Joliet Doctors

Can I Get a Nose Job for Free if I Have Been Referred to by a Doctor for my Nose?

I recently broke my nose and had to get surgery to fix it but my cartilage needs to be reconstructed so I have been referred to a cosmetic surgeon. Am I able to get a free nose job if I have already been referred to one? Will he shave down parts of my nose I dislike?

Your insurance will pay a portion of your nasal surgery for the reconstruction from trauma.  You should understand that they will not pay for all of this portion, and you should check with your insurance documents regarding your deductible and co-pay.  The cosmetic portion, to "shave down parts....I dislike" will not be covered.  You will pay for this portion along with the deductible and co-pay out of your pocket.

Ricardo Izquierdo, MD

Chicago Plastic Surgeon

Can I Elevate my Tip to Disguise my Hump Without Dorsal Rasping? (photo)

I am ok with my small hump, width of nose bridge from frontal view, nostirls & alar base.I want to change my droopy tip. It points downwards, nearly touching my upper lip when I smile.I will stay with my hump cause a rasping plus an osteotomy will cause me too much down time, cost is fine.Will a tip rotation disguise a dorsal hump to be lower? Can suture technique alone elevate my tip without cutting of cartilage and implant? What do you suggest for me? My surgeon will rasp hump & suture my tip.

From your photos, your tip will require some sort of support and/or projection, whether it be a tip graft to augment the tip and/or a columellar strut to support the tip.  Your hump will not be "disguised"  by these manuevers and may still requires some reduction.

Ricardo Izquierdo, MD

Chicago Plastic Surgeon

What Procedure Accomplishes This Kind of Upward Diagonal Correction? (photo)

I have read extensively about the MFLs and FLs but doctors and I do not think I'd really benefit from the "standard" techniques. I'm 32 but have extra skin in the mouth area that form "pouches" or folds. There is no fat to remove. If I pinch my skin up by my sideburn, this alleviates the problem entirely. So I wonder if a skin-only lift could be done, with the scar in this region (see image). I don't think I need subperiosteal dissection - and doubt I'd benefit from standard MFL techniques.

In general, the farther away a deformity is from the incision, the less effect any surgery will have on the problem.  Your specific issue is in an area rarely directly lifted or tightened by any kind of facelift.  The pull of the skin in any surgery progressively diminishes as the distance to the problem grows, despite what you see when you pinch your skin.  You will be disappointed with the results in an extended surgery, and there is a high possibility of injury to the nerves which move the lips.

Ricardo Izquierdo, MD

Chicago Plastic Surgeon