Charles W. Guy II, DO, FAOCO

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

It is difficult to tell if there is still swelling without comparing it to the pre-operative photos.   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.  I would continue to follow up with your surgeon for his/her recommendations.   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.  It is used in small amounts when injected.   However, it may not have a large impact either if you have thick tissues.   I hope this helps

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

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

If the pain is located just to that spot, there may be some chronic irritation that could cause some pain.   It is not uncommon to have pain just under the earlobe.  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.   Your surgeon should be able to remove the possible piece of suture shown in the second photo.  Otherwise a small dose of steroid injected into a tender spot below the earlobe can help with the other possibility.  I hope this helps.   

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

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

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

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

From the picture it looks like you have a deficiency of your radix, giving you the illusion of a larger hump.  Your nose only appears slightly over projected.   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.   If you are concerned about the surgical aspect, filler could be used for a non-surgical rhinoplasty to fill in the radix.   I hope this helps!