site of injection.

Is Facial Redness and Hardness Post-Facelift Normal?

Even after a couple of months post-op, it is normal to experience symptoms like hardness and tender skin. Over the first six to twelve months, most skin irregularities heal just fine, so patients are encouraged to remain calm.

Tightness Around Ears 2.5 Months Post-Facelift

Patients experiencing recurring tightness may find solace in lymphatic massage, but it is also important for these patients to first check that the cause of the tightness is normal healing, rather than infection or something more serious.

Can I Get a Full Body Massage After Facelift Surgery?

Contrary to popular belief, having a full body massage is not only OK after surgery, but is probably encouraged. A full body massage can be easily done 4-6 weeks post-op to help dealing with swelling and other lingering problems.

Will I have Tightness in my Neck After Hematoma?

Patients who have had hematomas from surgery are likely going to experience tightness and facial swelling as a result. Generally, as time goes on, facial swelling decreases and the sensation of tightness will diminish.

I am in my 20s and suntan and smoke, what can I do to improve my skin?

For younger patients, there is still a great deal of time to improve the look of the skin without surgical means. Eating healthy, exercising, and avoiding smoking and overexposure to the sun are all things which can be done to avoid further collagen-related damage in the skin.

Why do I have Red Skin and Scarring Behind Ears 7 Months Post-Op?

Patients dealing with extensive white scarring behind the ears following surgery usually have excess tension in the skin of this region and thus have a poor blood supply in this area.  The scar must be excised and the skin adjusted to reduce the tension in the area.

Can Swelling Restretch the Skin Back Out?

Generally, swelling within the first few weeks of surgery, though seeming like a lot, will not stretch the skin to any appreciable degree. The results of the facelift will largely remain intact.

What is the Minimum Experience a Surgeon should have in facelifts?

It is important for patients to seek out an adequate surgeon with plenty of experience in facial surgery. I would recommend a surgeon who is accustomed to doing around 1-2 facelifts a week for about 10+ years.

Swelling Coming and Going 18 Months Post-Op

Swelling which arrives and then disappears 18 months after a facelift is not indicative of a typical hematoma, but is more likely the result of a parotid leak. I would recommend a full exam with the surgeon followed by the application of Botox and antisialagogues  to the area.

How Long has the Endotine Facelift Been Around?

This procedure has been around for a decade and is somewhat recent in terms of facial rejuvenation surgery. For this reason, it has not been proven to work as effectively as a facelift procedure and is continuously hounded by many doctors as a “fad”.

Why is my Eyebrow Frozen 18 Months Post-Op?

Unfortunately, any nerve damage sustained over 18 months is likely to be permanent. The best solution would be to have Botox placed on the other side to even out the distortions.

What is the Lazerlift Procedure?

The Lazerlift procedure is marked by its use of a Cynosure laser-tipped cannula which is used to undermine facial tissue and achieve skin tightening. The results of this are not nearly as invasive or effective as a facelift, but nerve damage may still be a risk.

Why is my Skin Loosening 3 Years Post-Op?

After 3 years, many patients do experience recurring skin laxity following a facelift. Again, the extent of the loosening depends on many factors including sun exposure, smoking, genetics, etc.

Why do I have sagginess around my cheeks and nose?

A saggy cheek and nasal region is usually not caused by typical aging and patients who have this symptom over the long-term may have problems with the tissue structure in the face. If this is true, facelifts are not the answer, but consultation with the plastic surgeon could provide several options for these patients.

Muscle Spasms After Facelift Surgery?

Patients who are experiencing muscle spasms, but still retain feeling in the area around which the spasm is occurring, should likely not worry as this is usually indicative of minor nerve irritation. Again, consultation with the plastic surgeon may be necessary, but usually this is not a serious problem.

What are the pros and cons of Acculift?

Generally speaking, the Acculift procedure, in the grand scheme of things, does very little for patients who are serious about facelift surgery, particularly those in their later years. Residual neck bands and poor facial definition are just some of the post-op complications which can occur.

Does Buccal Fat Pad Suspension treat Jowls?

The buccal fat pad is located in an area superior to the fat around the jowls and thus will have very little impact on jowling if suspended. The true method to treating jowls consists of an SMAS Lift possibly combined with fat resection.

Should I Lose Weight Before Facelift Surgery?

Patients are advised to reach a stable weight prior to their facelift. That way, they do not have to worry about volume loss and botched results after the procedure is done.

I had dermal fillers, can I get a facelift?

Facelifts and fillers tend to work hand-in-hand very well. Though many people would opt to have facelift procedures done BEFORE fillers are added, doing the reverse is perfectly acceptable.

Can I Smile After Having a Facelift?

Patients worried about affecting the results of the facelift with excessive movement of the face (smiling, talking, etc.) should not be so concerned. Again, the elevated tissues modified in the facelift are fixed in place with sutures and/or Endotine devices and will be released in time.

Is it normal to experience tightness 7 months after surgery?

Generally, even though tightness is somewhat abnormal at this point, everyone heals at their own pace and some patients take longer than others. Gradual improvement can definitely be expected in the next month. Consult with your surgeon if symptoms continue to persist over a year.

When can I have a Revision Neck Lift?

Patients looking to have a revision neck lift following a platysmaplasty may have lost significant elasticity in the first procedure, but can still have the neck lift done in a relatively short period of time.

Should I get a Facelift at 32?

Patients at the age of 32 are well below the normal age of a facelift. Many other options exist, some of which are not nearly as invasive, like fillers, Botox, fat grafting, photofacial, laser treatments, etc. Either way, a facelift is usually out of the question.

Why Can't I pucker After Facelift Surgery?

Inability to pucker post-facelift is usually caused by swelling and will most likely recover before long.

I Cannot Smile 2 Weeks Post-Op, is this normal?

Damage to the buccal branches of the facial nerve is generally not a cause for major concern as cross innervation generally allows for full recovery. However, improvement should be seen after 2 weeks. Consult with the plastic surgeon or a neurologist to check for permanent damage.

Will Steroid Injections Cause Weight Gain and a Flare-Up for Rosacea Patients?

Dilute steroid solutions should not cause either.

I am unhappy the my MACS LIft, will fills help?er

Unfortunately, patients who are unsatisfied with their jowling post-MACS Lift have fallen victim to a common problem in facelift surgery. The MACS Lift, while being effective for some, is totally ineffective for those who want penetration into the deeper tissues, for which there is no cure but the SMAS Facelift.

Will I have health problems after facelift surgery?

Though there are some minor side effects for facelift procedures, some of which include tightness, swelling, numbness, etc., any other major health problems acquired by the patient post-op are unlikely caused by the surgery.

Is Unequal Tightness Normal?

It is normal for patients to feel tightness more sharply on one side of the face than the other, yet massage and time usually helps even things out.

What Can I do About my Droopy Smile and Numbness 19 Months Post-Op?

At this point, after a year or so following surgery, any damage to the sensory nerves around the ear and neck and the facial nerve is going to be difficult to try and undo. Botox may help with the temporary concerns of droopiness.

What Can I do about Fat Under Chin + Hyperpigmentation 1 Year Post-Op Facelift?

Patients dealing with post-op fat under the chin may be dealing with excess fat (easily reduced with lipocontouring techniques) or residual scar tissue (could be treated with cortisone or other steroid injections). Hyperpigmentation can be addressed with laser resurfacing techniques.

Should I Use Sunscreen Post-Facelift?

Sunscreen in the post-op days, when the skin loses its normal ability to respond to sun exposure and damage, is especially important. Patients should stay out of the sun for about 3 weeks, after which sunscreen can be applied (I recommend a zinc-based sunscreen for minimal chemical absorption).

Where Will my Facelift Incisions be?

Generally, when making an incision during a facelift, experienced surgeons will attempt to perform them where they are least noticeable. Some, for example, may prefer the horizontal occipital hairline incision(horizontal cut behind ear) which allows for the most substantial pull on the neck portion of the facelift, but others may find that too noticeable. Again, it is all a matter of anatomy and of the patient’s priorities.

What Should I Do to Preserve tightness after surgery?

Over the long term, there is virtually no way to ensure the constant maintenance of dermal toughness. However, in the short term, patients could look into the options of ultherapy and/or laser resurfacing treatments.

What Can I do about prolonged bruising after facelift surgery?

Chances are patients who experience prolonged bruising post-op are dealing with hemosiderin deposits which can only be resolved with time. Additional options like laser therapy can only be explored after about 1.5 years or so.

When will I start to notice results after facelift surgery?

Patients should generally use 2 weeks as a benchmark for when results should START to normalize. Again, there is still a great deal of swelling at this point and results are expected to look “strange”. Following up with the surgeon is the ideal route for now.

What is the difference between facelift and chin liposuction?

There remains an important difference between a facelift and a liposuction in terms of procedure. A liposuction is merely the removal of fat in the chin (submental area) and in the neck since facial fat is good for maintaining youth. A facelift, however, is much more involved and consists of removing fat above and below the platysma, tightening neck muscles, etc.

What is a Skin Only Facelift?

Skin Only facelifts, as common in the 80s, are still performed. However, surgeons have discovered that the best results for a facelift often come when tissues underlying the skin are adjusted along with the skin. Otherwise, there is a chance for that characteristic windswept look of botched facelift surgeries.

Difference Between Mini Lift and Midface Lift?

The mini facelift, as the name suggests, is a rather minor procedure which addresses sagging along the lower face and jaw line and is more used for slightly aging people who do not have neck laxity problems. The midface lift targets the cheek areas and, to a limited extent, the nasolabial folds.

How Can I Repair Nerve Damage?

Unfortunately, little can be done surgically, other than static or dynamic slings/muscle grafts, to repair long-term nerve damage. Patients can attempt to strengthen weak muscles through nerve stimulation and therapy, and asymmetry could be disguised with the use of fillers or Botox.

What Can I do About Loose skin around my mouth?

Loose skin around the mouth area, especially for younger patients, is usually best addressed with the use of fillers or fat grafting.

What Should I look for in a surgeon?

A good step in finding a capable surgeon is to examine before-and-after photos of the surgeon’s work in order to understand whether they provide natural, but youthful, results or even interview some of the surgeon’s former patients to hear their insight.

How Can Scar Tissue be removed?

Irritated or elevated scar tissue can be easily taken care of with cortisone injections, but other than that, very little can be done

How Can Transition Lines from Facelift be addressed?

Transition lines can often be dealt with quite effectively with a variety of options including surgical revision (major or minor), Juvederm fillers,  or subcision of scar lines (in order to smooth out the bands by relieving adherence to the deeper tissues).

What Can I do About Atrophy Lesions?

For facial atrophy, the best option is usually fat grafting which provides a correction of the soft tissue contour problem and an improvement in the quality of the overlying skin.

What is the best procedure for a 37 year old?

Again, it is not unheard of for 37 year old patients to undergo facelifts when they truly need them. However, much better options usually exist for them in terms of addressing volume loss; these include fillers, fat grafting etc.

Where will Facelift Scars be placed?

Facelift scars typically would be in front of your ear extending below your earlobe and around to the crease behind your ear.

Will my jowls return?

Generally, after a face and neck lift, one would expect any jowling before surgery to be gone. However, it all depends on the extensiveness of the facelift and whether the deeper SMAS tissues responsible for jowling were addressed at all. Again, though, patients must remain patient even months after the procedure before they start making judgment calls.

Can I have Laser Treatments After Surgery?

Depending on the relative pigmentation of the skin, ablative or non-ablative laser resurfacing techniques may be in order if the patient wishes to correct small depressions (pores) on the skin. For larger depressions, fat injections or fillers may also be effective.

What is the Recovery Time for Facial Movement Post Facelift?

Due to post-surgery tightness and local edema (not to mention swelling), facial movement is always impaired after surgery. However, as these issues begin to resolve themselves out, the range of facial movement tends to increase and weakness usually recovers smoothly. Again, though, it is best to consult with your plastic surgeon or even a neurologist if any concerns are there.

Is swelling 8 weeks after facelift normal?

Though swelling is to be expected, it is unusual to maintain it for a long period of time after the surgery. Patients at this point may be dealing with edema which could be treated with lymphatic drain massage, but again consultation is probably necessary.

Would I Benefit From Fraxel Before a Facelift?

It is difficult to believe that Fraxel treatment prior to surgery would do anything to contribute to the facelift. I would personally recommend having the procedure done concurrently with the surgery or several weeks post-op in order to hide any possible scars which may develop.

Is spot bleeding after facelift surgery normal?

Weeks after surgery, it is not unusual to see post-operative bleeding on certain scars. Patients, if this occurs, should take care when cleaning the area and make sure to consult with their surgeon (or even send him/her photos) about the bleeding just to make sure everything is fine.

Do lasers get rid of wrinkles?

For superficial wrinkles on the face post-op (since facelifts actually do little to address wrinkling), laser resurfacing is definitely a good option.

Will I experience Numbness After Facelift Surgery?

Numbness following a facelift is generally to be expected in the lateral cheek and neck area, yet weakness with smiling and other lower facial muscle-oriented movement may indicate facial or trigeminal nerve injury. It is important for patients to keep close contact with their surgeons in order to be prepared for such a situation.

Swelling Under Chin 5 Weeks Post-Op

After 5 weeks post-liposuction, it is not unusual for patients to have a lumpy chin area and normal results can generally be expected, given time. However, it is important to check for any fluid collection in the area for which a consultation may be necessary.

Can Sutures be placed Horizontally near Hairline on Back of the Head?

It is common for sutures to be placed in this location because it allows for trimming of neck tissue to be easily hidden within the hairline.

Mini Facelift vs. Full Facelift

A mini facelift, as suggested by the name, is less invasive than a full facelift and relies mainly on lifting the jowl area and providing minimal tightening of the skin. A full facelift, however, goes deeper affecting the SMAS layer under the skin, repositioning facial contours, tightening the neck muscles, etc.

Fat Grafting and Weight Concerns

Patients before performing a fat grafting procedure should attempt to keep their weight as stable as possible prior to and after the surgery in order to keep the results stable. In addition, the grafted fat should come from a stable part of the body.

What is the difference in Suturing for Midface Lift vs Mini Facelift?

A mini facelift is a procedure in which incisions are placed around the ears and the skin is pulled up to these incisions and trimmed at the suture line. A midface lift, however, is usually performed through an extended lower eyelid incision, a preauricular (in front of ear) incision or a combination of both.

Facelift Scar Revision

Scars can be easily excised causing any lower pole on the ear to move into a better position. After this is done, soft tissue can be activated to fill the defect.

Can I lose weight after facelift surgery?

Losing fat in the face after a facelift, especially for leaner patients, may cause the appearance of hollowness in the face which can easily be solved with fat transfer or filler treatments. Generally, however, as long as the weight loss is not dramatic (25 pounds or so), the patient should have little difficulty.

Fat Injections or Multi-Level Fat Grafting w/Facelift

In general, fat grafting is a technique used for effectively addressing volume loss and is usually best combined with a facelift for maximum results. In general, I would recommend that patients trying to choose between these two options see their surgeon and decide for themselves.

What is the ideal age for a facelift?

The timing of a facelift does not depend on age, but rather on the physical state of the face itself. If the cheeks have begun to droop, the jowls have appeared, and the neck has developed loose skin with lack of structure, then a facelift may be needed for such a patient. Again, however, there are many varieties of facelifts and patients should research which one is right for them.

What Can I expect in Facelift Recovery?

Generally, the rule is that, in post-op recovery, you are going to look worse before you look better. Fear and anxiety over facial appearance is perfectly normal in the weeks post-op and will likely subside as the face begins to heal. The key is patience.

