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I am passionate about providing natural and customized results that enhance you, rather than change you. Whether we're reshaping your nose to help it fit you better, or rejuvenating your face because you appear older than you feel, the goal is always to bring
Asked By: Terry gross
ANSWER
Thanks for your question. What you are asking for is very common and seems doable for you with surgery. In fact, these are typically the main goals I'm hoping to achieve in my own patients. While I cannot speak for the surgeons with whom you met, I would think rhinoplasty would be reasonable to consider. The most important factor towards success is appropriate expectations. Digital simulations are helpful to ensure you and your surgeon are on the same aesthetic page. Best of luck! - Dr. C.
Asked By: chm246
ANSWER
Hi, and thanks for your question! Without photos it's difficult to give you personalized advice, but in general a lip reduction has only minor effects on the nasolabial angle. You are correct that removing lip mucosa and subsequent suturing will roll the lip inward but this usually doesn't have a significant impact near the nose. That said, there are several components of that angle, including the base of the nose, the bony structure beneath, and the lip itself; all of which can be modified as necessary to achieve the desired goal. I recommend you find a board-certified facial plastic surgeon to see what would work best for you. Good luck! - Dr. C
Asked By: lala birushka
ANSWER
Nope. They don't work. The changes you see when smiling are a combination of poor tip support and your smiling muscles pulling up your cheeks. Also, there is a small muscle called the depressor septi muscle that can sometimes pull the nose down a bit. This can be relaxed with Botox or divided during surgical rhinoplasty. An in-person consultation with a board-certified rhinoplasty specialist would be very helpful as a next step. Best of luck!
Asked By: Have faith always
ANSWER
Hi, and thanks for your question. It's a really great question and something with which nearly every revision rhinoplasty patient is concerned. Generally speaking, you can get a good idea about how much septal cartilage remains during the in-person physical exam. I shine light through the septum, and use a small Q-tip to feel along it for resistance. If it feels floppy then we know there is minimal cartilage there. Unfortunately, imaging studies like CT scan, etc aren't very useful for showing this area well. If we can't be sure on the physical exam, then we would expose the septum during surgery and proceed to rib cartilage only if there is clearly deficient septal cartilage. The other option is ear cartilage, which is really nice for reconstructing the tip of the nose. My recommendation is to have an honest conversation with a surgeon with whom you connect. Everyone's preference is always to use septum if it's there. Rib or ear would be only as necessary. Hope this helps. Good luck!
Asked By: lol123456xx
ANSWER
Thanks for your question and photo! Regarding your nose, filler or "liquid" rhinoplasty may be an option to add volume above the bump and create a straighter profile. However, it will create a larger nose that may not be balanced with the rest of your face. Ultimately, I suspect the nicest shape would be achieved with surgery which would allow the bump and tip to be brought inward for a better relationship with the top of your nose. Filler obviously can't do that. As for your chin, this would be better assessed on physical exam but typically the bone can be shaved down a bit through a small incision under your chin or inside your mouth. Recovery is generally straight-forward. I recommend you see a board-certified facial plastic surgeon to develop a customized plan. Obviously, these are crazy times and most of us are only doing virtual consults right now. Hope this helps! Best, Dr. C
Asked By: siobhan_lam
ANSWER
Hi, and thanks for your question! First off, I think overall you have a beautiful profile and nothing is significantly out of balance. Strong chins are a hallmark of classic facial harmony. That said, if you preferred a less pointed chin then chin reduction would be possible. It's performed through either an oral incision, or a small incision under the chin. The excess bone is then carefully shaved down to create the desired shape. Healing is generally straightforward with minimal swelling/discomfort. Best of luck!
Asked By: YozoraS
ANSWER
Thanks for your question. I would say that based on this photo your expectations are very reasonable. Obviously, additional angles would be helpful to give you more specific advice. Make sure you see a board-certified rhinoplasty specialist who also performs functional nasal surgery to get the best result. Good luck! - Dr. C
Asked By: MomBH1981
ANSWER
Thanks for your question and for including your photo! The least invasive option is Kybella, but it requires several sessions to get a good result, is less predictable, and each session has about a week of swelling and discomfort. I would recommend micro-liposuction, which is performed through tiny incisions that nearly disappear. You could consider combining that with something to tighten the skin like Vivace microneedling, FaceTite, or Renuvion (helium plasma device). As always, I recommend you see a board-certified facial plastic surgeon to see what would be best for you. Good luck! - Dr C
Asked By: LizzyElixa
ANSWER
Thanks for your question. There are many factors that go into this decision. An old chin implant can certainly be replaced but the best course of action would depend on what's found during a physical exam, and perhaps imaging studies to assess the quality of the underlying bone. As we age the mandible slightly recedes with time. Combining this with early jowling that develops around the sides of the chin creates the illusion of chin regression. That said, replacing the implant with a larger size is generally straightforward to perform. Best of luck!
Asked By: magdalena12
ANSWER
Should be no problem whatsoever. I would not expect any issues directly related to the Botox. Thanks for the question.
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Dr. Justin C. Cohen is highly regarded for his expertise in plastic and reconstructive surgeries, particularly in procedures such as , , , , , and . Patients consistently praise his skill in delivering natural-looking results that significantly improve both breathing and aesthetics. His attentive post-operative care, communication, and caring nature further enhance his reputation as a compassionate and dedicated surgeon.
