by dr. lam » Sun Sep 21, 2008 5:39 pm
I spoke with a doctor who said that a great limitation in rhinoplasties is the thickness of the skin/cartilage in the inferior part of the nose. Do people with thick and wide tips get less of an advantage from a rhinoplasty?
IN GENERAL, YES. HOWEVER, PEOPLE WITH A VERY UNDERPROJECTED (NOT TOO LONG A TIP) NOSE, LIKE IN AN ASIAN, YOU CAN PUSH THE TIP OUT WITH A TIP GRAFT TO CREATE BETTER DEFINITION AND WORK AGAINST THE LIMITATION OF THE ANATOMY. I CAN EVEN DO THIS IN CAUCASIANS AND AFRICANS BUT WOULD HAVE TO REVIEW YOUR CASE.
Ultimately, does a rhinoplasty on the rest of the nose cause it to be diproportionate?
IT CAN. EVERYTHING IS ABOUT BALANCE. BALANCE BETWEEN PARTS OF THE NOSE AND THE NOSE TO THE FACE.
Is it more advisable to have a rhinoplasty first and then a chin implant, or both together, given the changes both will make on the overall proportion of the face?
NO, IT IS BETTER TO HAVE THEM DONE AT THE SAME TIME: TO SAVE COST, TO SAVE RECOVERY TIME, AND BECAUSE YOU CAN LOOK BETTER WITH BOTH IMMEDIATELY.
Can an anatomic implant create a more definite jaw line?
IN GENERAL, YES.
Lastly, how do cheek bones in young people (I'm 19 and a male) become more defined or facial fat "smoothed"? What technique is used?
AN IMPLANT IN THE CHEEK CAN BE USED IN SOMEONE YOUNGER. THE PROBLEM WITH CHEEK IMPLANTS OVER TIME IS THAT THEY CAN BECOME MORE VISIBLE AFTER THE AGE OF 30 OR SO BECAUSE OF THE LOSS OF FACIAL FAT. FOR SOMEONE THAT UNDERSTANDS THAT LIMITATION AND WHO WOULD BENEFIT FROM THE IMPLANT, THAT WOULD BE OKAY.
OBVIOUSLY, A CONSULTATION MUST BE MADE TO ESTABLISH WHAT WOULD BE BEST FOR YOU.
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