How Can I Treat Nasal Labial Folds?

Generally, for nasolabial folds, a facelift, especially the marketed ones, is not the way to go. Fat injections or fillers may be a more effective method of treatment.

Is Redness Around Hairline Sutures Common?

Redness and irritation around sutures post-op is normal as the body sees the suture as a potential agent of infection and attempts to expel it from the body. Inflammatory cells are called and attempt to break down the stitch. It is probably best to consult your surgeon about these problems.

Can a facelift improve chin definition?

The best treatment for chin definition would probably be the lower facelift which improves sagging jowls and removes excess skin from the lower areas, repositioning tissues along the way. Areas from the mouth, neck, and ears remain relatively unaffected.

Do I need to wait to do a facelift following thermage and filler treatments?

Generally speaking, thermage and filler treatments work very well with facelift and skin resurfacing procedures. As long as the patient waits for the Sculptra injection site to be become soft, a facelift will simply enhance the look which fillers, etc. gave the patient.

Facelift at 25?

Generally, patients who are in their younger years should be more concerned with loss of bone structure as opposed to skin laxity. Therefore, facelifts would not be a good solution and would more likely be replaced with fat grafting or volume enhancers.

Suture Contractions Post-MACS Lift

Massaging the area of contraction could help in getting rid of the dimples, but so can a procedure known as needle subcision in which a scar is created that can then be broken up with further application of the needle.

Lazerlift

Again, laser treatments are usually brought in to tighten skin not actually adjust the skin in a great way. I would remain wary of such “gimmick” procedures.

Loose Skin Under Chin Post-Op

Patients with loose skin following a lower facelift would probably best be comforted by a platysmaplasty performed under local anesthesia.

Laser to Remove Jowls?

Jowls, composed of lax tissues beneath the skin, can only truly be lifted with a facelift (preferably an SMAS Lift) not laser treatment (which, at most, can only tighten the skin to a small degree).

Sagging When Bending Over, Etc.

Patients with sagging problems may require a face and neck lift, especially if loose skin, hanging muscles, and fat is an issue. The jowls can also be addressed through these methods as well without the windswept look.

Hospital Adjacent

Generally, if outpatient surgery centers are located adjacent to a hospital, patients will want to look at the credentials of the outpatient center alone. Unless the outpatient center is hospital-owned, they are usually on their own, so having one that is AAAHC certified is probably the best option.

Canthopexy Issues

Patients will often claim that they have lid retraction and will attempt to have cathopexy done to correct it. However, these patients more likely have an anti monogoloid slant which could be worsened by cathopexy. For these patients, under eye fillers may be the best option after consultation with their plastic surgeon.

7 Hours Under General Anesthesia

7 Hours is not unusual for multiple facial procedures especially for rhinoplasty. Concerning general anesthesia, the most important thing to consider is the ability of the patient to tolerate it. Make sure to have your surgeon consult all this with you

Quick Lift

As I have said many times before, there is no marketing substitution for a facelift for which the recovery time is approximately 10-14 days. Any facial lift surgery performed by a non-certified surgeon is risky and probably should not be done for patients serious about the outcome.

Dog Ear

Patients having “dog ear” style scars under their chin post-op may be treated with steroid injections if the scar is hard, thick, and red, but if it is white or puffy, surgery may be needed to avoid infection. Patients dealing with the latter should wait at least 6 months before considering revision surgery.

Concerns about Midface Lift Recovery

Patients dealing with nerve issues following a facelift surgery, especially around the facial muscles, should expect the feeling to come back in the lip after surgery. Much of the midface lift is conducted around the infraorbital nerve around the lip. However, if the lower eyelids are being pulled, revision surgery may be needed.

Recommendations for Surgeons

Generally, patients looking for surgeons should examine before and after photos of the surgeon’s work to examine their experience and capabilities.

Ear Pulsing

Patients dealing with pain the ear after a long period of time may have injured the greater auricular nerve, causing it to form a neuroma (overgrowth of nerve endings). The best thing to do for patients is to consult with a neurologist.

Jowls Post-Facelift

Patients following a surgery should not focus entirely on the residual areas of fullness, etc because these tend to resolve themselves over time. Generally, patients should just keep up their maintenance treatments and make sure to consult with their surgeons as any potential “defects” even themselves out.

Determining if Office is Safe

Patients should check if offices have some sort of safety standards, preferably AAAHC or JCAHC (or even Medicare facilities) which hold surgeons, RNs, etc. responsible. Patients can also avoid general anesthesia if they are especially anxious.

Lateral Sweep Post-Facelift

Patients dealing with lateral sweeps across their face should definitely wait for time to hopefully heal things. It is probably not the best option to select fillers and patients should instead look for other methods like massage which do not interfere with lift.

Early Facelift

Though patients should not get facelifts until they are truly ready, there is no harm in having one early under the hands of an experienced and capable surgeon. Especially if early signs of aging are present, treating them earlier may help create more long-lasting results.

Expectations

Surgeons often have a problem with patients and facelifts in that the patients often expect too much from their surgery. Again, the object of a facelift is not to change the face entirely, but to create a younger, more natural looking version of the patient. So, it is best for patients to consult with their doctor in order to create the best possible results.

Risk of Nerve Injury in Deep Plane Lift

If performed properly, the deep plane injury should have a relatively low risk of nerve injury as the facial nerve branches are generally exposed as much as during a SMAS lift. Again, it all depends on the skill of the surgeon.

Platysmal Banding After Weightlifting

During strain, contraction of the platysma muscle could expose banding areas, especially if the patient loses weight due to frequent work outs.

Final Results

Generally, patients should not expect to see immediate results by a certain time, but rather a gradual improvement of facial features. But, 3 months is more or less the benchmark.

Fat Grafting then Facelift

Following a fat transfer, patients should wait until any firmness, edema, etc. is healed completely before doing a facelift. This usually occurs after 3 months.

Uneven Cheeks

Uneven cheeks post-op is most likely caused by typical facial scarring which can usually be treated with dilute steroid injection, fat transfers, and/or re-draping the skin. Consult with your plastic surgeon about your options.

Facelift

Patients dealing with jowling early on may want to consider a facelift as a way of tightening the SMAS layer and removing excess skin. Thermage treatments may also help in defining the jawline more.

Pre-Op Vitamins

Consulting with the plastic surgeon may be the best idea when dealing with vitamin supplements. However, a proper intake of Vitamins A, C, E, etc. may be required.

Price of Facelift

The price of a facelift, again, is relative, depending on the patient’s need and their finances. Many patients do not have to be wealthy and often rely on credit to pay for surgeries, but again, price should not be the sole guide for planning surgeries.

Asymmetry

Patients dealing with asymmetry would most likely benefit from fillers or fat grafting.

Cutting Nape of Neck During Facelift

Generally, it is the neck lift procedure which relies on the incision around the neck to tighten and remove excess skin in the area. Doctors may cut there during a facelift as well if they deem it necessary.

Diet

In order to prepare for a facelift, patients need to do very little. Generally, avoiding aspirin, motrin, and other medicines which prolong bleeding and fish oil, herbal meds, etc. is probably the only actual work which the patient has to do.

Medications for Swelling

Patients should probably avoid NSAIDS after a facelift due to risk of bleeding. Consulting with the plastic surgeon, in this case, is probably the best option.

Protein S-Deficient Patients

Patients, even if they have protein S deficiency (involved with thrombosis), should not worry about undergoing surgery if they have been cleared by their hematologists.

Brow Lift Options vs Facelift for Eyelids

Patients dealing with excess skin on the upper lid could probably just have a blepharoplasty done while a browlift can be performed for a droopy brow at the same time. Botox can also be used if the problem lies in the forehead itself.

Cheek and Neck Lifts = Facelift?

This is probably better discussed with your surgeon as he/she will have a better idea of what areas need to be addressed. Again, it is more these important areas that need to be addressed, rather than the actual terminology, which matters.

Ear Lobe Numbness

Generally, the greater auricular nerve is not damaged during mini-facelift surgery because the incisions are made after the earlobe is cut free. Therefore, there is usually not a great deal of permanent numbness but again, consulting with a neurologist may be necessary for anxious patients.

Complications

The degree of complications following surgery usually has a direct correlation with the skill of the surgeon. Again, most complications are minor and relate to fluid present in the skin or small irregularities, but they can be major if they include nerve damage, etc. Again, asking these questions with the plastic surgeon is probably the best option.

Acculift for Fat Reduction

Personally, I would not recommend having liposuction procedures done on the face especially for younger patients as they are difficult to repair if done incorrectly.

Variation of Facelifts

Facelifts tend to vary greatly from doctor to doctor, with less invasive facelifts generally having less downtime and swelling than more invasive ones. Surgeons also have different draining techniques and other small things, so it is best to find the best one for you.

Facetite Procedure

The main side effects of this procedure are bleeding, scarring, and possible nerve injury. It would be best to find a board-certified plastic surgeon and have a consultation to decide whether this procedure is the best for you.

Results from Deep Plane Facelift

Typically, improvement from a facelift should be seen after 1-2 weeks when examining before and after photos.

Using Doctor in a Fellowship Program

Though fellowship doctors have a lower cost, it is important that they be monitored by the Fellowship director for quality control and teaching purposes.

Marionette Fold Excision

Marionette lines are typically caused by loss of facial volume and skin laxity, both of which must be addressed through fat grafting or facelifts before the marionette lines are excised.

Facelifts and Smile Lines

Unfortunately, patients will not find any improvement with smile lines or nasolabial folds following a facelift. These are more likely resolved with fillers or fat grafting.

MACS Facelift Cost

In general, facelift cost vary depending on location, surgeon’s skill, facility and anesthesia fees, etc. Generally speaking, the cost hovers around 15,000 to 18,000 dollars.

Lowering Cheeks during Revision

Patients must be careful in deciding to undergo revision surgery, especially because the healing process is not yet finished after several months post-surgery. Consulting board-certified surgeons is probably the best option in addressing patient concerns.

Sleeping

Post-facelift, patients are recommended to sleep with the head elevated and perfectly straight (not on their side where they could put pressure on various parts of the face).

Age for Chin and Jowl Lift

It is not uncommon to see patients undergoing these procedures in their early 40s if they present the need for one, the need normally being problems with skin laxity. Again, if you feel that you need the surgery and your consultations with the plastic surgeons have been any indication, I would go ahead with the surgery.

Thinning of Face Post-Op

Generally, fat grafting is done during a facelift causing the face to appear thinner. Also, because the muscles and skin are being tightened, the cheeks often have to be reshaped causing thinning of the face.

Sun Worshipper

People who are out in the sun a great deal often find themselves dealing with premature signs of aging. However, facelifts are often not necessary and can easily be replaced with eyelid lifts and modified facelifts. Consult with your plastic surgeon about your options.

Mistakes

Generally, patients following facelifts will have certain areas of concern like scars and nerve weakness. These issues tend to resolve themselves over time, but patients must remain calm and remember that the healing process is gradual.

Facelift + Lipo for Double Chin

The double chin is probably best corrected with liposuction and the facelift can be done later for further improvement.

Concerns about General Anesthesia

It is perfectly normal for patients to have concerns about general anesthesia and, if this is the case, they should consult with their plastic surgeon about it prior to surgery. However, anesthesia is very safe and patients should not be concerned unless health problems present an issue.

Deep Plane vs MidFace Lift and Best Surgeon

In general, both the deep plane and midface lift technique are done extensively by many surgeon and are both formidable techniques in their own right that can varied from patient to patient. In selecting a surgeon, it is best to evaluate before and after photos in addition to making sure he/she is board-certified.

Facelift After Fillers?

Generally, having a facelift is not a problem after fillers are added so long as it is placed in a convenient position which will not interfere with the procedure.

Facelift Longevity

If patients are truly serious about long-term results, the facelift is probably the best option. Granted, some facelifts are more small-scale and less invasive than others, meaning less downtime and longevity, but, in general, facelift techniques which repair facial contours and rearrange muscles in the face are more long-lasting and provide for more satisfying results.

Coloring Hair

Patients should wait around 4 weeks before coloring their hair.

Revision of MACS Facelift

Generally speaking, fat remaining along the nasolabial folds all the way down through the jowls can only be corrected with a facelift. Excess fat below the chin, however, can be corrected with chin implants and additional cheek reshaping can be done with a filler.

Fillers and Facelift

Generally, having a facelift is not a problem after fillers are added so long as it is placed in a convenient position which will not interfere with the procedure. Again, fillers are used to address volume problems, not skin laxity.

Full Endoscopic Facelift?

Unfortunately, given the nature of a facelift to tighten the SMAS layer and redrape the skin, it is virtually impossible to do a full facelift endoscopically.

Facelift after Parotidectomy?

I would not recommend getting a facelift following a parotidectomy simply because of the increased risk of facial nerve injury. This is because, after a superficial parotidectomy, the position of the facial nerve changes and is unknown to the surgeon.

Fluid on Cheeks Post-Facelift

Generally, patients experiencing swelling in the malar regions are those who have a great amount of excess tissue prior to surgery. Liposuction can usually be done on these pouches, but results may vary and it may take up to 12 months for the area to heal (if it even does).

Eyelid concerns

Problems with the eyelid post-op can be serious and usually call for additional consultations with the surgeon. Itching in the eyes is normal, but bulging of the eyeball can be related to internal bleeding or excessive scar formation.

Scar Revision Below Temple

It is possible to fix scars in this location by re-excising them and closing it. Further healing can be done after 3-4 months when the scar is then lasered.

Acne Scars

Acne scars are only temporarily fixed with facelifts due to post-op swelling, but eventually, patients find that the removal of excess skin and fixing of the facial contours characteristic of a facelift does nothing for acne scars. Dermabrasion is probably the best option for you.

Facelift after Metacrill

This is a question which probably requires special examination by a plastic surgeon. Find an experienced surgeon with the credentials for this job and do not let price be the sole guide of your choices.

Blood Blisters

Post-surgery, it is extremely uncommon to find blood blisters on the face. Consulting with a plastic surgeon who performed the procedure is probably the best option at this point.

Staples

Generally, surgeons reserve staples for anything in the scalp area especially for incisions along the hairline because they provide excellent eversion and do not compromise blood supply (thereby reducing hair loss).

Platysmal Bands Post-Op

Platysmal bands, usually the results of aging, shortening, and fibrosing of the neck muscles, can usually only be treated with revision platysmaplasty.

Tightness 7 Months Post-Op

Experiencing tightness, a sign of returning nerve activity, is extremely common after a facelift. However, after 7 months, it is possible that the tightness is caused by a permanent suture which can be removed.

Upside Down Smile

Facelifts will generally do little to help with an upside down smile because the problem is more volume loss related as opposed to skin laxity-related. Volumizers like fillers or fat injections are the best solution in this case.

Mentalis Strain and bulbous nose advice

Dimpling of the chin can generally be improved greatly with Botox and the nose can easily be fixed with a bulbous tip reduction. Furthermore mentalis bunching can be corrected with the use of a chin implant.

Jowling after Facelift

The best treatment for jowling post-facelift is probably a mini jowl lift which has minimal incisions and will probably provide the desired results for many patients.

MTHFR Gene Mutation

This gene mutation which is noted for creating an increased risk of blood clots and other vascular complications may present problems during surgery. It is important for patients with this condition to be cleared by the hematologist prior to undergoing surgery in order to avoid hematomas.

Facelift at 59?

Most patients even at this age do not require a full facelift, but are often more eligible for procedures like a mini facelift or laser and chemical peel simply to treat skin laxity around the jawline. These procedures all performed under local anesthesia can give long-term results.

