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Great question!&nbsp; &nbsp;A facelift can "set the clock back" but it does not stop the aging process.&nbsp; There are few things that happen with aging that can affect your results.&nbsp; &nbsp;Your skin will loose elastin and collagen which can cause wrinkles or sagging.&nbsp; &nbsp;Using sunscreen and avoiding the sun can help protect the collagen and elastin in your skin and protect your investment.&nbsp; Using a daily facial moisturizer, drinking plenty of water and healthy diets can help.&nbsp; &nbsp;This will not necessarily stop the aging of the deeper fascial layers or the volume loss.&nbsp; You may need occasional filler or fat transfer to replace volume&nbsp;or a device that delivers a deeper energy to help tighten the skin.&nbsp; &nbsp;It is not uncommon to need a touch up or revision facelift in another 10-15 years.&nbsp; &nbsp;I hope this helps

I just did a Fraxel and I get botox and fillers every six months. I do not want to be overfilled. I avoid sun. I am simply trying to maintain the surgery that I paid a lot of money for and to keep my skin as nice as possible. I am Fitzpatrick type 2. I want to know what I should be getting done every year to optimize my skin’s health. My skin is very good for my age with almost all of the aging around the mouth. I have had CO2 laser done in that area.

I am 51 y/o female, 6 months post full facelift. What should my regimen be to maintain the facelift?

It is difficult to tell if there is still swelling without comparing it to the pre-operative photos.&nbsp; &nbsp;It looks as if you have thick skin to the nasal tip which can limit the amount of tip refinement that you can achieve with rhinoplasty.&nbsp; I would continue to follow up with your surgeon for his/her recommendations.&nbsp; &nbsp;As far as the steroids go in a Type II diabetic, I would not be worried about it having a significant affect on your blood sugar.&nbsp; It is used in small amounts when injected.&nbsp; &nbsp;However, it may not have a large impact either if you have thick tissues.&nbsp; &nbsp;I hope this helps

I had a rhinoplasty surgery about 10 months ago and even though I'm very pleased with the bridge of the nose, the tip is really swollen. Its been almost a year and I'm very concerned because I don't see a progression. My nose looks bigger than it used to be. I spoke to my doctor about this and we decided to give it some more time (1 year) but I don't see to get any better. I'm diabetic type 2 so steroids would be my last resource.

The tip of my nose is very swollen, what else can I do that is non-surgical to help the swelling?

A facelift does not freeze the face in time.&nbsp; I do not know if those were present originally or if they developed afterwards and would have developed over time naturally.&nbsp; The good news is that they can be treated through a small incision just under the chin.&nbsp; &nbsp;This can be done in the office or the operating room, depending on surgeon and patient comfort levels.&nbsp; &nbsp;Botox&nbsp;or Radiofrequency treatments will probably not get you the results you are looking for.

I had a smas face and neck lift 2years ago. My ps didn’t cut under my chin therefore my platysma Bands are showing but my skin under my chin as come loose. I went back to see if I could have anything done to help but he says he’s not happy to undo that there are lots of threads and wires. Is there anything I can do?

SMAS face and neck lift 2 years ago, platysma bands showing, advice? (photos)

From the photos, it looks like the tissues did not hold as expected.&nbsp; &nbsp;Performing a revision SMAS facelift could potentially get you the results you are looking for.&nbsp; &nbsp;I don't believe more fat will get you the results of a more smooth and continuous jawline.&nbsp; I hope this helps.

SMAS face/neck lift ... Fat injections were applied in the chin area. 5 cc on each side. My jaw line/chin is the same as before face lift but it is fuller now. It does not look good and the feeling is bad (can't smile normal). maybe too much fat? The left side is thicker than right .. see myself in a mirror make me sad. Can I expect some positive changes ?

What is wrong with my chin area after SMAS and fat grafting? (photo)

If the pain is located just to that spot, there may be some chronic irritation that could cause some pain.&nbsp; &nbsp;It is not uncommon to have pain just under the earlobe.&nbsp; There is a nerve that runs up toward the ear there and with the sutures from the facelift it can pinch the nerve and would be unrelated to the sutures shown in the photo.&nbsp; &nbsp;Your surgeon should be able to remove the possible piece of suture shown in the second photo.&nbsp; Otherwise a small dose of steroid injected into a tender spot below the earlobe can help with the other possibility.&nbsp; I hope this helps.&nbsp; &nbsp;

I had a facelift 3 months ago and have persistent pain and swelling in my right ear. I just noticed a brown spot come to the surface in the corner where my ear lobe meets my face and realized it was a stitch. I'm out of town and can't see my surgeon for another month. There is no sight of infection, but I'm worried the stitch I see may be pressing on nerves. Is this something to worry about? And, could it be the source of my ongoing pain? Thanks!

