Vincent McGinniss, DO, FACS, FAOCO

Hi! The fox eye aka cat eye creates a look where the outside corner of the eye (lateral canthus) region (usually also including the outside part of the eyebrow) is directed upward and outward creating a more almond shape and oriental appearance to the eye. Traditionally this look was created by makeup artists, but has also become popular using minimally invasive thread lifting techniques. There are also more permanent surgical options to reposition the lateral eyelid (canthopexy) and eyebrow (lateral brow lift). I haven’t come across anyone that has anatomy that would inhibit this procedure other than decrease in collagen and elasticity as we age which could lessen the longevity of the results (especially when using minimally invasive procedures). All my best!

Hi! A very simplified way to think about lower eyelid surgery options is to ask oneself, is there too much volume (example, large amounts of orbital fat puffing out) or is there deficiency of volume ( not enough tissue under the eye that creates a hollowed appearance)? Sometimes the later is caused my not enough bone projection (something called a negative vector), or movement of fat pads/soft tissues downward. We remove the fat in lower eyelid surgery if there is too much volume. In your case, it appears by your photos that taking fat out would make things worse for you. Instead we need to add volume either with fat or fillers and/or transfer the volume of fat/tissues you have that are low, up toward the eye where we want them. I think fat transfer is a great option and when done by someone with experience in this procedure should hopefully create a nice smooth transition from your eyelid to cheek. I agree that cheek/mid face augmentation or repositioning helps a lot with the eyelid/cheek junction. For example, when patients want filler to the tear trough, I always fill and or lift the cheeks first! I then find that I need very little filler to correct the tear trough region. All my best!

I generally tell my patients that most of the healing is complete at one year, but everyone is different. Revision rhinoplasty sets up a situation of more inflammation, so possibly healing could take longer. It would be helpful to see more angles of your nose and the before pictures as well to better give you my opinion. Talk with your surgeon about your concerns and be sure to review with him/her your before and after pictures to critically evaluate the changes and decide together if more needs to be done. All my best!

Hi! Swelling after rhinoplasty can last for a long time. I typically tell my patients that it takes about a year to completely heal. With that, by 3 months a lot, if not most of the swelling has resolved. The tip of the nose is commonly the last place for swelling to resolve though. Everyone heals differently and swelling sometimes can persist longer than anticipated. I would recommend talking with your surgeon about your concerns. I’d be happy to review before and after photos for you if you wish and give you my honest thoughts. All my best!!!

Hi! It is so important to have a great relationship with your surgeon to be able to express all of your concerns about your nose. Yes, all of those things can be addressed in a single rhinoplasty surgery and we typically do not charge for each change. Sometimes a more complicated surgery may cost more because it may take more time and require more work to achieve your goals. This can sometimes be especially true with revision rhinoplasty. I find it imperative to discuss with my patients exactly what they wish changed and we design an individualized treatment plan together. The cost can vary greatly for rhinoplasty. I think the range is around 6-12000. All my best!!!