MidFace

The Midface lift is a good procedure designed to elevate the midface triangle/cheekbone area and the lateral brow area. This will help combat skin laxity around this area.

No Success with Fillers

Just because the use of fillers was unsuccessful does not automatically mean that a patient requires a facelift. Flat cheekbones can corrected with fat injections and other areas can easily be corrected with microliposuction.

Stitches Popping

For patients who have problems with stitches popping post-surgery, it is probably to see the surgeon in order to determine if they were necessary in the first place. It depends on how wide the existing scar is and whether the patient is comfortable with that.

Numbing and Tingling after Deep Plane Lift

Generally, numbness and tingling is caused by the disruption of nerves and changes in nerve activity following the procedure. It usually takes up to 3-6 months for the face to feel normal again

Drainage 11 days Post-Op

In general, drainage should not last more than a day or two after surgery. If drainage is persistent, it is probably best to notify your surgeon immediately to examine for hematomas.

Scars in Eyelid-Access Mid Face Lift

It is unusual for surgeons to cut through the eyelid when doing the surgery. What the surgeon most likely wants to do is to make a skin incision below the lower eyelid lashes and dissect the orbicularis oculi muscle below the eyelid. Usually, this incision will be relatively unnoticeable.

Neck Strain Post-Op

It is important for patients post-op to take it easy on the face and neck area especially in an effort to avoid platysmal banding and the stretching or straining of delicate post-op facial structures.

Deep Plane Lifting vs Regular Facelift

The difference in a deep plane facelift as opposed to other surgeries is that the deep plane lift cuts below the SMAS layer before lifting and repositioning the muscle layers above it (the SMAS). This provides for more long-term results, but is usually reserved for patients with GREAT skin laxity (usually in their 70s or 80s). The regular facelift, while invasive, is less so and strictly limits itself to rearranging the SMAS layer.

Facelift Without Surgery

Patients who are not comfortable with facelift surgery may consider fillers as a way to simply restore volume without actually lifting the face. This may be best discussed with your plastic surgeon.

Incision Techniques

The reason why surgeon use different incision techniques mainly boils down to training and experience. The best surgeons, as implied, will attempt to create the shortest scars possible while being able to manipulate the skin and deeper tissues.

Facelift in Hospital vs ASC

Most hospitals in which facelift surgery is performed usually have an associated ASC so the chance for infection in either location is usually low as long as they have good certifications/credentials (preferably AAAHC). If the surgery is performed in an ASC, it is probably best to ensure that the surgeon has hospital clearance so that, if complications arise, he/she can have you admitted into the hospital.

Facelift+Revision Rhinoplasty+Laser Resurfacing

All of these procedures can generally be performed concurrently as long as an MD anesthesiologist is available and is fully consulted with prior to surgery.

Droopy Right cheek

Without photographic evidence, it is difficult to actually prescribe a line of treatment for patients. However, for droopy cheeks, I would say that the best method of treatment would be a cheek lift. Consult with a plastic surgeon about this and patients who have had this done.

Facelift w/Least Scars

Some of the least invasive facelifts include short scar or mini facelifts which, though providing less long term results than SMAS lifts, etc., have less scarring and downtime.

Facelift + Eyelids With Different Doctors

If patients want to do two surgeries concurrently with different doctors, it could be possible. However, this could be somewhat unnecessary as many board-certified plastic surgeons are fully capable of performing blepharoplasty incisions when doing facelifts anyway. Therefore, if the plastic surgeon is fully qualified, it may just be easier to have him/her do the surgery alone.

S-Lift Offers No Improvement in Jowls

Generally speaking, the S-Lift is not a fully adequate procedure to use when patients want to address jowling. The S-Lift is more of a procedure which lifts the skin and does not frequently touch the deeper SMAS layers of muscle and fascia which control jowling. Perhaps a more invasive facelift is needed to address jowling.

Amoxicillin Pre-Op

For people dealing with infections prior to surgery, it is probably best to completely resolve these issues before undergoing surgery.

Revision Facelift Risk

Typically, after a failed MACS Lift, revision surgery is not suggested until a year later. Yet, photographs and formal examinations are in order for patients who seek revision surgery.

Facial Nerve Injury Recovery

Typically, numbness in the face, difficulty making facial expressions, and the droopoing of facial features is caused by facial nerve injury. If temporary, this usually resolves itself within 6 months to a year, but may take longer for some patients.

Good Facelift

When trying to find a good surgeon for a facelift, it is best to find one with a good reputation and to also consult with them to find the best possible surgery for you. Looking at before and after photos can also be helpful.

Pixie Ear Revision

Generally, pixie ears can be easily corrected by elevating the remaining lobe and closing off the scar area.

Scar Tissue Issues

Following a surgery, scarring is often a problem for many patients. However, the extent can vary from patient to patient, meaning that consultation are often necessary.

Crooked Eye Creases Five Days Post-Op

Five days post-surgery is usually too early for patients to adequately examine the effectiveness.

Less Expensive Facelifts?

People have been questioning recently whether the advent of Botox and other procedures have negated the need or have at least driven down the costs of a facelift. To be honest, I feel that this is not the case and that, in fact, a facelift may cost less in the long run due to the repeating nature of Botox treatments. Also, given the minimal margin of error, it is difficult to see facelifts becoming less expensive.

Women w/Rosacea

Facelifts are generally not meant to address the skin, but rather for deeper muscle layers and tissues. Therefore, redness and pimples on surface skin should not present a problem during the procedure.

Facelift at 26?

Generally, people around the age of 26 rarely require a facelift surgery because skin laxity is usually not a problem at this age. Though fillers may be unsuccessful at addressing volume loss, other methods like implants, fat grafting, etc. may help where fillers have failed.

Additional Facelift?

Patients must remember that a facelift is only a temporary measure which, rather than stopping the time clock entirely, sets it back about 10 years. Because of this, aging often initiates the necessity for a second facelift particularly when volume loss and skin laxity continue to be a problem.

Nylon Sutures

Nylon sutures which are left in post-procedure are generally not toxic and do little internal harm. The problem is that they tend to work themselves out of the skin, meaning that they must be removed when they are near the skin.

Blood Pressure

Among other things like general wellness and a healthy diet, maintaining a healthy, constant blood pressure is perhaps one of the most important things a patient can do prior to surgery. General anesthesia is probably the best option for high blood pressure receivers of a facelift.

Risk of Surgery

Generally, scars tend to heal quite nicely across most demographics and age groups, yet younger patients tend to scar more noticeably than older patients (better inflammatory responses, etc.). Again, genetics also plays a huge role in determining the outcome of scarring as does racial demographics in some cases (African-Americans, for example, tend to develop very noticeable pink scars).

Scarring During Serdev Lift

For younger patients, regardless of the marketing technique used, I would not recommend getting a facelift. Patients who are young are probably better off with injectables or even smaller scale techniques like threadlifting.

Facial Asymmetry

Patients who are concerned with facial asymmetry should most likely have a consultation with the plastic surgeon. Even with photographic evidence, this condition is hard to truly pinpoint and a full exam is more likely required

Bilateral Swelling on Glands

Patients when trying to diagnose glandular swelling post-op must try to make sure that it is not in fact swelling from the facelift procedure itself. During a facelift, it is unlikely for the parotid gland to be disturbed in any way.

Non-Surgical Method for Loose Skin

Unfortunately, skin laxity cannot be addressed by a non-surgical method, but only through a facelift.

Unsatisfactory Facelift Results

Patients before evaluating themselves for “unsatisfactory” results must make sure to have a consultation with a plastic surgeon to determine whether these results are not normal. Taking before and after photos would be a good place to start.

Effect of Mid Facelift on Eye Size

Patients undergoing a subperiosteal midface lift combined with orbital rim implants may have a problem in that the eyes, if small in the beginning, may look even smaller. In this case, the incision for the facelift is made through the eyelid which changes the angle of the corner of the eye and the apparent height and width of the eye.

Neck/Facelift Revision

Patient who have a neck lift surgery may find that, over time, the skin in the submental region has become attached to the underlying muscle, causing a lumpy appearance under the neck. If this occurs, revision surgery is needed in which the original facelift incisions are opened up and the skin is redraped.

Opposition to Facelifts at Young Age?

Generally, facelifts are reserved for patients who have problems with skin laxity, not with volume loss. Rarely does a young person have premature signs of aging such as jowling and neck laxity in which it would be appropriate to offer the patient a face and neck lift.

Scleral Show

People who have severe concavities in their lower eyelid can often find that procedure designed to lift and tighten the lower lid will help. Midface lifts are usually not needed in this case.

Facelift in 40s Requires Facelift in 50s?

Generally, the earlier a facelift is done, the more better and long-lasting the results are. However, patients must be careful to only have a facelift if the signs are there (e.g. sagging skin, facial/skin laxity, etc.)  and avoid having it too earlier.

Too Young for Temple Lift?

In their early 20s, patients can easily substitute a temple lift surgery with Botox for the lateral brow area. Other options include lasers, light peels, and skin care treatments.

Too Tight Facelift

After a long period of time (e.g. a year), it is unusual for patients to deal with tightness in the face and numbness. Possible nerve damage could be a factor if these symptoms persist and it is best that patients see a neurologist as soon as possible.

Bags Under Eyes

Bags under eyes post-op is likely caused by either herniated fat or by fluids brought about by swelling. Having a second opinion is probably the option for concerned patients.

Too Young for a Facelift?

Generally, people in their twenties rarely require a facelift surgery because skin laxity is usually not a problem at this age. Though fillers may be unsuccessful at addressing volume loss, other methods like implants, fat grafting, etc. may help where fillers have failed.

Perioral Mounds

Patients who have “mounds” when smiling usually have a problem with volume loss related to diminished subcutaneous fat. Fillers and perhaps Botox are the best lines of treatment for these conditions.

Procedures Performed under Local Anesthesia

Procedures like endoscopic browlift, mini facelift, cheek implants and eyelid surgery can all definitely be performed under local anesthesia, but IV sedation would probably be more recommended.

Preventing Facial Nerve Damage

Board-certified plastic surgeons must undergo rigorous training and must be extremely familiar with the anatomy of the face to earn this high level of certification. Therefore, if you selected a capable surgeon, you are probably in good hands and need not worry about nerve damage.

Non-Surgical and Non-Needle Volumizers?

Unfortunately, without surgery and without fillers and fat grafts, it is impossible to add volume to the face where it is needed. Facial exercises may exacerbate volume loss, but again the best treatments are fillers.

Facelift When Patient is Fat

Patients should not worry about weight during facelift if they are able to keep their weight relatively stable. Patients who lose weight post-op, however, may have a problem with volume loss.

Will Ridge on Cheek Post-Op turn into a scar?

Ridges on the cheek post-op could be a variety of things including fluid, residual sutures, or fat necrosis. Consulting a plastic surgeon and having an exam is probably the best option for patients dealing with this problem.

Mental Problems After facelift?

It is unusual to hear of patients dealing with mental problems as a direct result of facelift surgery and is probably not true. Surgery can take its toll psychologically, particularly if the results are not satisfactory to the patient. Such patients should seek psychiatric help if symptoms persist.

Discussing with Plastic Surgeon

The point of plastic surgery is, ultimately, patient satisfaction. However, if the patient has questions, it is his/her duty as the receiver of medical care to address them with the plastic surgeon without embarrassment. It is our job as doctors to provide for every need, within reason, for the patient during surgery.

Facelift Surgeon or Face+Body Plastic Surgeon?

In general, it does not matter what type of plastic surgeon your doctor is, as long as he/she is experienced and has the necessary medical training and certifications to take on the surgery. One would hope that he/she has the experience necessary, regardless of where the surgeries are conducted, to repeat successes and do it consistently.

Facelift After Weight Loss?

It is best for patients who just had rapid weight loss to stabilize their weight before surgery, if that is the option they desire. Surgical options for patients with looseness in the neck and skin could be liposuction, but patients should wait to see if the skin stabilizes after weight loss as well.

Lines on Face Post-Op

Patients dealing with lines on the face after the operation along the sides were subject to poor skin redraping. This can be resolved through massage, ultrasound, steroid injections, etc. but the condition should first be discuss with a plastic surgeon.

Cost

The cost of a plastic surgery procedure depends on the surgeon’s skill and expertise, location of surgery, facility and anesthesia fees, reputation of the surgeon, and other fees. In general, more experienced and well-known surgeons cost more, but again, with great results often comes great financial sacrifice.

Facial Paralysis Post-Op

Patients dealing with facial paralysis usually have their symptoms subside within 9 months to a year. Consultation with a neurologist may be necessary.

Cheek Bumpiness Post-MACS Lift

Especially on patients with thin skin, the MACS Lift which involves pursestring sutures that elevate deeper tissues can often create noticeable lumps on a patient’s face post-op. For these patients, a limited traditional SMAS Lift may be the better option.

Malfunctioning Drain Post-Op

Drains are mainly used as a way of reducing the risk of hematomas post-op, but these devices are often clogged by the fluid which they try to drain, making them almost unneeded after a day or two post-op. Generally, this will not be an issue.

Platysmal Banding Post-Op

Patients dealing with platysmal banding after surgery, usually the results of aging, shortening, and fibrosing of the neck muscles, can usually only be treated with revision platysmaplasty. This procedure consists of a small incision made under the chin through which the platysmal muscle is tightened.

Cysts Prior to MACS Lift

Generally, the presence of cysts prior to surgery is problematic in that it could increase the risk of post-op infection. However, if found early, cysts can be easily removed or avoided during surgery.

Facelift in Thailand

America is not the only country with top-dollar plastic surgeons. However, if patients are going overseas for surgery, they should definitely do their homework on their surgeons, making sure that they are achieving the best results they can for their ideal price. Patients should also plan to stay in the country for an extended period of time in case any problems may arise (since this could be a problem, I would not advise having surgery overseas).

Asymmetry in the Eyes

Asymmetry in the eyes can generally be corrected not by a plastic surgeon, but by a maxillofacial surgeon who is more specialized in these issues.

Post-Facelift Spasms

Spasms are usually very common in most post-surgery patients. They usually heal themselves as time goes on.

Smoking

The problem with smoking and surgery is that the nicotine in smoke constricts blood vessels which are needed for healing post-op. Failure to quit smoking can create devastating open wounds and the advent of dead skin cells in large sections.

Facelift at 17

Patients in their teens should not be considering a facelift, period. Consulting with a surgeon as to your options and even with your primary care doctor may be the best option.

Chin Swelling One Month after Facelift?

One month post-op, it is extremely common for patients to have swelling in and around the chin. Unless symptoms persist for more than 10-12 weeks, patients should not worry.

Jowls and Sagging Skin for Younger Patients

Younger patients generally do not have a problem with excessive jowling, but can take good skin care regimens and maintain a healthy lifestyle in order to keep themselves looking young.

Risk of Smoking Prior to Facelift

Doctors recommend that patients quit smoking for at least 2 weeks before surgery. This is because nicotine in smoke constricts blood vessels which are needed for healing post-op. Failure to quit smoking can create devastating open wounds and the advent of dead skin cells in large sections.

Ruptured Suture Line

Though suture line ruptures can happen in healthy people, it is not common. More likely, ruptured suture lines are caused by skin necrosis due to poor blood supply. As the part of the facelift which is under the most tension, low blood supply to this region is common and is even more exacerbated when the person smokes as nicotine constricts blood vessels.

Laser and Neck Revision

Laser treatments, unfortunately, tend to aggravate neck folding and are often better substituted with a complete revision neck lift consisting of redraping the skin, a platysmaplasty through an incision under the chin and other steps. Consulting with a plastic surgeon may be the best way to find other options as well.

