A chin implant is an excellent operation to do with a nose job because, for the most part, you are really are talking about effecting your profile entirely and making an improvement to your whole look. A chin implant is usually inserted from underneath the chin so that you do not have to worry about infection and the scar is usually 1 cm to 2 cm in size, which is very small. The chin implant is placed underneath the periosteum of the bone and adheres to this area so that the implant itself does not move when you move the chin and simulates just having an extended piece of bone over the chin area. It is an absolutely excellent procedure, it heals over about one week, it is permanent and the chance of infection is extremely small.
A turkey gobbler problem is sometimes a difficult problem if it is hereditary in nature because the patient, like in your case, is appropriate in their size and shape, they just have a genetic tendency to develop problems in this particular area. An excellent procedure for this is a combination of liposuction and what we call a post auricular neck lift, which basically works on just getting the neck taken care of.
Cheek implants are an excellent procedure to give you higher and nicer cheek bones. In my practice I use very soft Silastic cheek implants that are put in from underneath the upper lip so there is no external scar anywhere. I make a pocket that places the cheek implants mostly over the malar eminence or the lateral aspect of the face and try to make the cheek implants look nice and natural as though they are just part of your natural cheek bones. The cheek implants are placed in a pocket that are just the right size and do not have to be sewn in and the incision underneath the upper lip is closed. There are no bandages and the results are absolutely excellent and can be done even under local anesthesia.
In my opinion, a well-designed facelift is an absolutely superb procedure. The incisions are hidden very nicely along the tragal edge of the ear and post-auricular into the hair. It lifts up the skin beautifully and it tightens the underlying SMAS or supporting structures very nicely. In the hands of an experienced facelift surgeon, a good facelift can be done in about two hours and it can be done even under local anesthesia or certainly IV sedation to make you comfortable. The risks are minimal and the results are absolutely excellent. A good facelift will take many years off of you without looking like any surgery was done.
A facelift is an excellent procedure and in our office, as the years have gone on in my 25 years of practice, we seem to be doing facelifts on younger and younger patients all the time. Most of that has to do with the awareness of people who choose to have their facelifts at an earlier age. A facelift is certainly an appropriate procedure and can be done as long as there is need for it. If you are 43 years old and you have significant jowls or some drooping that you do not like and your neck is beginning to show some problems, you can certainly begin to have a facelift at that age. You are never burning any bridges because if the facelift is done right it can be repeated one, two or even three times if needed over the years.
First of all, you are correct that the best way to figure out which procedure would be best for you would be through a live consultation. We do have facial plastic surgeons currently in New York City; Aventura, Florida; Los Angeles; and Miami. We also intend to expand over the coming years so please keep checking at pl4s7icf4stg2.wpengine.com for other locations, which are opening regularly throughout the nation as far as where we are located to perform these procedures.
A temporal brow lift is something that is usually done with small incisions in the temporal area and the temporal hair. It hides very nicely and it works beautifully to get rid of brow ptosis or sagging in the lateral aspect of the eyebrows. The big advantage of a temporal brow lift is most people primarily have problems with sagging of their eyebrows on the lateral aspects and do not want a big incision or a major operation just to correct that problem. Also, since it is hidden in the hair, the operation hides very nicely. Again, the big difference is that, unlike a traditional brow lift, it does not involve an incision across the whole scalp and can certainly be done in a doctor’s office in about 35 or 40 minutes under local anesthesia.
For our patients who are having facelifts or chin augmentation procedures, as well as other facial plastic surgery procedures, the great majority are performed in our offices. Several of our doctors have certified operating rooms. For example, Dr. Epstein has an AAA HC certified operating room for performing surgeries. If necessary or desired, all of our doctors are willing to perform the procedure at the local hospital or outpatient surgery center. However, most doctors prefer to perform these procedures in the office for the following reasons.
I would say that at two and half months, if you still have numbness under your lower eyelid, that is definitely of some concern. When I do a blepharoplasty, I rarely have any numbness underneath the eyelid and certainly if I saw something there after about two weeks I would have some concern about that. It still may clear up and I am not sure there is anything specific that can be done for it even if it does not want to clear up, but I would say at two and a half months there is definitely some concern that it may be permanent.
The type of swelling that you are describing is very normal after a nose job. Five weeks is not very long and we see swelling to some degree for two to three months after a nose job. Also, there will be some residual swelling possibly for up to a year. The kind of swelling you are explaining, which is more noticeable in the morning and disappears by the end of the day, is significant for the fact that when you lay down flat your head has more fluid in it and there is obviously more swelling in the nose.