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CLAIM YOUR PROFILEDear MWC88
so this is definitely not from the spreader grafts. The mid portion of the nose has collapsed, most likely from collapsed nasal bones after the osteotomy. Spreader grafts actually reinforces the middle portion of the nose and would prevent inverted v defects. That being said. I feel your nasal bones need to be readdressed with osteotomies and cartilages of the lower portion of the nose will also need to be treated. Most likely you will need to grafting of the nose with either ear or rib cartilage depending if you had an aggressive septoplasty. Best of luck
Dr. M
#beardsurgeon
#behindthebeard
Board Certified Oral & Maxillofacial Surgeon
Nick
Looking at your pictures submalar implants would be your best option
Best of luck
Dr M
Board Certified Oral & Maxillofacial Surgeon
manhattan7281
Short answer is yes. Only using this one clinical photo really limits the discussion. But if only performing Lower jaw surgery l, the position of the lower jaw will be limited to relate the position of the upper jaw. Not knowing your tooth position or inclination this can actually make you look worse.
Your angle between upper lip and your nose although not terrible, is a result from your nose having a ptotic tip. In my opinion your profile would be greatly improved by advancing your maxilla forward and the. Move mandible to fit. Lastly your chin needs to have surgery as well to decrease the severe mentolabial angle (between chin and lip).
An in office evaluation with radiographs would greatly clear up any questions
All the best
Dr M
Board Certified Oral & Maxillofacial Surgeon
Dear longhorn28
thanks for sharing your photos both in a repose and smile state. You exhibit some moderate aging of the lower eyes which involves, wrinkles, herniation of fat pads, some volume loss in the tear trough region and some dynamic wrinkles (wrinkles created by smiling). The most comprehensive approach for you to restore a youthful appearance would be to perform lower eyelid blepharoplasty through a transconjuctival approach (inside the lowere eyelid). In this approach, a small incision is made inside the lower eyelid, some of the bulging fat pads would be reduced and some repositioned. This would help fill in some of the hollowed out areas and reduce some of the bulging of the fat pads,, alll without any incisions on the skin surface. Managing the wrinkles or slight excess skin would be best taken care of with a fractionated laser such as fractionated CO2. The dynamic rhytids would be treated with Botox around the eyes.
Unfortunately, there is no one treatment that takes care of all the issues. Hope this helps.
Best to consult with a board certified facial surgeon who specializes in facial cosmetic surgery.
All the best
Dr. M, #beardedsurgeon
Board Certified Oral & Maxillofacial Surgeon
Hello Ballet8988
What a great question. A cheek implant will definitely help redefine the midface area as well a help lift this region. The question of weather you would require an implant or combined implant and soft tissues lifting would require an in person examination. Indication for a cheek implant typically is related to lack of malar bone projection. Midface lifting is typically performed for soft tissue ptosis or descended tissues. If the desired affect is to have more midface projection and lif then both can be done simultaneously.
Best of luck and remember to always consult with a board certified facial surgeon who is experienced in facial cosmetic surgery
Dr M
Board Certified Oral & Maxillofacial Surgeon
Dear CCBBG,
So sorry to hear that you are not satisfied with your surgical results. Mini facelifts from a patients perspective sounds like a great plan. Its minimally invasive, its little downtime, what else could you want. Unfortunately, in my experience mini-lifts are only indicated in a very small subset patients. That being said, nothing beats a SMAS flap with platysmaplasty and then excision of the excess skin. I typically don’t use age as an indicator of what procedure to do, but mini-lifts in a 50 year old typicall does not provide the rejuvenation that is wanted or expected. Prior to surgical intervention you should consult with a board certified facial surgeon who specializes in facial cosmetic surgery.
Best of luck
Dr. M
Board Certified Oral & Maxillofacial Surgeon
Danny,
Mini lifts can be as equally impactful for men as they are for women, I’m sorry to hear that you didn’t feel that your target problem, (descended flattened cheeks) was not improved. The buccal fat pad reduction is helpful to define your cheeks. At the same time evaluation of the cheek bone and the overlying soft tissue is equally important. when addressing this area on males, malar/submalar implants and midface lifting procedures can help augment this area. These are typically minimally invasive. While you had neck Lipo, this may have created less fat but still has some loose skin. Traditionally a mini-lift or S-lift typically targets the cheeks and jowls. The neck is typically unaffected. I think the question is not whether a mini-lift is effective, but rather having the right procedures to give you the results you are seeking.
Best of luck
Always you use a board certified facial surgeon who specializes in facial cosmetic surgical procedures
Dr. M
Board Certified Oral & Maxillofacial Surgeon
Dimtri
Gaining weight for sports when done correctly should not make your face fat. If done correctly, and your muscle mass is increase and you keep your body fat percentage down, your face should continue to be as defined as you are in these photos. that being said, buccal fat reduction would help define your face and make your cheeks more pronounced. i would never tell anyone to reduce cheek bone unless there was such a significant cranofacial syndrome, or an overgrowth of bone.
Best of luck
Dr. M
Board Certified Oral & Maxillofacial Surgeon
Hi FutureMSNewbooty,
You would benefit from buccal fat reduction combined with cervicofacial liposuction. These two procedures will help define your cheeks and jawline. As far as your chin line, I would recommend a genioplasty procedure that would advance and slightly lengthen your chin. These three procedures would provide long lasting results with minimally invasive approach which is appropriate for your age. Best of luck and always chose a a board certified facial surgeon who specializes in cosmetic facial surgery
Dr. M
Board Certified Oral & Maxillofacial Surgeon
Yes, you are a candidate. Younger patients fare well with Kybella. It takes several treatments and involves lots of swelling. Buccal fat reduction is quick and easy. Less swelling. But has a nice effect of chiseling the face.