Droopy Smile 2 Weeks Post-Op

Fillers can be used on patients who are having droopy corners on their mouths when they smile.

Facelift at 40?

Normally, at this age, skin laxity is usually not a problem, with the issue usually being volume loss. Liposuction under the neck, for patients dealing with loose skin, may be ideal.

Revision Facelift for Tragus Area

Photographic evidence would be needed to investigate the possibility of a tragus lift, but again, this procedure is possible if there is a laxity of tissues on one side.

Bruising 2 Months Post-Op

At this point, any residual bruising would most likely be caused by residual hemosiderin staining or a small hematoma. It generally is not a great issue, but should be consulted with the plastic surgeon.

Paralysis of Right Eyebrow Post-Op

If major damage like paralysis occurs to the facial nerve, it may take quite a while before full recovery of the nerve (if full recovery even occurs). Generally, for these types of cases, patients should expect to wait 6 months before recovery ensues.

General Anesthesia and Dental Work

Patients concerned about displacing or fracturing existing dental work with general anesthesia should not worry too much as anesthesiologists take care for these concerns. LMA or Combitube can also help for patients with concerns.

Affordable Surgeons

Again, though it is frustrating to find yourself locked out of certain price markets, patients should be wary of performing surgeries abroad or with high volume doctors JUST so they can save money. In plastic surgery, you often get what you paid for, so research is often necessary to find the best, affordable surgeons.

Follow-Up

Surgeons generally see their patients frequently for the first 6-12 months post-op.

Hard Swelling after MACS Lift

Patients experiencing this symptom could be experiencing a laundry list of symptoms from a deep hematoma to a hardening of surrounding tissue caused by tightening due to a MACS Lift Suture.

Tightness = Nerve Damage?

Generally, tightness around the ears several months post-op should not worry patients as it is not associated with permanent nerve damage but rather with inflammation associated with healing. Here, nerves are just beginning to recuperate after the trauma of surgery but may take a while to adjust themselves.

Under Eye Hollowness

Unfortunately, under eye hollowness is not one of the many symptoms which a facelift treats. Patients looking to treat this symptom should look a route centered on blepharoplasty with fat transfer (the fat usually is harvested from the thigh). Fillers may also work in this case, but usually fat transfer is the best option.

Swelling and Distortion 3 Months Post-Op

Patients who have major facial work done, meaning several major procedures done concurrently, should expect a great deal of downtime AND a longer period of swelling and bruising as they are dealing with internal and external healing. Optimal results may be in store if the patient is willing to wait up to several months.

Chin Sagging

Patients dealing with extra skin (not to mention skin laxity) around the chin/neck area may require a lower facelift in addition to a chin lift. Platysmaplasty may also be required to deal with post-op neck banding following the surgery. In addition, though patients may be concerned about hitting the thyroid gland during surgery, these procedures rarely touch it.

Jowls One Month Post-Op

Generally speaking, patients seeing “jowling” one month after a facelift should wait several months as it could just be residual swelling from the surgery.

Plastic Surgery for Men

Generally, though male patients constitute only about 10% of cosmetic surgery patients, doctors trained to handle female patients should be equally trained to handle male patients as well. The dissections and anatomy of the faces may be different, but, as long as these are attended to with skill, most of the surgeries remain relatively the same.

Microcurrents Post-Op

To be honest, I see no real benefit OR harm in having microcurrent procedures done because they only affect muscle rather than the fibrous tissue layer (SMAS) which was affected during the facelift. I have always been wary of these microcurrent treatments as stimulating muscle repeatedly could cause further wrinkling of the skin.

Stem Cell Facelift

The problem with the stem cell facelift is that it is not really a facelift in the true sense, but rather a modified method of fat grafting. Studies have shown that it really does not do more for the patient than simple fat transfer which can last for several years.

Concerns About Scarring

Generally, if the surgeon which the patient has selected is reputable and capable, he/she will attempt to make the scars as inconspicuous as possible. The scars will generally be located behind the ears and will usually be hidden by the earlobe and hairline.

Deep Plane Facelift Recovery

Particularly for the more invasive facelifts, swelling and dry skin weeks after surgery is to be expected as skin, when swelling occurs, become less pliable and more rigid. Certain creams like Aquaphor may help but discuss their options with your surgeon.

Facelift w/o Drains?

Drains in general are often put in place to aid with bruising, but are not always used and not always required by surgeons.

Facelift at 35?

Younger patients, as I have stated many times, are usually not the ones having problems with skin laxity for which a facelift is the ideal solution. Rather, the problem for them is usually volume loss which can be easily addressed with fillers or fat grafting. However, if sagging IS an issue, patients at this age may consider a mini facelift.

Seeing Someone for Revision Facelift

Surgeons doing revision surgery generally should be more experienced in order to ensure a low complication rate. Make sure to examine before and after photos before deciding on a surgeon.

Soof Lift vs Midface Lift

The procedure of a SOOF lift consists of combining fatty areas from the ocular areas and the sub-ocular areas and allowing this combined fat to elevate the orbicularis oculi muscle for a full cheek lift. This is very similar to a midface lift except that the incisions are made through the lower eyelids rather than through the temple region and the gums.

Weak Smile 5 Years Post-op

Unfortunately, assuming that patients did not have pre-existing nervous conditions (Bell’s Palsy, etc.), it is safe to assume that 5 years is a good indication that nervous function will probably not return to this area.

Facelift at 24?

Younger patients, as I have stated many times, are usually not the ones having problems with skin laxity for which a facelift is the ideal solution. Rather, the problem for them is usually volume loss which can be easily addressed with fillers or fat grafting. However, if sagging IS an issue, patients at this age may consider a mini facelift.

Sagging Mouth and Wrinkles on Forehead

In general, forehead wrinkling and other skin-related issues can be easily resolved with Botox injections repeated every 4 to 6 months. Fillers can also be used for the saggy mouth areas especially on the corners, but surgery may be required for more long-term results.

Revisional Earlobe Procedures

If patient find their post-op earlobe shape unsatisfactory, it can easily be repaired under local anesthesia. However, it should be done after the facelift has healed when the skin and supporting tissues are more fixed in place.

Midface Lift + Spacer Graft

For facelift patients who happen to have severe lower eyelid retraction, it is often necessary to perform a spacer graft procedure in concurrence with the facelift surgery.

Burning Feeling Post-Op

Burning sensations typically follow numbness in the cheek area as nerve endings attempt to regenerate. Usually, these sensations go away with time, but anti-inflammatory medications, taken with the surgeon’s approval, may help.

Final Results from Facelift

Facelifts should improve quite subtly over a course of 6-12 months.

Earliest Age for Facelift

Again, a facelift should only be reserved for patients dealing with skin laxity, which is more of an issue for older patients. Younger patients usually have a problem with volume loss, meaning that their facelifts can be pushed back with fillers, fat grafting, etc.

Unable to Blink Post-Op

Generally, patients being unable to blink can anticipate that some sort of nerve damage has been done. Waiting a little for potential recovery, however, is the best option, but patients at this time must take care to keep their eyes moist to avoid corneal damage.

Droopy Face 7 Months Post-Op

Without photographic evidence or a comprehensive exam, it is hard for doctors to diagnose skin laxity in the face. The best option for patients with “droopy” faces is to bring before and after photos to be evaluated by their plastic surgeon.

Bruising Post-Op

The amount of bruising for patient is dependent on the surgeon’s skill, potential drains, the patient’s history of bruising, etc. Patients tend to heal after about 2 weeks, but it may take as long as 3.

“Pins and Needles”

Tingling and numbness post-op is fairly common after surgery as nerve endings are attempting to regenerate themselves. This should continue for about a year until the conditions subside.

Folding on Incision Post-Op

Often, for patients with excess skin, surgeons will make the mistake of trying to keep the incision short, causing excess skin to bunch up around the incision site. The best solution for this is probably the use of Kenalog injections and a possible re-draping of the skin.

Scarring for Facelift, Blepharoplasty, and Subnasal Lip Lift

Facelift scars generally fall behind the outline of the ear along the edge of the hairline. Blepharoplasty scars fall in the natural crease above the eye and just below the eyelashes on the lower lid. Finally, the subnasal lip lift is marked by an incision under the nostrils.

Problems w/Acculift

Patients having difficulty with their face post-Acculift may be experiencing difficulties with the injectables and fillers used during the procedure. Consult with the surgeon to find what problems you are having.

Complications 8 Weeks Post-Facelift

Patients who undergo chin implantation must be aware that chin implants can get infected if antibiotics are not used. Chin scarring can have a great deal of induration, but should improve over time.

Determining a Well-Done Facelift

Examining the results of a facelift consists of carefully inspecting the before and after photos taken with the same facial expression to check for any differences. Take care to look for aging features in both photos and examine them from different angles. Ultimately, the surgeon’s job is to create a younger looking more natural version of the patient.

Midface Lift Issues

Patients, after a midface lift, should generally not look to adjust the height of the cheek as it could distort the lower face as well. Cheek asymmetry, however, can be fixed by soft tissue fillers (Juvederm, Restylane, etc.) and fat transfer. Consulting with your plastic surgeon remains the best option.

MACS Facelift Issues

What patients must remember is that MACS Facelift only yield good results on a certain handful of patients. It is a surgery which produces fullness in the cheek area, but may require a lower eyelid lift in order to reduce bunching from the underlying tissue. However, patients should wait several months before making any judgement calls.

Mini Facelifts

The mini facelift procedure should be used for younger patients who are dealing with minimal jowling and looseness in the neck.

Facelifts or Fat Injections?

Younger patients who are simply looking to replace lost volume in the face should definitely choose fat injections or fillers over facelifts simply because of their cost-effectiveness and minimal downtime.

Fat Transfer Irregularity

Irregularity following a fat transfer, especially one done very poorly, can be common. Patients, however, should be wary of worrying too much and should let time go by a little before making any calls.

Dental Work

I personally recommend patients to avoid dental work for the first month or so after a facelift. However, even at seven weeks or so, patients should inform their dentists about their surgery and advise caution.

Deep Plane—“Natural” or “Windswept”

It is probably best for patients considering a deep plane procedure to have several consultations with different plastic surgeons before making a judgment call. Go with the surgeon who makes you feel the most comfortable.

Skin Trimming Facelift?

Generally, it is not a good idea to create a facelift in which only the skin is pulled as this was a technique used in the 80s which most resulted in the “wind tunnel” look characteristic of poorly performed facelifts. In addition, these facelifts often had a long scar which was worse than those of today’s more invasive ones.

Parotid Fistula

Patients dealing with a parotid fistula should put pressure on the ridge, maintain a bland diet to avoid excess salivation, and utilize a scopolamine patch.

Absent subcutaneous facial fat

It is somewhat rare for patients to have a thin layer of subcutaneous fat (this is probably based on the structure of their faces). Though fat grafting may seem like a good option here, it can create several surface irregularities.

Paralysis One Week Post-Op

Though damage to the facial nerve can occur post-op, it is extremely rare and patients should wait and allow existing nerves to heal before diagnosing themselves.

Left Ear Numbness 3 Weeks Post-Op

At this point, numbness around the ears is definitely a normal symptom, with sensation returning around 4-6 weeks after surgery. If sensation does not return after 6-12 weeks, damage could have been done to the greater auricular nerve.

Finding Good Plastic Surgeons

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com).

Fat Transfer vs Facelift

Patients must remember that a fat transfer is not at all equivalent to a facelift. Fat transfer helps with lost facial volume and involves the addition of fat to the cheek and temple areas.

Normal Sideburns or Facial Scarring?

Patients dealing with scarring along the sideburns can easily have their issues resolved as this may be caused by tension on the suture line or by infection/healing issues on the incision site. Usually, traumatized follicles take about 6-9 months before they start regrowing.

“Experienced”

Surgeons who are experienced are not qualified simply by numbers, but by their before and after photos, their technique, etc. Research is the key for patients.

Mild Sagging in Lower Eyes and Face

Generally, for patients in their early 40s, it is best to address jowling and sagging with a mini facelift with touch-ups repeated every 7-10 years.

Chin/Neck Fullness Post-Op

For patients several months post-op who are still seeing fullness and lumpiness in the neck and chin, it is probably safe to assume that most of this is composed of residual swelling and inflammation as well as limited platysmal banding. At this point, the only methods of treatment are massage and dilute steroid injections.

Before and After Photos

Facelifts vary and, as a result, so do their before and after photos. Generally, for the first few months, the patients will experience swelling and sometimes, volumizers are needed to enhance the look of surgery even after the swelling has gone down.

Face Lift + Fillers

Volume augmentation with fat grafts can definitely be performed at the same time as a facelift to restore the volume that the face has lost.

Swelling Under Chin Two Months Post-Op

Swelling under the chin may be result of further exposed salivary glands post-op. Several months of healing are needed before making any calls.

Assisting Facelift Patients

The best place to start when assisting facelift patients would be to follow every post-op instruction given by the surgeon. Have the patient sit upright whenever possible and avoid putting pressure on any one side of the face.

Healing Time After Facelift

Generally, patients should be looking at a healing time of 2 months or so following a facelift for results to begin to normalize.

Sleep Apnea

Patients who have severe sleep apnea and require a CPAP machine should be monitored 24 hours in a hospital following the facelift to avoid a severe apnea episode.

Implants vs Fillers

Patients should not expect a great deal of change in volume when using a filler. Major changes should probably be done with implants which can put in with local anesthesia.

Swelling Post-Facelift

Days after a facelift,  it is extremely common for patients to have swelling in and around the chin. Unless symptoms persist for more than 10-12 weeks, patients should not worry.

Swelling after Facelift and Lip Augmentation

Days after a facelift, it is perfectly normal for swelling to occur in its full force. Patients should definitely not worry in this period and should not give in to “buyer’s remorse”.

Increasing Pain 6 Months Post-op

It is uncommon for patients to experience a great degree of pain 6 months post-op or swelling in a great amount. Consulting with the plastic surgeon is probably the best option at this point.

SmartLift

Again, I would remain wary of such “gimmick” procedures. There is no substitute for a true facelift.

Numbness and Tightness

Months after a facelift, it is extremely common for symptoms of tightness and numbness to be apparent as nerve endings attempt to gradually regenerate themselves. Again, it depends on the invasiveness of the surgery, but healing should take time.

Laser Lift or Lower Facelift at 20?

Generally, patients with excess fat in the lower face at 20 years should not consider a facelift automatically, but should look into other options like buccal fat pad removal which can be done under local anesthesia and for which the results are visible in one month.

Tear Trough Concerns

Patients dealing with a hollow tear trough area should consider fillers like Restylane as a first line of treatment.

Full Facelift vs Mini Facelift

A mini facelift, as suggested by the name, is less invasive than a full facelift and relies mainly on lifting the jowl area and providing minimal tightening of the skin. A full facelift, however, goes deeper affecting the SMAS layer under the skin, repositioning facial contours, tightening the neck muscles, etc.

Acculift

Again, I would remain wary of such “gimmick” procedures which promise much but actually provide little. For patients serious about facial rejuvenation surgery, there is no substitute for a true facelift.

Anxiety Post-Op

Patients experiencing post-op anxiety can usually be helped with anti-anxiety medications or a visit to their local therapist or plastic surgeon.

Redness, Irritation Post-Op

Redness near the incision site is most likely the mark of a suture which should be removed as soon as possible. After this, the wound should be treated with vinegar washes or topical antibiotics.

Longest Lasting Midface Lift

In general, if patients are concerned about facial aging, the best way to address their concerns is through a full facelift. The mid facelift, while providing temporary relief in the cheek areas, does very little for the aging process.

