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CLAIM YOUR PROFILEI am glad to hear that your glaucoma is well controlled. Prior to any rhinoplasty procedure, I would recommend getting clearance from your ophthalmologist, in addition to notifying your surgeon. Eye injury during rhinoplasty is extremely rare, and the risk of ocular complications depends on the specific rhinoplasty techniques used.
Best wishes,
Leslie Irvine, M.D.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
It is somewhat difficult to tell without examining you in person, but you could have a small nasal tip bossae, caused by buckling or shifting of nasal tip cartilages as the skin heals and "shrink-wraps" around the nose. I would recommend seeing a facial plastic surgeon so that she or he can feel the tip cartilages to better assess it and decide next steps, which may be a revision surgery vs. injections vs. no treatment.
Best wishes,
Leslie Irvine, M.D.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Dear Cowboys2017, An otoplasty (or ear reshaping surgery) could help correct the shape of your ears. There are many different techniques that can be used, and most likely you would need some sutures with either scoring or removal of a little bit of cartilage, ideally through incisions on the back of the ear so they are hidden. These cases can be challenging so it is important to see a surgeon with a lot of experience with otoplasty. Best, Dr. Irvine
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Based on your photo it looks as though you would likely benefit from an upper blepharoplasty to remove skin and also fat from the inner corners of your eyes. As for the brow, ideally the brow should sit just above the orbital rim. Your brow may be just slightly low centrally. It is possible that you could get away with an upper blepharoplasty and some botox to the glabella, especially if you are nervous about possible side effects of a revision brow lift. And then if you still wanted more you could always do another brow lift later. An in-person examination will be helpful to discuss these options. Best of luck! - Dr. Irvine
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Your lips have a beautiful and youthful shape. A little hyaluronic acid filler to the outer parts of the upper lip is a good place to start, and it can be blended with the central part of the lip to give a natrual, fuller, and smooth result. After an in-person examination, I would probably start with Volbella but the experience of the injector is more important than the product used and there are many good hyaluronic acid fillers for lips on the market.
Best wishes,
Dr. Irvine
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
For most people, a facelift lasts 5-10 years. This depends on many factors such as skin quality and elasticity, genetics, environmental stressors, and the type of lift that was performed.
The aging process continues after a facelift, but it restarts from an earlier set point, so you should hopefully always look at least 5 to 10 years younger than your actual age.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
I recommend that all patients sleep with their head elevated on 2-4 pillows and ideally on their back for at least 2 weeks after rhinoplasty surgery. However, I also believe that sleep is important for mental and physical recovery so after the first postoperative week I am a little more lenient when necessary. Best of luck with your recovery!
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Based on your photos it may be possible to make your tip smaller. It is critical in rhinoplasty to make sure that the nose fits the rest of the face and that the tip of the nose is in harmony with the upper two-thirds of the nose. Another consideration in young women like yourself is the healing of the skin over the tip. Thick skin can cause a significant amount of swelling, which can be especially pronounced and may take up to 2 (or even 3) years to completely resolve. Best of luck with your decision!
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
The nose does change with age, however you are far too young to have these noticeable changes yet.
- Skin: thins over the upper 2/3rds of the nose, making the appearance of a dorsal hump more prominent. Also the lower third of the nose looks more bulbous because of relatively thicker skin.
- Bony framework: the pyriform aperture, the triangular bone on which the nose sits, recedes, which can make the nose look relatively bigger or more projected.
- Cartilage and soft tissue: the ala, or the nostrils, seem to move higher on the face, making the tip look relatively lower and "droopier."
A rhinoplasty expert will be able to address your concerns and come up with the best individual treatment plan for you.
Best of luck!
Dr. Irvine
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
You may be a candidate for an endoscopic brow lift. For this surgery, between 2 and 5 small incisions are made behind your hairline to lift your brows gently and symmetrically. It is important to be careful with this surgery, because lifting the central part of the brow too much can give a surprised look, and completely removing the glabellar muscles can make the brows move further apart.
Another option you could try, which would be subtle but noticeable, is botox to the glabella (the area between your eyebrows) and crows feet to lift your brows temporarily.
Best wishes,
Dr. Irvine
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
I received Botox from Dr. Irvine with beautiful results. I had no bruising and the outcome was subtle and natural. It was like a slight brow lift. It was much better than when I previously had Botox from a different doctor and ended up with a heavy, lowered brow. Dr. Irvine was caring, knowledgable and gentle with the injections.
I saw Dr. Irvine for botox in my forehead and filler in my laugh lines and under my eyes. I could not have been happier with Dr. Irvine and my results! She took the time to explain what she was doing, answered all of my questions, and even gave me her cell phone number and texted to check up on me. I went back to the east coast shortly after my treatment and all of my friends commented on how refreshed and "great" I looked. I will definitely be going back to see Dr. Irvine and have already sent my friends to her (..and they have also gotten excellent results!) It's not easy finding a plastic surgeon that is so honest and straightforward while also being so very talented technically. I highly recommend Dr. Irvine to anyone considering facial plastic surgery or any other non surgical options!
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