Dr. Sam Lam Plastic Surgery Forum

hi,
nice meeting you too. do not worry about the extra skin. remember a facelift is there to tighten muscles. skin removal is a byproduct of muscle lifting. we simply think we have too much skin in the midface, when we really do not. rest assured, we all pull and lift our fingers on our face and think, "Boy, I must be loose there." You should not think that after a fat transfer and a facelift because things will look so much better. look forward to take care of you.
best,
sml

hi,
yes, your nose has not grown most likely. that being said, you are an excellent rhinoplasty candidate hate to say even better than your husband, as i mentioned. thin skin, more bulbous tip with thick cartilage. you should have a very feminine soft nose when i am done. i would highly encourage you to consider keeping it because it will give you a total facial result that i think you will find eminently pleasing. either way is fine with me. today's assignment 13 hours on the site. lol.

best,
sml

in general, digital imaging is much easier to show for profile images. you do not truly have a profile issue. your tip is broader and boxier. i rather show you an idea of tip refinement that would benefit you:
http://www.lamfacialplastics.com/galler ... 5.jpg.html
although your nose does not look exactly like this you can get an idea of how the broader tip with cartilage width has ben subtly but dramatically narrowed.

botox is not an issue. if you do come close to your 3 month visit then i can do another round for you. i would do it a day before but otherwise you can do your surgery based on your easiest convenience.

no, i do not believe in the prep work. i am basing this on a study by tina alster from 2001 2002 ish that looked at no difference between prep and no prep work. if you feel more comfortable to prep the skin, that is fine with me.

1 hour is still pretty substantive. nice work!
best,
sml

my pleasure!