Facelift in Thin Women

Ironically, healthy patients present problems in surgery due to their lack of major facial issues. In addressing the problems of these people, the best approach is to address the problems of volume loss (fillers, etc.) , skin laxity (facelifts), and change in facial shape. I would recommend a more holistic approach in addressing these problems, meaning a consultation is needed.

Chewing Gum Post-Op

It is probably best for patients post-surgery to refrain from repeated facial movements (chewing gum , etc.) for about 3 weeks.

Third Facelift?

Theoretically, there is no limit as to the number of facelifts which a patient could have. Therefore, if patients feel the need to have a revision done, it can be done successfully if the surgeon is fully competent and understands the context of their work fully. Again, I would look into other options before undergoing ANOTHER (maybe unnecessary) surgery.

Quick Lift

I would remain wary of such “gimmick” procedures which promise much but actually provide little. The Quick Lift, from what I’ve heard, is simply a variation of the short scar or mini lift which lasts for about 5-10 years (varies greatly though). Again, for patients serious about facial rejuvenation surgery, there is no substitute for a true facelift.

Marionette Lines Post-Op

Generally, marionette lines are not really the target area for a facelift and are much better suited for treatment by fillers or fat injections.

Suture Removal

Sutures can be removed from incisions in front of the ear about 7 days post-op while staples and sutures behind the ear or in the scalp can be taken care of after about 2 weeks.

Discoloration and Bruising 3 Days Post-Op

Hardness, swelling, and bruising are all extremely normal responses of the body to incision post-surgery. Patients, however, should monitor these sites over a period of weeks to check for possible hematomas.

Improvement of Maxillofacial Surgery

Patients who have excess fat above and below the platysma post-maxillofacial surgery could have many of their problems with a neck lift combined with a platysmaplasty designed to remove this fat and sew the platysmal muscle next to the hyoid bone.

Stabilizing Weight

The best results during surgery are often those in which a patient’s weight at the time of surgery is stable. Patients looking to lose weight dramatically should definitely do so prior to surgery in order to avoid the loss of structure and fat in the face after surgery. Otherwise, these patients may be at a higher risk of having to do a revision or touch-up procedure.

California Lite Lift

I would definitely beware of many of the marketed facelifts especially because they tend to promise much but often end up yielding very little. For patients serious about facial rejuvenation surgery, there is no substitute for a true facelift.

Staples in Face

Patients who have staples stuck in the face following surgery should most likely have them removed 1-2 weeks post-op.

Facelift or Fractional Laser Resurfacing

Patients deciding between doing either one of these procedures before the other can do any of these first, as long as the two procedures are separated by a period of 6 months. Laser treatment should probably be done later though as a way of combating the wrinkles which may appear after the facelift.

Elongated Scarred Earlobes

A revision facelift is not often necessary in these conditions as less invasive procedures like skin redraping or local tissue rearrangement can be done far more easily.

Midface lift at 35?

Patients looking for a more permanent fix as opposed to fillers and fat grafting may want to avoid the midface lift as it is not as effective as initially thought. Also, for younger patients, I always advocate against the facelift in favor of more sound methods like implants.

Facelift outside Beverley Hills

Though it may seem like all the best plastic surgeons are in the Beverly Hills area, there are plenty of other surgeons throughout the country who can probably do the same work for a cheaper price. Most board-certified plastic surgeons are perfectly capable, but patients must make sure to check credentials and certifications beforehand.

Facelift by Otolaryngologist?

Otolaryngologists are highly trained in facial plastic surgery so they are certainly capable, but the question ultimately remains as to the actual experience of the surgeon. Patients, whenever choosing a surgeon, should do their homework and check for the necessary credentials and certifications before undergoing surgery.

Wrinkly and Lumpy Neck Days Post-Op

Usually, any irregularities present after surgery will tend to resolve themselves over a period of time as the healing process ensues. Numbness is to be expected and lumps could be indicative of minor collections of fluid or blood, whereas wrinkling could be caused by the attachment of skin to underlying muscle. Again, these symptoms tend to work themselves out.

Facelift at Residency Program

Granted, experience may not be top-notch at many residency programs. However, one must remember that even the greatest surgeons started off as residents and fellows and that many of these young doctors-in-training are more capable than people give them credit for. Even so, I would make sure that the surgery is monitored.

Hardness 12 Days Post-Op

It is quite normal to have the feeling of hardness on the sides and chin. With patience and time, these areas should heal over the course of several months.

Failed Procedures

Again, photographic evidence is probably necessary to evaluate patients especially for revision procedure consultation. Consulting with your plastic surgeon is probably the best option

Facelift After Restylane

Patients must remember that a facelift is not the ideal solution for addressing volume loss in the face, but is rather more suited for addressing skin sagging and laxity. Patients having problems with fillers should consider fat grafting.

Deep Plane Facelift Damage to Tongue and Palate

Irritation of the palate area post-op is most likely the result of intubation during surgery or an oral airway. Usually, irritation tends to resolve itself out within a few weeks, but a surgeon should consult with you.

Ultrasound Facelift

Patients should not look at ultrasound facelifts and expect the same results as a traditional facelift.

Weakness in Facial Expression After Endotine Facelift

If done properly, the long-lasting (10 year) Endotine procedure should not produce any facial nerve damage.

Strange Aches and Pains 3 Years Post-Op

Generally, patients who are still dealing with nerve problems years after their surgery must accept the fact that such feelings are most likely permanent. Again, though, if deemed absolutely necessary, a consultation can be done with a neurologist.

Facelift Affecting Chin Definition

The best treatment for chin definition would probably be the lower facelift which improves sagging jowls and removes excess skin from the lower areas, repositioning tissues along the way. Areas from the mouth, neck, and ears remain relatively unaffected.

Timing for Facelift Following Lifestyle Lift

Unfortunately, many marketed procedures are ineffective, but revision surgery can usually be done 6-12 months after the failed procedure during which scars can be removed and/or repositioned.

Fixation Techniques in Facelift

Two different types of fixation during a facelift are imbrication and plication. Imbrication consists of dissection underneath the SMAS and the suturing of the SMAS flap to the fascial layers (under tension) to achieve a lift. Plication involves folding over the SMAS.

Deep Plane Facelift and Saggy Cheeks

Generally, deep plane facelifts are good procedures for fixing the cheek and jawline areas as the cheek is usually elevated, creating a higher cheekbone and a well-developed facial structure.

Problems under Chin Post-Op

Patients having jowl problems post-surgery usually have their problems addressed quite fully with fat injections. Glandular problems and exposed glands can also be addressed by the excision of skin.

Finding a Plastic Surgeon in New Mexico

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com) or to go on the American Society of Plastic Surgeons website (plasticsurgery.org) .

Facelift Reactivating Granuloma, Biofilm…

It is certainly possible that surgical trauma could activate granuloma, nodules, and biofilm, especially in the filler used was semi-permanent like Sculptra or ArteFill.

Asymmetric Lip Pull Post-Op

Asymmetry in the lips due to a neurological issue can be easily corrected with Botox, fillers, and additional revision surgery.

Ribbon Lift

Again, many of these trademark procedures are probably not the best option for patients looking for true results. From the research I have done into this technique, I have found that the ribbon lift is a good procedure which provides very satisfactory results, but results which only last for about a week before the face returns to normal.

Midface Lift After Cheek Implants

Patients who already have cheek implants in place generally do not require a subperiosteal midface lift. Either the cheek implants should go or the surgery should be avoided.

Saggy Face Following Restylane Filler

Personally, it is strange to see facial fillers AGING the skin. I would not recommend surgery as a first line of treatment, but would instead look at other options like full facial laser resurfacing or Sculptra.

Dentures

Patients who wear dentures normally should definitely wear them during the operation as they add additional volume to the face. Again, it is best for the surgeon to have a good picture of the patient’s normal daily face in order to best address their normal concerns.

Secondhand Smoking

Patients exposed to secondhand smoke should probably not worry about how it will affect their surgery. Again, it is mostly the nicotine within the cigarette itself which constricts blood vessels, so secondhand smoke shouldn’t be a problem.

Redness Around Hairline Sutures

Redness and irritation around sutures post-op is normal as the body sees the suture as a potential agent of infection and attempts to expel it from the body. Inflammatory cells are called and attempt to break down the stitch. It is probably best to consult your surgeon about these problems.

Revision Surgery

For patients who have had multiple major surgeries done in a relatively short period of time, it is probably best to wait before having revision surgery. The best option for such patients is to consult with various plastic surgeons.

Cheek Ridges Post-Facelift

Several months post-op, it is unusual to have swelling around the incision site. Such symptoms could be the mark of an edema or possible fluid, but may be an underpulled skin flap. Again, a more face-to-face exam is probably necessary.

Raised Sideburns

Generally, most facelift operations are made to have scars that look as inconspicuous as possible. Surgeons, in an effort to avoid raised sideburns, may be placed horizontally along the top of the ear.

Glue and Sensation

Generally speaking, using glue versus using sutures should not affect the overall regeneration of sensation which should return fully after about 2 years.

Facing Public after MACS Lift and Blepharoplasty

Generally, people should wait a minimum of two weeks before resuming daily activities.

Finding Surgeons in NY

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com) or to go on the American Society of Plastic Surgeons website (plasticsurgery.org). Make sure to examine before and after photos during this process to find an idea of the surgeon’s work.

Is Canthopexy Needed?

Patients who feel that they have eye deficiencies post-op should probably wait for swelling to disappear before properly evaluating themselves.

MACS Lift +Pinch---Effect on Eyes

Generally speaking , both of these procedures should do very little in the eye area besides removing excess skin, so it should not be a concern to patients.

Loose Skin from Weight Fluctuation

Generally speaking, younger patients tend to be somewhat critical of themselves and tend to see signs of aging where there actually are none. Surgery is probably not the best option for these patients and can be better substituted by liposuction or Exilis treatments.

Results of a Facelift

In general, a facelift will last for approximately 10 years if proper aftercare and follow-up treatments are adhered to. In many patients, it is often best combined with a blepharoplasty as well.

Nasolabial Problems

Generally, for nasolabial folds, a facelift, especially the marketed ones, is not the way to go. Fat injections or fillers may be a more effective method of treatment.

Op Notes

Prior to doing a revision surgery, it is often helpful for revision surgeons to have the notes from the previous surgery. Physicians are legally bound to release these records upon patient request as many patients have varying positions of vital structures on their face.

Swelling 9.5 Weeks Post-Op

At around 10 weeks, it is perfectly normal for patients to have irritated nerves and tight muscles, especially for more intensive procedures like a midface lift. As long as the problem is not developing and becoming worse, patients have no reason to worry.

Slanty Eyes Post-Facelift

As tissues and sutures gradually relax, slanty eyes following a facelift usually tend to resolve themselves quickly. However, if they do not resolve themselves after 6 months, see your doctor quickly.

Ptosis + Lacrimal Gland Swelling

It is probably best for patients dealing with these conditions to first see an ophthalmologist or even an oculoplastic surgeon to examine the lacrimal gland swelling. If ptosis surgery is needed afterwards, it can also be done.

Healing after Surgery

Generally, the rule is that, in post-op recovery, you are going to look worse before you look better. Fear and anxiety over facial appearance is perfectly normal in the weeks post-op and will likely subside as the face begins to heal. The key is patience.

Liquid Lift vs Midface Lift in 40s

Personally, I would recommend that patients in their 40s stick with their nonsurgicals simply because the signs of aging necessary for a facelift are usually not there at this point. Liquid lift is probably the best option right now.

Facelift at 43?

The timing of a facelift does not depend on age, but rather on the physical state of the face itself. If the cheeks have begun to droop, the jowls have appeared, and the neck has developed loose skin with lack of structure, then a facelift may be needed for such a patient. Again, however, there are many varieties of facelifts and patients should research which one is right for them.

Jaw Problems Post-Op

Jaw problems, especially those that are not present immediately after surgery, are probably unrelated to the results of the operation itself. It is probably best for patients dealing with these problems to be seen by an ENT and possibly even have an MRI done to check for problems.

Sensation Returning w/o Pins and Needles

It is possible for some patients to bypass the pins and needles feeling in favor of immediate return of sensation. It just depends on the extent of nerve healing which can occur, with some patients healing faster and better than others.

Fat Injections or Multi-Level Fat Grafting w/Facelift

In general, fat grafting is a technique used for effectively addressing volume loss and is usually best combined with a facelift for maximum results. In general, I would recommend that patients trying to choose between these two options see their surgeon and decide for themselves.

Midface Lift after Facelift

I would be careful of having an aggressive subperiosteal midface lift so soon after a facelift and would instead look to substitute it with fillers or fat injections which fulfill the same task and are less invasive.

Weight Loss After Facelift

Losing fat in the face after a facelift, especially for leaner patients, may cause the appearance of hollowness in the face which can easily be solved with fat transfer or filler treatments. Generally, however, as long as the weight loss is not dramatic (25 pounds or so), the patient should have little difficulty.

Numbness and Pain 3 Months Post-Op

At this point, it is normal to feel numbness as temporary nerve damage can occur and will resolve itself within 6 months to a year. Most of this depends on the patient, however, so it is probably best to check with your plastic surgeon.

Parotid Swelling Months after Facelift

Generally, if deficiencies are not present immediately after the surgery and appear a while post-op, they are usually not related to the results of the surgery. It is more likely the result of a parotid gland problem which can be resolved by seeing an ENT.

15 Months Post-Op Nerve Damage on Upper Lip

If numbness and other evidence of nerve damage is present 15 months post-op, it is unfortunately indicative of permanent damage to the buccal branch of the facial nerve. Nothing much can be done, sadly, at this point.

Long face

If done in the hands of a qualified plastic surgeon, fat grafting on the temples, under the eyes, and the cheekbones can be used. However, the surgeon must be qualified.

Doctor Recommendation

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com) or to go on the American Society of Plastic Surgeons website (plasticsurgery.org). Make sure to examine before and after photos during this process to find an idea of the surgeon’s work.

Recommendations for South Florida

Again, different patients will feel comfortable with different doctors. Have several consultations with a variety of top surgeons to examine which one is the right one for you.

Y-Lift vs Liqud Facelift

The Y-Lift, from my research, is a form of the liquid facelift in which a different instrument (blunt cannula) is used as opposed to sharp needles.

Fat Transfer with Midface or Full Face Lift

For patients experiencing midface hollowness with very little evidence of jowling, perhaps the best option would not even be surgery. Fat grafting often substitutes very effectively for surgery and is less invasive.

Bulging 7 Months Post-Op

Bulging after a facelift may be the result of several symptoms which require a more comprehensive face-to-face exam.

Nasolabial Folds Look Bigger After Endotine Lift

Unfortunately, patients looking to correct nasolabial folds and other problems in this area, the endotine lift is probably not the best option. Revision surgery can certainly be done, but only by a board-certified plastic surgeon (if the patient wants the best results).

Facelift Scar Revision

Scars can be easily excised causing any lower pole on the ear to move into a better position. After this is done, soft tissue can be activated to fill the defect.

Secondary Facelifts

Often, because much of the facial contouring was done with the first facelift, secondary facelifts are often much easier for both patient and surgeon. However, patients must make sure to find an elite surgeon who has the credentials for revision and secondary surgery.

Facelift With Pancreatic Tumor

Patients with cancerous tumors are at higher risks of developing deep vein thrombosis and pulmonary embolism post-op so it is imperative that these risks be addressed with the plastic surgeon. If possible, any tumors that can be removed should be prior to surgery.

Neck Tightness Relief Post-Op

Neck tightness is unfortunately very normal for patients, but it is a symptom which resolves itself over time. Consult with your plastic surgeon as to your options, but anti-inflammatory meds can be taken if needed.