Could these stitches left in my ear post facelift be causing my pain and swelling? (Photos)

It is difficult to discern on the photos, but your tip looks more narrow and will likely continue to improve.&nbsp; &nbsp;The hump has been removed and no&nbsp;obvious hump remains from what can be seen in the photos.&nbsp; &nbsp;You may feel that the dorsum is wide because a&nbsp;hump&nbsp;makes the nasal bones appear more narrow from the frontal view.&nbsp;&nbsp;But, it&nbsp;does look&nbsp;like it was narrowed from the photo.&nbsp; &nbsp;As far as the tip dropping with time, if a columellar strut graft was placed it should be fine.&nbsp; If not, it likely would not drop much over time anyways.&nbsp; I hope this helps!

I’m exactly one month Post Op now and I feel like my nose is still wide? I feel like the front hasn’t changed much and it’s still bulbous. Also it’s raised upwards which I really love I’m afraid it’ll go down? That’s what I heard from people. And my side profile i feel like there’s still a bump, any opinions?

1 month post-op. Will my nose get smaller? Will the tip drop? (photos)

Thank you for your question.&nbsp; Taping can help to minimize the swelling that occurs post rhinoplasty.&nbsp; How long you tape is surgeon dependent.&nbsp; &nbsp;Taping for 6 mos is not common but if Alloderm was used I have seen swelling last longer than normal.&nbsp; This may be why the 6 mos recommendation was given.&nbsp; &nbsp;If you have irritation to the skin from the tape, you may want to discuss the risks and benefits with your surgeon.&nbsp; &nbsp;In general, taping should not cause asymmetry in the long run as long as you are not putting excess pressure on the nose.&nbsp; I hope this helps

I was advised to wait to tape my nose following cast removal. At 1- month post-op, doctor said to start taping &amp; to do it for 6 months. I'm nervous that my taping may hurt nose since it is still very sensitive with throbbing &amp; pressure. My nasal bones were broken and I had alloderm. Is taping beneficial at this 1-month point? Is it common or not unusual to tape the nose for 6 months of time? Is it possible for a patient to cause asymmetry by taping improperly or taping in of itself?

1 month post-op. Is taping beneficial now since my nose is still sensitive and throbbing? Is it common to tape for 6 months?

As long as you are not going deep into the nose or pushing on anything with the Q-tip, it should be fine.&nbsp; But, it's always best to check with your surgeon.&nbsp; Typically, saline rinses are needed after a rhinoplasty to rinse out any blood clots.&nbsp; &nbsp;The diluted peroxide is good for cleaning dried blood off the incisions (with a Q-tip) but not great for irrigating the nose.&nbsp; Hope this helps

I've been cleaning my nose with a q-tip gently inside around the tip, typically with nasal saline spray diluted with hydrogen peroxide to clean up the dried blood / crusts. I went up a little high a couple times because there was a big blood clot.. I try to be careful and gentle but I was wondering if I could possibly be damaging anything? I haven't gotten any alarming pain, bleeding or anything. My Dr. didn't really mention a q-tip but he did say to rinse with nasal saline spray.

12 days post-op, is it safe to clean my nose with a q-tip?

If you are not having nasal breathing problems then there are no worries unless you are concerned about it from a cosmetic standpoint.&nbsp;&nbsp;Your septum is actually inside your nose.&nbsp; I believe the area you are concerned about, giving the appearance of asymmetric nostrils is the footplate of your lower lateral cartilage.&nbsp; These sit right next to septum.&nbsp; You may have a small crooked part of the septum pushing the footplate into the nostril or it may just be the way the cartilage sits.&nbsp; &nbsp;An exam by an ENT&nbsp;or facial plastic surgeon could answer that question.&nbsp; &nbsp;I hope this helps!

I don’t have breathing problems, but I was just looking at my septum and back thought my nostrils aren’t exactly the same size. My friend was recently diagnosed with a deviated septum, so now I am curious.

Does my septum look deviated? (Photos)

From the picture it looks like you have a deficiency of your radix, giving you the illusion of a larger hump.&nbsp; Your nose only appears slightly over projected.&nbsp; &nbsp;With a long face, if you only take down the hump and deproject the tip, you may end up with a nose that does not match your face.&nbsp; &nbsp;If you are concerned about the surgical aspect, filler could be used for a non-surgical rhinoplasty to fill in the radix.&nbsp; &nbsp;I hope this helps!

I've always felt like my nose is far too big for me as I'm quite slim with a small head, but I do have full lips and pronounced Cupid's now. Could rhinoplasty help without making the rest of my face look silly? Is deprojection rhinoplasty more expensive typically? Thank you.

I think my nose is over projected, but I have quite full lips, will my face look out of balance after rhino plasty?

Charles W. Guy II, DO, FAOCO

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