Always choose a board-certified facial surgeon who is an expert in facial cosmetic surgery.
Board Certified Oral & Maxillofacial Surgeon
I had a broken nose due to a car accident that left me with a crooked nose and deviated septum. Dr. Manoli was great every step of the way! He takes his time to make sure all your questions are answered and makes you feel at ease. He has the best bedside manner, personable and most importantly, he does a great job! My nose is straight and I can breathe better than I ever could before. Michelle, the nurse and Dr. May are very sweet as well. Thank you Dr. M & team!!! :)
My experience with Dr. Manolakakis was beyond amazing! I had a consultation for reconstructive nose surgery. I had wanted the surgery because I was very unhappy with the profile of my nose. During the consultation, pre-op appointments, day of surgery, and post-op appointments, Dr. Manolakakis was extremely informative, and made me feel very comfortable with the surgery. Him, as well as his staff, were incredibly friendly and welcoming during all my visits. He goes above and beyond for his patients, and always puts the patient first. I am very happy with the outcome of my surgery. The results of my surgery are better than what I had imagined. I am very thankful to Dr. Manolakakis.
A few years ago I was seeking out doctors to help fix an uneven smile with severe gum exposure. A dear friend of mine just so happened to be a sales representative for Juvederm ,who worked with an extensive amount of doctors In the Tri-state area. Out of all the doctors she did business with, Dr. Manolis Manolakakis was her number one recommendation . I had never done anything to my face before so I was extremely nervous before my appointment . Upon arriving to the office, I was greeted by the most warm, welcoming staff.They office was SPOTLESS. When consulting with Dr. M , I felt as if I was sitting with a long time friend. He was kind, informative, and honest. A few doctors I had consulted with before, were very aggressive and seemed to get agitated when I said I wanted to "think about it" after Only a 10 min consult. I sat with Dr. M for over 45 mins discussing a budget friendly treatment to fix my smile. I have never been happier with my results! I am now going on my 5th year as a Patient at Advanced Facial Surgery. Throughout the years I have become confident enough in Dr. Manolakakis's Professional option to let him take charge of my face. This past year, He has cured my acne with laser treatments and amazing skincare, and help me get "picture perfect wedding ready" with Botox and Juvederm fillers. When I look back at old pictures I feel as if I am getting younger looking, not older! Haha I absolutely love Dr. Manolakakis and his staff! I would recommend them to ANYONE!
I've seen Dr. Manolakakis on a few occasions. The office staff is friendly and accommodating as is the doctor. He is smart, thorough, has a great eye and wonderful technique. Dr. M is the best! Go!!!!
My experience with Dr Manolakakis and his staff was wonderful. He's knowledgable and honest. He has a great bedside manner and listened to your concerns. He's well acquainted with the newest laser procedures, botox, fillers and what would work best for me. I'll be a repeat customer!!
I have been a patient of Dr. Manolakakis for over a year now. He was referred to me by 5 patients. I must say my first visit was amazing! The office is Cutting Edge! Upon entering you are greeted by Melissa and Diane who both provide a warm and welcoming atmosphere! Dr. Manolakakis is a True Artist! He is highly skilled, compassionate, honest, and truly listens to your concerns. He genuinely takes pride in whatever he does and his passion for his work is amazing and proves that he loves what he does.... Whether it’s a Laser procedure with Chevon or preparing for Surgery with Michelle, you know you are in great hands. The day of my procedure Dr. Fisher explained how I would be sedated. Then Dr. Manolakakis and Dr. May prepared me for Surgery. I never felt more cared for before, during and after a procedure. The follow-up was incredible as well. Dr. Manolakakis was even willing to make a House Call!!! You truly feel like you are a part of a Family! I couldn’t be happier with my results. If you are looking for the Best you need look no further! Barbara Olson
Dr. M is the best!!!! Whether it’s Botox, lasers or surgery- you always come out looking better. Never once have I questioned him. He is always there if you have follow up questions or concerns and happy to go over anything to make you feel comfortable. I will never go anywhere else
I've been a patient of Dr. Manolakakis for 8 years. I only wish that he could be my doctor for everything! His personality, his passion, his compassion, and his desire to treat his patients as "properly as possible" is why I trust him so much. He never suggest too much, but rather a limited treatment with the possibility of more. That is a true doctor, a true caretaker.
As always, a wonderful experience with Dr M and his staff. Had surgery on December 1st. All went well expect for some post surgery nausea from anesthesia. Dr M stayed with me for an additional 4 hours after surgery, text he hourly until 1 am ( when I told him to get some rest) and had me come to the office the next morning for hydration. I have healed perfectly and cannot say enough about his work, his bedside manner and his staff. I am an RN, you do not see this type of dedication elsewhere.
I am 46 and had a,facelift neck lift undereye blephoplasty with under eye fat graph . The photos shown are the day be4 and 3 weeks post op. I am so far very happy with my results . The surgery was,6 hours and then recovery 1 hr. It is,a tough surgery as,far as,recovery it's been a little tough but if you want amazing results you have to deal with the recovery . Updated on 12 Jan 2016: These pics are from about 1 month post op to 2 1/2 months post op
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