Suturing for Midface Lift vs Mini Facelift

A mini facelift is a procedure in which incisions are placed around the ears and the skin is pulled up to these incisions and trimmed at the suture line. A midface lift, however, is usually performed through an extended lower eyelid incision, a preauricular (in front of ear) incision or a combination of both.

Obagi Treatment Post-Op

Generally, patients should wait about 6 weeks or so (consult with your surgeon on the specifics about this) before any Obagi or facial rejuvenation treatment is considered. The Blue Peel treatment tends not to be that deep, but still caution is the best course.

Chin Implant + Cheek Augmentation

Patients looking to improve the periorbital and cheek area should look into the cheek augmentation option via fat grafting. Jowling can also be fixed temporarily with chin implantations.

Asymmetry From Facelift or Ultherapy

Patients should remember that every face is technically asymmetric and that not even a facelift or ultherapy can fix minor defects like this. However, facelifts rarely affect facial nerves if performed correctly (should this be a concern) and ultherapy never goes deep enough to even touch any nervous tissue.

Lump Behind Ear 4 Weeks Post-Op

Patients will often find lumping in certain areas as a result of blood collections. Massage and ultrasound therapy usually help with this, but consulting with the surgeon as to the nature of the lump is the best first step.

Lumpy Skin

Patients should expect the results to not be very clear initially. Weeks after surgery, facial lumping is quite normal, but bunching of the skin should be looked after by the surgeon if such symptoms are present.

Fat Grafting and Weight Concerns

Patients before performing a fat grafting procedure should attempt to keep their weight as stable as possible prior to and after the surgery in order to keep the results stable. In addition, the grafted fat should come from a stable part of the body.

Acoustic Neuroma

Post-surgery acoustic neuroma is best dealt with by a specialized facial nerve center comfortable with the procedures of static slings, dynamic slings, nerve grafts including cross facial nerve grafts, and free innervated muscle grafts.

Catio Lifting

The Catio Lift is a relatively new procedure and there haven’t been any studies confirming its effectiveness. Therefore, it is probably best for patients, especially younger ones, to look for skin care options and ultherapy procedures for better results.

Nerve Damage Post-Endoscopic Facelift

After a facelift, it is probably best for patients to wait at least a year before making any judgement calls. Facial exercise at this point are useless.

Swelling 10 Days Post-Op

It is perfectly normal for patients to deal with hard swelling days after surgery. Patients are generally recommended to just be patient and continue follow-ups with their surgeon to make sure the lumps do not develop into hematomas.

Facelift for patient on Bloodthinners

Patients looking to have a secondary facelift should first obtain medical and cardiac clearance and also make sure to discuss the consumption of bloodthinners (and when it should be stopped) with their surgeon.

Mini Facelift vs. Full Facelift

A mini facelift, as suggested by the name, is less invasive than a full facelift and relies mainly on lifting the jowl area and providing minimal tightening of the skin. A full facelift, however, goes deeper affecting the SMAS layer under the skin, repositioning facial contours, tightening the neck muscles, etc.

Sloughing of Skin Post-Op

Patients dealing with sloughing of the skin could attribute it to a variety of causes such as smoking, history of diabetes, cardiovascular issues, the use of blood thinners, or the over-tightening of skin flaps during surgery. Consultation is necessary.

Uneven Surface Post-MACS Lift

Uneven surface features following a MACS Lift can be attributed to an attached pursestring suture, tethered tissue underneath the skin, etc. Yet, many of these issues can be corrected with revision surgery and the same scars can be reopened.

Deep Plane Facelift at 31?

Patients at this age are usually concerned about nasolabial folding for which the best option is probably the midface lift or even other less invasive procedures like fillers or fat grafting.

Bumps Behind Ear Post-Op

It is perfectly normal for patients to deal with swelling at the incision site days after surgery. Patients are generally recommended to just be patient and continue follow-ups with their surgeon to make sure the lumps do not develop into hematomas.

Suturing Horizontally near Hairline on Back of the Head

It is common for sutures to be placed in this location because it allows for trimming of neck tissue to be easily hidden within the hairline.

Reopening a Tragus Incision

Generally, the pre-tragal incision is one that has generally fallen out of favor with recent physicians who usually prefer a post-tragal incision. However, if a pre-tragal incision needs to be done over an existing scar, it should be fine.

Muscle Spasms Disrupting Facelift Results

Usually, muscle spasms are not attributed to the breaking of sutures or disruption of tissues post-op. Yet, it is not a common problem and should be dealt with at your next follow-up appointment.

Bleeding 7 Weeks Post-Op

Generally, bleeding after a facelift is caused by tension of the wound, a minor infection, or suture problems all of which usually resolve themselves quickly. However, it is important to discuss these results with your surgeon to rule out the possibility of a hematoma.

Out of Town Surgery

For patients having surgery out of town, I would recommend staying in a recovery facility overnight to avoid any complications and staying within the same area for up to 2 weeks post-op.

Irregularities in Face Post-Op

Irregular depressions in the skin post-op may be the result of the swelling. However, if after 6 months, these depressions still remain, fat injections can be made into the hollows and steroids can be injected into the lumps and bumps to help smooth out the facial structure.

Problems with Dentures?

Facelifts can easily be conducted on patients with dentures and it is encouraged for patients to even wear them during surgery to give a surgeon a better idea of the facial structure.

Best Surgeons

In selecting a surgeon, it is best to start by evaluating before and after photos in addition to making sure he/she is board-certified. These are the surgeons who often yield the best results.

Swelling Under Chin 5 Weeks Post-Op

After 5 weeks post-liposuction, it is not unusual for patients to have a lumpy chin area and normal results can generally be expected, given time. However, it is important to check for any fluid collection in the area for which a consultation may be necessary.

Numbness

Numbness following a facelift is generally to be expected in the lateral cheek and neck area, yet weakness with smiling and other lower facial muscle-oriented movement may indicate facial or trigeminal nerve injury. It is important for patients to keep close contact with their surgeons in order to be prepared for such a situation.

Bone Grafting During Face Lift

It is definitely possible for patients to have bone grafting procedures done concurrently with the facelift. Yet, I would not recommend having the bone grafts taken from the face itself as altering contours of the face can do some serious damage for the facelift as a whole. I would recommend places like the elbow or the hip for better bone harvesting.

Laser for Facial Wrinkles

For superficial wrinkles on the face post-op (since facelifts actually do little to address wrinkling), laser resurfacing is definitely a good option.

Spot Bleeding Post-Op

Weeks after surgery, it is not unusual to see post-operative bleeding on certain scars. Patients, if this occurs, should take care when cleaning the area and make sure to consult with their surgeon (or even send him/her photos) about the bleeding just to make sure everything is fine.

Midface Sagging and Facelift

Generally, midface sagging is better resolved with filler treatment as opposed to a facelift simply because it is usually a problem of volume loss rather than skin laxity.

Smoking Before Surgery

Patients who smoke before surgery generally have a higher risk of complications. This is because the main problem with smoking and surgery is that the nicotine in smoke constricts blood vessels which are needed for healing post-op. Failure to quit smoking can create devastating open wounds and the advent of dead skin cells in large sections.

Fraxel Treatment Before Facelift

It is difficult to believe that Fraxel treatment prior to surgery would do anything to contribute to the facelift. I would personally recommend having the procedure done concurrently with the surgery or several weeks post-op in order to hide any possible scars which may develop.

Hair Loss Post-Op

It is common during surgery for hair follicles to be “shocked” causing them to cease hair production for up to 3 months or so. Other causes of hair follicle loss could be anesthesia, loss of adequate blood supply to the scalp, or scarring. It is probably best to wait a year before making any decisions, but until then, Minoxidil and other medications could offer temporary relief.

Hemosiderin Deposits 6 Months Post-Op

Bruising in the face 6 months post-op is somewhat unusual and is something which should be consulted with your doctor ASAP. Time may be needed for healing, but problems could lie with pigmentation issues.

Hair Style Post-Op

Patients who wish to wear a certain hair style after surgery should discuss this with their surgeon before the surgery in order to ensure that the scars made from the incisions are as inconspicuous as possible.

“Dissolvable Implants” in Midface Lift

The “dissolvable” implant which surgeons refer to during this procedure is probably an endotine anchor which holds the results of the facelift together until the tissues have healed.

Windswept Look 7 Days Post-Op

Though patients worry about having an obvious, windswept look after surgery, seven days is WAY too early to call the results of the procedure. Again, it is probably better for patients experiencing anxieties around this time to wait until results begin to improve.

Swelling 8 Weeks Post-Op

Though swelling is to be expected, it is unusual to maintain it for a long period of time after the surgery. Patients at this point may be dealing with edema which could be treated with lymphatic drain massage, but again consultation is probably necessary.

Large Lumps Days Post-Op

The creed around which plastic surgery recovery revolves around is that “You are going to look worse before you look better”. Days after the surgery, looking bruised, red, lumpy, and otherwise rather strange is perfectly normal for up to 2 weeks. In this stage, patients should keep hope alive in their surgeon.

Discolored Pigment Post-Laser Facelift

The discoloration of the skin is caused by the release of melanin caused by the thermal injury of the skin cells during a laser skin resurfacing procedure.  Yet, patients should not confuse laser skin resurfacing with a facelift.  Laser skin resurfacing can cause some tightening of the skin, meaning it affects mainly the surface features of the face.

Recovery Time for Facial Movement Post-Op

Due to post-surgery tightness and local edema (not to mention swelling), facial movement is always impaired after surgery. However, as these issues begin to resolve themselves out, the range of facial movement tends to increase and weakness usually recovers smoothly. Again, though, it is best to consult with your plastic surgeon or even a neurologist if any concerns are there.

Fat Atrophy

Patients dealing with post-op fat atrophy and dermal thinning should probably look to fat transfer as the most ideal option.

Losing Weight Pre-Surgery

During the time of surgery, it is imperative that the patient have as stable a weight as possible and keep both height and weight proportionate. Only then can they ensure optimum results.

Scars on Back of Ear

Patients dealing with open scarring 5 weeks post-op should definitely be somewhat apprehensive as it is an unusual symptoms to have at this point. The most likely problem here is delayed healing due to excess tension on the skin behind the ear. Consulting with your plastic surgeon or even getting a second opinion may be the best option.

Segmental Stepwise Facelift

I would remain wary of such “gimmick” procedures which promise much but actually provide little.

Browlift, Facelift, Eyelids, and Fat Transfer to Cheek Cost altogether

Generally, for all these procedures to be done concurrently, patients should look to spend between $15,000 to $25,000, but again, given the variability of surgeon’s fees, anesthesia costs, overhead/facility costs, etc., this price could change dramatically from surgeon to surgeon.

Facelift at 25?

Patients in their 20s rarely exhibit the need for a facelift procedure. At this age, saggy skin is usually caused by volume loss, as opposed to skin laxity, and can thus be treated with fat injections and fillers much more effectively. A chin implant may also be helpful for males looking to have a more defined jawline.

Laser Treatment Post-Op

Depending on the relative pigmentation of the skin, ablative or non-ablative laser resurfacing techniques may be in order if the patient wishes to correct small depressions (pores) on the skin. For larger depressions, fat injections or fillers may also be effective.

Alternatives to Fibrant Sealants

Other options throughout the years have been fibrin glue and Jackson-Pratt drains, both of which have been used with excellent results. Again, it is mostly a matter of choice with the patient.

Finding a Good Surgeon in the Chicago Area

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com) or to go on the American Society of Plastic Surgeons website (plasticsurgery.org). Make sure to examine before and after photos during this process to find an idea of the surgeon’s work.

Return of Jowls

Generally, after a face and neck lift, one would expect any jowling before surgery to be gone. However, it all depends on the extensiveness of the facelift and whether the deeper SMAS tissues responsible for jowling were addressed at all. Again, though, patients must remain patient even months after the procedure before they start making judgment calls.

Rhinoplasty Post-Op

If the patient is particularly ambitious, rhinoplasties can technically be done after 30 days of healing. However, to ensure the best results, it is probably best to wait for any residual swelling to go down which could take as long as 6-9 months.

Unnatural results

The stereotypical windswept look of a celebrity facelift can usually be attributed to simple inexperience and lack of technique on the part of the surgeon. Just because a surgeon works in Hollywood does not mean he/she is at the top of their field and the results often show this.

Facelift Scars

Facelift scars typically would be in front of your ear extending below your earlobe and around to the crease behind your ear.

Best Procedure for 37 Year Old

Again, it is not unheard of for 37 year old patients to undergo facelifts when they truly need them. However, much better options usually exist for them in terms of addressing volume loss; these include fillers, fat grafting etc.

Fat Grafting for Atrophy Lesions

For facial atrophy, the best option is usually fat grafting which provides a correction of the soft tissue contour problem and an improvement in the quality of the overlying skin.

Transition Lines from Facelift

Transition lines can often be dealt with quite effectively with a variety of options including surgical revision (major or minor), Juvederm fillers,  or subcision of scar lines (in order to smooth out the bands by relieving adherence to the deeper tissues).

Non-Surgical Removal of Scar Tissue

Irritated or elevated scar tissue can be easily taken care of with cortisone injections, but other than that, very little can be done.

“Experienced” Surgeon

A good step in finding a capable surgeon is to examine before-and-after photos of the surgeon’s work in order to understand whether they provide natural, but youthful, results or even interview some of the surgeon’s former patients to hear their insight.

Temple Wounds

Temple wounds may be attributed to thermal wounds leading to a longer, more prominent scar. However, further consultation with a surgeon and a full exam may be needed.

Best Secondary Facelift?

To be honest, there is no set procedure for a secondary facelift. It all depends on the surgeon’s skill, knowledge of facial anatomy, experience, the patient’s facial structure, and several other factors. Generally, if you find an experienced surgeon, he/she will be able to yield the desired results.

ROTEL

The reinforced orbitotemporal lift (ROTEL) is probably one of the more aggressive surgeries out there and one I would definitely advocate against using as a technique.  In the procedure, an incision is made in the lower eyelid below the eyelashes and surgical dissection is carried out under the lower eyelid muscle, a technique which puts the lower eyelid at risk for nerve damage and pulverizes temple fat.  

Extra Skin in Mouth Area

Loose skin around the mouth area, especially for younger patients, is usually best addressed with the use of fillers or fat grafting.

Repairing Long-Term Nerve Damage

Unfortunately, little can be done surgically, other than static or dynamic slings/muscle grafts, to repair long-term nerve damage. Patients can attempt to strengthen weak muscles through nerve stimulation and therapy, and asymmetry could be disguised with the use of fillers or Botox.

Depressions and Shadows Post-Facelift and Blepharoplasty

Generally, shadowy areas and depressions in the face after such procedures can usually be corrected with fat or filler injections  and other volumizing treatments.

Mini Lift v. Midface Lift

The mini facelift, as the name suggests, is a rather minor procedure which addresses sagging along the lower face and jaw line and is more used for slightly aging people who do not have neck laxity problems. The midface lift targets the cheek areas and, to a limited extent, the nasolabial folds.

Beads Under Skin Post-Op

Patients experiencing the sensations of beads under the skin are probably dealing with minor blood clots or sutures. The former problem can be dealt with by massage, but the latter should be taken care of by the surgeon.

Can I use the Same PS for different procedures?

Again, the best results often come from surgeons with the most experience. The best thing to do for patients unsure of a doctor’s expertise is to examine before and after photos to evaluate their work.

2 Days Post-Op Recovery Prospects Blepharoplasty + Midface Lift Recovery

2 Days is way too early to make a call about healing. Wait at least 2 weeks before seeing some true results.

Skin Only Facelift?

Skin Only facelifts, as common in the 80s, are still performed. However, surgeons have discovered that the best results for a facelift often come when tissues underlying the skin are adjusted along with the skin. Otherwise, there is a chance for that characteristic windswept look of botched facelift surgeries.

Facelift v. Liposuction

There remains an important difference between a facelift and a liposuction in terms of procedure. A liposuction is merely the removal of fat in the chin (submental area) and in the neck since facial fat is good for maintaining youth. A facelift, however, is much more involved and consists of removing fat above and below the platysma, tightening neck muscles, etc.

2 Weeks and Still Look Distorted

Patients should generally use 2 weeks as a benchmark for when results should START to normalize. Again, there is still a great deal of swelling at this point and results are expected to look “strange”. Following up with the surgeon is the ideal route for now.

MACS/PSP Lift and Various Symptoms

Depending on the patient, a MACS/PSP Lift is expected to fix the jowl line and trim excess skin in the submental region. Yet, nasolabial folds are generally not fixed with this procedure and must be treated with the use of fillers.

1.5 Months Post-Op w/Residual Seroma Scars

Seroma scars can be treated with cortisone injections, but may need to be properly aspirated to avoid any long-term damage. It is probably best to consult with the surgeon and avoid making hasty decisions.

Prolonged bruising Post-Op

Chances are patients who experience prolonged bruising post-op are dealing with hemosiderin deposits which can only be resolved with time. Additional options like laser therapy can only be explored after about 1.5 years or so.

Facelift at 26?

For most patients, 26 is an age where volume loss and excess fat rather than skin laxity is the main problem. Changes in diet to reduce the double chin look, chin augmentation, or microliposuction in the neck area may all be better options.

Facelift at 19?

Though it is difficult to tell without a proper exam or even photographs, I would reckon that any symptoms present at age 19, unless due to some serious skin condition, would not warrant a facelift. Implants, augmentation, filler treatments, etc. would all be better options.

Snapping Internal Sutures

Patients dealing with stiffness and hearing snapping sounds within their skin may be dealing with the snapping of internal sutures. Generally, even after 2 weeks post-op, patients have a good chance of full recovery and excellent results if they see their surgeon ASAP.

Acculift Specialists?

Again, I thoroughly despise many of these new, supposedly revolutionary techniques for the facelift. Stick with tradition and proven methods of facial rejuvenation surgery.

Tightening Collagen to Preserve Facelift

Over the long term, there is virtually no way to ensure the constant maintenance of dermal toughness. However, in the short term, patients could look into the options of ultherapy and/or laser resurfacing treatments.

Facelift Incisions

Generally, when making an incision during a facelift, experienced surgeons will attempt to perform them where they are least noticeable. Some, for example, may prefer the horizontal occipital hairline incision(horizontal cut behind ear) which allows for the most substantial pull on the neck portion of the facelift, but others may find that too noticeable. Again, it is all a matter of anatomy and of the patient’s priorities.

Facelift Before or After Surgery for Hemi-Facial Spasms

The best route, in my opinion, would be to do the latter surgery before the facelift.

Minor Skeletal Defect

In general, minor defects in the bone structure which were not noticeable prior to the facelift should not be noticeable in the post-facelift results. Facelifts tend not to improve or worsen facial asymmetry.

Sunscreen Post-Facelift

Sunscreen in the post-op days, when the skin loses its normal ability to respond to sun exposure and damage, is especially important. Patients should stay out of the sun for about 3 weeks, after which sunscreen can be applied (I recommend a zinc-based sunscreen for minimal chemical absorption).

Fat Under Chin + Hyperpigmentation 1 Year Post-Op

Patients dealing with post-op fat under the chin may be dealing with excess fat (easily reduced with lipocontouring techniques) or residual scar tissue (could be treated with cortisone or other steroid injections). Hyperpigmentation can be addressed with laser resurfacing techniques.

Droopy Smile and Numbness 19 Months Post-Op

At this point, after a year or so following surgery, any damage to the sensory nerves around the ear and neck and the facial nerve is going to be difficult to try and undo. Botox may help with the temporary concerns of droopiness.

Unequal Tightness

It is normal for patients to feel tightness more sharply on one side of the face than the other, yet massage and time usually helps even things out.

Health Problems Post-Facelift

Though there are some minor side effects for facelift procedures, some of which include tightness, swelling, numbness, etc., any other major health problems acquired by the patient post-op are unlikely caused by the surgery.

Fillers Post-MACS Lift

Unfortunately, patients who are unsatisfied with their jowling post-MACS Lift have fallen victim to a common problem in facelift surgery. The MACS Lift, while being effective for some, is totally ineffective for those who want penetration into the deeper tissues, for which there is no cure but the SMAS Facelift.

Reversal of Aggressive Endoscopic Facelift

Patients with an endoscopic lift may have issues with elevated cheekbones, issues which usually resolve themselves over time.

Will Steroid Injections Cause Weight Gain and a Flare-Up for Rosacea Patients?

Dilute steroid solutions should not cause either.

No Difference One Year Post-Op

It is important for patients to realize that a facelift will not induce dramatically facial contours/facial structures and that a totally rejuvenated look is wishful thinking. However, looking at before and after photos, patients should notice at least some difference if the facelift was suited for them. Again, some procedures like the Lifestyle Lift, etc. do very little, so expect few things from them, but generally, you should notice SOMETHING.

Cannot Smile 2 Weeks Post-Op

Damage to the buccal branches of the facial nerve is generally not a cause for major concern as cross innervation generally allows for full recovery. However, improvement should be seen after 2 weeks. Consult with the plastic surgeon or a neurologist to check for permanent damage.

Unable to Pucker

Inability to pucker post-facelift is usually caused by swelling and will most likely recover before long.

Premature Aging at 32?

Patients at the age of 32 are well below the normal age of a facelift. Many other options exist, some of which are not nearly as invasive, like fillers, Botox, fat grafting, photofacial, laser treatments, etc. Either way, a facelift is usually out of the question.

Revision Neck Lift

Patients looking to have a revision neck lift following a platysmaplasty may have lost significant elasticity in the first procedure, but can still have the neck lift done in a relatively short period of time.

Tightness 7 Months Post-Op

Generally, even though tightness is somewhat abnormal at this point, everyone heals at their own pace and some patients take longer than others. Gradual improvement can definitely be expected in the next month. Consult with your surgeon if symptoms continue to persist over a year.

Healing after Midface Lift

Patients worried about affecting the results of the facelift with excessive movement of the face (smiling, talking, etc.) should not be so concerned. Again, the elevated tissues modified in the facelift are fixed in place with sutures and/or Endotine devices and will be released in time.

Surgeons in Illinois

When trying to find a good surgeon for a facelift, it is best to find one with a good reputation and to also consult with them to find the best possible surgery for you. Looking at before and after photos can also be helpful.

Hollow Shadows Along Face 15 Days Post-Endoscopic Midface Lift

Depending on which suspension techniques were used and how aggressively the face was distorted, these symptoms may phase out over time. Again, consult with your surgeon if you are especially concerned.

Facelift 3 Months Post-Restylane Treatment

Facelifts and fillers tend to work hand-in-hand very well. Though many people would opt to have facelift procedures done BEFORE fillers are added, doing the reverse is perfectly acceptable.

Losing Weight Before Facelift

Patients are advised to reach a stable weight prior to their facelift. That way, they do not have to worry about volume loss and botched results after the procedure is done.

Ropey Fullness on Neck 10 Days Post-Op

Ropey fullness on the neck tends to be the mark of fluid collection which can easily be aspirated. Even untreated, the symptoms will eventually begin to heal on their own.

Buccal Fat Pad Suspension and Jowls

The buccal fat pad is located in an area superior to the fat around the jowls and thus will have very little impact on jowling if suspended. The true method to treating jowls consists of an SMAS Lift possibly combined with fat resection.

Arnica Cream Allergies

Patients who have experienced allergies to arnica cream should probably avoid it altogether during surgery, as its effects are controversial and extremely limited.

Acculift Pros and Cons

Generally speaking, the Acculift procedure, in the grand scheme of things, does very little for patients who are serious about facelift surgery, particularly those in their later years. Residual neck bands and poor facial definition are just some of the post-op complications which can occur.

Muscle Spasms

Patients who are experiencing muscle spasms, but still retain feeling in the area around which the spasm is occurring, should likely not worry as this is usually indicative of minor nerve irritation. Again, consultation with the plastic surgeon may be necessary, but usually this is not a serious problem.

Sagging around Cheeks and Nose

A saggy cheek and nasal region is usually not caused by typical aging and patients who have this symptom over the long-term may have problems with the tissue structure in the face. If this is true, facelifts are not the answer, but consultation with the plastic surgeon could provide several options for these patients.

Skin Loosening 3 Years Post-Op

After 3 years, many patients do experience recurring skin laxity following a facelift. Again, the extent of the loosening depends on many factors including sun exposure, smoking, genetics, etc.

Nature of Lazerlift Procedure

The Lazerlift procedure is marked by its use of a Cynosure laser-tipped cannula which is used to undermine facial tissue and achieve skin tightening. The results of this are not nearly as invasive or effective as a facelift, but nerve damage may still be a risk.

Sunscreen Sensitivity

Patients who wish to use sunscreen post-op should probably go with a simple zinc oxide or titanium oxide formula or even non-oily coppertone SPF 30 or 50.

Quitting Smoking

Typically, patients should give themselves at least two weeks before surgery to quit smoking and should maintain that will for about two weeks post-op. Again, quitting sooner would probably be better, but this is the bare minimum.

Frozen Eyebrow 18 Months Post-Op

Unfortunately, any nerve damage sustained over 18 months is likely to be permanent. The best solution would be to have Botox placed on the other side to even out the distortions.

How Long has the Endotine Facelift Been Around?

This procedure has been around for a decade and is somewhat recent in terms of facial rejuvenation surgery. For this reason, it has not been proven to work as effectively as a facelift procedure and is continuously hounded by many doctors as a “fad”.

Swelling Coming and Going 18 Months Post-Op

Swelling which arrives and then disappears 18 months after a facelift is not indicative of a typical hematoma, but is more likely the result of a parotid leak. I would recommend a full exam with the surgeon followed by the application of Botox and antisialogogues  to the area.

Minimum Amount of Experience

It is important for patients to seek out an adequate surgeon with plenty of experience in facial surgery. I would recommend a surgeon who is accustomed to doing around 1-2 facelifts a week for about 10+ years.

Can Swelling Restretch the Skin Back Out?

Generally, swelling within the first few weeks of surgery, though seeming like a lot, will not stretch the skin to any appreciable degree. The results of the facelift will largely remain intact.

Red Skin and Scarring Behind Ears 7 Months Post-Op

Patients dealing with extensive white scarring behind the ears following surgery usually have excess tension in the skin of this region and thus have a poor blood supply in this area.  The scar must be excised and the skin adjusted to reduce the tension in the area.

Deep Plane Facelift Needed

Often, when patients have ineffective surgeries done in the past, they feel the need to do more invasive procedures to achieve the results which they want. However, very often, the problem lies not in the procedure, but the surgeon. Find a good plastic surgeon with the credentials to perform the surgery which is right for you.

19 Year Old with Smoking + Sunbed Exposure

For younger patients, there is still a great deal of time to improve the look of the skin without surgical means. Eating healthy, exercising, and avoiding smoking and overexposure to the sun are all things which can be done to avoid further collagen-related damage in the skin.

Tightness in the Neck from Hematomas?

Patients who have had hematomas from surgery are likely going to experience tightness and facial swelling as a result. Generally, as time goes on, facial swelling decreases and the sensation of tightness will diminish.

Full Body Massage after Neck and Face Lift

Contrary to popular belief, having a full body massage is not only OK after surgery, but is probably encouraged. A full body massage can be easily done 4-6 weeks post-op to help dealing with swelling and other lingering problems.

Tightness Around Ears 2.5 Months Post-Op

Patients experiencing recurring tightness may find solace in lymphatic massage, but it is also important for these patients to first check that the cause of the tightness is normal healing, rather than infection or something more serious.

Facial Redness and Hardness Post-Op

Even after a couple of months post-op, it is normal to experience symptoms like hardness and tender skin. Over the first six to twelve months, most skin irregularities heal just fine, so patients are encouraged to remain calm.

Botox for Sternocleidomastoid Spasms

These symptoms tend to resolve themselves over time, but, if persistent, can definitely be treated with Botox treatments. However, patients should be wary that a possible side effect of this treatment could be weakness at the site of injection.

Jowling and Platysmal Retraction Post-Op

Patients experiencing jowling post-op may definitely require a facelift in order to lift the SMAS and a liposuction of the neck to improve platysmal retraction.

Golf Ball Sized Swelling Post-Op

A golf-ball sized lump present after the procedure is likely a hematoma. Drainage of this area is probably the best way to avoid facial contour damage.

Options for Patients w/History of Keloids?

Patients must first make the distinction between hypertrophic scars and keloids. If keloid formation is truly a problem, surgery should not be undertaken.

Next Best Thing to Facelift

The next best thing to a facelift would probably be a mini facelift which offers small-scale improvement to jowling and other “facelift”-related symptoms. However, non-surgical options like fillers or fat grafting do exist which, depending on the patient, can provide better results.

18 Year Old and Facelift

Being that the average age of a facelift patient is around 50, it is doubtful that patients at the age of 18 would require a facelift surgery. Usually, lifestyle changes in combination with fillers or fat grafting could be just as helpful and more effective.

Cooling or Support Device Following Facelift

I would advise patients who have a support device to wear it continuously for up to 10 days post-op in order to control swelling. A cooling device can also be used in the first 48 hours after surgery to also control swelling.

Hypertrophic Scar or Keloid Scar

It is important for post-op patients to make the distinction between a hypertrophic scar and a keloid scar. A hypertrophic scar is a thickened scar which stays within the boundaries of the original incision whereas a keloid scar spreads out from the incision and have a mushroom-like appearance. Patients who have demonstrated keloid scarring should most likely see their surgeons.

Facelift?

Patients in their late 40s to early 50s may be on the borderline for a facelift, but they must first ask themselves whether it is necessary or whether other options like fillers or fat grafting would work better. Facelifts are made to primarily address the lower face and associated problems like jowling, saggy necks, etc.

ABPS or ABFPRS Surgeon?

Both ABPS (requires the longest training) and ABFPRS are solid credentials for a plastic surgeon to have. However, the best results are often the ones in the hands of experience. Find a surgeon who has the capability and technical skill to adequately perform facelift procedures.

Cheekbone Repositioning During MACS Lift

Though the cheekbone itself is not moved during a MACS lift, underlying tissue can be elevated.

Frequency of Follow-Up Appointments

Immediately after surgery, I would recommend seeing patients the first two days post-op. After that, I would recommend seeing them at least one a week for as long as they feel it is necessary.

Revision Surgery after 2 Months?

If patients are truly bothered by the way they look after surgery, revision surgery may be in order. However, 2 months is still very early to make that call. Examining before-and-after photos may be the best way to indicate whether the surgery had truly positive results or not.

Recovery Expectations 5 Days Post-Op

Patients should not expect massive improvement after 5 days post-op. By this point, swelling, hardness, and lumpiness will all be present in full force. Check back in 6 months or so if you want to find true improvement.

Insurance

Unfortunately, as the facelift is a cosmetic procedure, it is very unlikely that it will be paid for by the insurance company.

Is It Better to Have Different Surgeons for Different Procedures?

It may seem like a better idea to have different specialist treat different aspects of the face, but patients must remember that surgeons can often specialize in several different things, meaning that different procedures can be done all at once. Again, consultation is probably key, so see which surgeons you feel comfortable with.

Recommendations for Surgeons in Southeast USA

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com) or to go on the American Society of Plastic Surgeons website (plasticsurgery.org). Make sure to examine before and after photos during this process to find an idea of the surgeon’s work.

Skin Breaking Out 5 Weeks Post-Op

Skin breaking out may be part of the healing process, but proper skin care may be in order. Check with a dermatologist to find your options.

3rd Revision Necessary?

Patients before considering themselves for a third revision must be sure that it is needed. Consulting with their surgeon and examining before and after photos is an ideal place to start.

Bulging Forehead Muscle 5 Months Post-Op

A bulging forehead muscle post-op may be the result of an internal fixation device which slipped, but also could be an endotine device placed during an upper blepharoplasty which will eventually dissolve over time.

Nicotine Free

Patients should generally stop smoking within 2-4 weeks before surgery, again because of the effect which nicotine has on constricting needed blood vessels.

Lumping and Numbness 1 Week Post-Acculift

The disappearance of lumps is variable and an exam may be required to find the nature of it. Numbness, however, is caused by minor nerve irritation and eventually resolves itself over time.

Facelift 1 Year after Sculptra

Generally, at this point, the facial structure should have healed nicely after Sculptra treatment. Therefore, having a facelift should not be a problem, especially considering that Sculptra is often done concurrently with a facelift.

Droopy Eyelids Post-Facelift+ Lower Bleph

This symptom may be attributed to a ectropion resulting from the excess removal of skin during the bleph procedure. Again, it is probably best for the surgeon to examine these problems, but volume fillers may be helpful.

Numbness=Damage of Greater Auricular Nerve?

Patients should not be concerned too greatly about numbness, even if the area can still register pain without actual feeling. Such symptoms usually resolve themselves within 3 months or so.

Zygomatic Arch Erosion Post-Endoscopic Midface Lift

A depression in the zygomatic arch could be attributed to the atrophy of the temporalis muscle. In this situation, fillers, fat grafting, or even Sculptra treatment could all help.

Migrating Feeling of Tightness Post-Mini Facelift

It is not unusual to feel migrating tightness post-mini facelift. Normal post-operative scars will feel their tightest at around 6-12 weeks post-op, but can be easily treated with massage and hydrocortisone cream.

Facelift With Muscle Tightening

Most facelifts frequently used today, whether they be SMAS, deep-plane, or even mini facelift, have at least some interaction with the SMAS layer beneath the skin. Tightening of the muscle layers underneath the skin usually always happens with any of these procedures.

Facial Exercises for Asymmetry

Try all you want, but, unfortunately, facial exercises have not been proven to have any effect on improving facial asymmetry.

Breast Reduction vs Facelift vs Armlift Recovery Times

All of these procedures will take as much as 2 weeks for recovery, but breast reduction tends to be longer and requires more anesthesia.

Prolonged Swelling 9 Months Post-Op

Hardness and swelling 9 months post-op is usually indicative of a maturing scar. However, it could also be attributed to fat necrosis or a small, unresolved hematoma.

Post Facelift, Nose Job, Upper Blepharoplasty and Fat Transplant Issues

A month after such a procedure, it is common for swelling to occur heavily and residual numbness is also found frequently. Consult with your doctor if there are still any concerns.

Facelift Recovery + Concerns About Lymph Nodes

Swelling at this point after a facelift is extremely normal and is usually attributed to fluid collection or residual blood. Lymph nodes are likely not a factor.

MACS Lift Distortion Issues

Unfortunately, as I have stated before, the MACS Lift is a surgery which works well for some patients and not so well for others. Patients in the latter category, because of the rather limited nature of the MACS Lift, may need to undergo secondary facelift or mini-lift surgery to achieve optimum results.

Cost of Facelift

In general, facelift cost vary depending on location, surgeon’s skill, facility and anesthesia fees, overhead costs, and other factors.

MACS Lift Problems 3 Months Post-Op

Bruising following a MACS Lift may be completely normal, but could also be the result of hyperpigmentation which can be treated with hydroquinone or glycolic peels. Bunching of the skin, however, must be treated surgically with a redraping of the skin.

More Natural Results

Patients worried about having more natural results after a surgery can expect the features of the face, after 2 weeks of initial tightness, to soften within the next couple of weeks, yielding more natural results.

Post-Op Ringing in the Ears

Ringing in the ears could be attributed to residual blood from the surgery resting on the eardrum, but further consultation with an ENT may be necessary.

No Results 5 Months Post-Midface Lift

Unfortunately, it looks like a revision surgery may be in order. 5 months after a facelift, patients should start seeing concrete results and should get an idea of their true post-surgery look.

Tissue Damage Post-Facelift

Like any procedure which separates the skin from underlying tissues, a facelift does come with its share of risk, namely of damage to the skin. However, because the face is so vascular, such risk is relatively minimal.

Recommendations for Surgeons in Pasadena?

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com) or to go on the American Society of Plastic Surgeons website (plasticsurgery.org). Make sure to examine before and after photos during this process to find an idea of the surgeon’s work.

Facelift at 21

Unless for extreme reasons, patients at the age of 21 rarely have problems with skin laxity and thus achieve little benefits from a facelift. More often, the issue relates to volume loss which can easily be treated with fillers, fat injections, etc.

Polydioxanone suture (PDS) in facelift surgery

The PDS is a reabsorbable monofilament suture which is slowly broken down in the body and retains tensile strength for months after a surgery. It is commonly used as a method of fixating repositioned deep tissues.

Facelift Scarring

Experienced surgeons, again, will attempt to create scars in as inconspicuous of a place as possible, meaning that scarring is often tailored to the priorities of the patient. It is usually based on a number of characteristics including degree of facial aging, skin laxity, hairline, and other unique characteristics.

Facelift After a Cold

It is probably best to have facial surgery when the respiratory system is clear and breathing isn’t affected. If the body is generally stabilized at this point, the facelift should be fine.

Neck Sagging → Facelift?

Often, patients dealing with neck sagging can have their issues addressed without a facelift procedure. Liposuction and neck skin resection may be all that is needed, but again consult with your plastic surgeon about your option.

Valium

Valium is an anti-anxiety medication which allows the patient to rest for the immediate post-op period. It is good for patients looking to avoid hematomas which are usually attributed to strenuous activity in this post-op period (rise in heart rate and blood pressure). Consult with your surgeon, however, for long-term use.

Bacitracin and Peroxide Treatments

Patients using peroxide should probably stop using it as an anti-microbial agent as it is known to slow wound healing and cause a drying of the skin edges. Skin sloughing at this point could also be a problem due to excess tension on the skin.

Decadron

Decadron is a steroid which works on the cellular level to decrease swelling and nausea in the patient. Even patients taking hydrocortisone for adrenal insufficiency are able to take this medication.

Cheek Implant Shifted Post-Facelift

Generally, it is important for doctors after a cheek implant to fix it in place with a screw which may require surgical incision. A simpler method of treatment could be to inject fat into the area to hold up the implant in place.

Non-Surgical Improvements

Exploring options with the plastic surgeon may be the best option for patients looking for non-surgical paths of facial rejuvenation. However, there is an abundance of options out there, including fillers, neuromodulators, CO2 laser treatments, soft tissue tighteners, and light based procedures.

Hormone Replacement Therapy

HRT treatments during surgery may increase the risk of blood clotting so it is advisable to stop this treatment before surgery if possible.

Sculptra vs Hyaluronic Acid Filler

Sculptra is generally used as a deeper volumizer primarily used within the cheeks and the temples and may require multiple treatment sessions for the desired effect. Acid fillers are probably better for under eye filling, as are fat transfer options.

Swelling 3 Weeks Post-Op

It is perfectly normal for patients to experience lumps and areas of firmness, indicative of early post-op inflammation, in the initial stages of recovery. It will most likely take within 3-6 months for swelling to completely die down, but again patience is key to recovery.

Healing Time

Most patients look presentable after 2 weeks post-op, but healing tends to carry on for a period of many months.

Heavy Brows + Deep Nasolabial Folds

Low brows can generally be treated with neuromodulators like Botox and nasolabial folds with fillers like Juvederm. Yet, partial MACS Lift surgery could also be an option. Consult with your plastic surgeon about your options.

Weakness in Upper Lip

Generally, muscle weakness, if temporary, takes within 3-6 months to fully recover.

Nasolabial Folding + Cheek Area was Not Addressed

Patients should remember that a midface lift only alleviates nasolabial folding; it does not treat it completely. Again, for this area and the cheek area, the best option would be fillers and/or fat grafting, perhaps even implants for the cheek.

Facelift Acupuncture

Personally, I do not approve of unproven, “gimmick” procedures like facelift acupuncture especially because they offer no elevation of the face.

Pulled Rippled Look 4 Days Post-Op

In the early stages of surgery, it is easy to dismiss the results of the surgery as “bad”. But, patients must remain calm, especially as bruising and swelling tend to be the greatest at this point. Allowing for time to heal such symptoms is probably the best option for such patients.

Facelift after EGC Diet

Patients are recommended to be in their best nutritional state before surgery, but they must make sure that their weight is fully stable before undergoing elective cosmetic surgery.

Scarless Semi-Elastic Suturing by Internal Suture

Unfortunately, though it seems like the lifting of underlying tissues by merely using a suture (a procedure similar to a Threadlift) would make sense, the long-term results show very little in terms of improvement.

Difference Between Lower Facelift+Neck Lift and Full Facelift+Neck Lift

A traditional facelift IS a lower facelift in that it addresses mainly the lower 1/3 of the face and takes care of issues like jowling and sagging of the neck and lower jaw. The term “lower” facelift is used simply to differentiate a facelift from a “mid” facelift which addresses the cheek area and a “brow” lift which addresses the upper third of the face.

Adhesions from Facelift?

After a post-op period of several years, it is unusual for patients to be experiencing tightness. The probable cause of this tightness is most likely a permanent suture which may need to be removed.

Healing after Deep Plane Facelift

Full healing does not take place until about 6-12 months, but patients will generally be ready for public events after around 3 weeks. Again, it is important for the sake of the patient that he/she quit smoking and other habits which could inhibit or, at least, prolong healing.

Scar Revision or Hair Implant Post-Op

Patients should wait for at least 4-6 months post-op before considering hair growth procedures, as surgery may have “shocked” hair follicles for a long, but temporary, period of time. However, if re-growth does not occur, the best option could be follicular unit grafting.

Minimum Age for Facelift

A facelift is not done based on age, but rather based on the symptoms of a patient. Generally speaking, skin laxity is the number one issue for which a facelift is necessary, an issue which is rarely present in younger patients (who more often have problems relating to volume loss).

Improvements after Several Months Post-Op

Though changes after a facelift vary from patient to patient, some basic results of a standard lift include a better defined jawline, tightening of the skin under the chin, and elimination of muscle banding in front of the neck. As healing progresses, fluid collection and swelling should decrease dramatically and tissue should begin to soften.

Bumpy, Loose Skin Post-Facelift

Excess fat can usually be trimmed through liposuction, while excess skin must be surgically removed through a face or neck lift. Ulthera can also be used for short-term laxity issues.

Lump in Eye Socket Following Fat Removal from Lower Lids

This problem could be attributed to several things, namely an organized blood clot, scar tissue, cyst, retained fat, etc. A full exam is definitely in order to determine the nature of the lump.

Lingering Pain 1 Year Post-Op

If a patient is dealing with pain and tightness 1 year post-op, a second opinion is definitely needed. Consult with several surgeons to see what may have gone wrong and whether revision surgery may be needed.

Irregularities After Endotine

It is common for people with thin skin to feel the endotine device under their skin, but the device does dissolve over a period of one year. Dimpling may occur during this point, but the endotine device should not be visible.

Doctor Did Wrong Surgery

For patients who have legitimate proof that a doctor did an incorrect surgery, it is best to first check the consent form for surgery to see if the surgery was incorrect. Legal documentation is needed before accusations are made.

Residual Fat Pocket After Lower Facelift

A fat pocket left over from surgery can easily be removed with direct skin excision or even through direct removal.

Changes in Dental Bite Post-Op

It is strange to hear of patients who have problems with their dental bite after facelift surgery, especially because the facelift merely involves the re-draping of surface skin and the repositioning of soft tissues. It is difficult to imagine that the minimal force required for a facelift surgery could alter something as large as a dental bite.

Elongated Slits for Eyes 2 Week Post-Midface Lift

Again, two weeks post-op is still somewhat early to be evaluating the results of the surgery especially given the enormous extent of post-op swelling. However, it is possible that the surgeon may have performed a canthopexy or canthoplasty on the lower eyelid concurrently with the surgery, for which slit-like eyes immediately post-op are normal and will fade over time.

Will insurance cover my lip lift?

Lip lifts are typically considered cosmetic procedures that are not necessary to positively impact physical health and are thus almost always not covered by insurance.

How long does a lip lift procedure take?

While duration varies by the individual, lip lift procedures generally do not take very long and can often be completed in as little as 30 minutes.

How long does recovery take?

Most patients fully recover from a lip lift in 5-7 days.

Will I have lasting scars?

Most scars are unnoticeable and will eventually heal over time. In the short term, patients can typically easily cover any scarring with makeup.

Is recovery painful?

Some patients experience minor pain or discomfort, of which can be managed with pain medication.

Will there be swelling afterwards?

It is typical for some swelling to occur within the first 3 days after the procedure. Applying a cold compress to the lips can help assuage this problem.

Will there be bruising afterwards?

Bruising may occur in modest amounts yet will fade in under a week.

When will stitches be removed?

Sutures are typically removed within the week after the procedure often around the five day mark.

Will I have to be put under general anesthesia?

Lips lifts use local anesthesia and are minimally invasive procedures.

Are there different kinds of lip lifts?

Yes, there are two main types of lip lift procedures: Upper lift lift and Corner lip lift.

What is an upper lip lift?

An upper lift lift shortens the space between the base of the nose and the top of the upper lip. This results in more exposure of the teeth, increases the amount of visible pink lip, and makes the lips appear younger and fuller.

What is a corner lip lift?

A corner lip lift is specifically meant for patients who feel their lips sit in a persistent frown appearance. This procedures focuses only on lifting the edges of the mouth.

Am I a good candidate for a lip lift?

Previously, lip lifts were reserved for patients with fairer, thinner skin due to the high rates of scarring. The procedure was also typically performed on patients over the age of 55. Now however, lip lifts can be performed on individuals as young as 20 and regardless of skin tone.

Can lips be lifted using fillers?

Fillers are great for enlarging the lips, but will not provide the same lifting effect as a lip lift procedure.

Can I continue to smoke before my procedure?

Ideally, patients should refrain from smoking any substances (and taking aspirin) in the two weeks prior to the procedure.

What are the possible risks?

While post-operative risks are typically rare and well tolerated, some risks of a lip lift procedure include swelling, infection, scarring, or undesirable cosmetic aesthetic.

How much does a lip lift cost?

The total cost of a lip lift procedure varies based on your plastic surgeon, location, desired outcome, type of lift, etc. However, lip lifts typically cost around $3,000-$5,000.

Will a lip lift make me look more feminine?

Lip lifts are often used in facial feminization procedures. They are particularly popular for transgender patients seeking cosmetic procedures for male to female transition.

How long will it take for results to show?

Final results typically show up approximately three weeks after the procedure.

Why does this procedure have results that improve with time?

Results continue to improve over time as the lips and surrounding skin and tissue soften and look more natural. Incisions and scars also fade.

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Disclaimer: This site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.