Evan Ransom, MD, FACS

Thank you for your question and the photo. I'm sorry to hear that you haven't had a good experience. From the limited view provided, it looks like there are issues with the skin redistribution and/or the internal sutures. This most likely would require a revision surgery. I would recommend visiting with a couple facial surgery specialists for a second opinion. Best of luck and take care.

Thank you for the great question. The term "ethnic rhinoplasty" is most commonly meant as a way to describe nose reshaping surgery for patients who are not Caucasian. It is a somewhat problematic term. However, the reason the distinction is made has to do with some anatomic characteristics that can factor into the surgical plan for a specific nose -- mostly the skin thickness, but also the size/shape of the tip cartilages, and the size/shape of the nostrils. The specific changes that a patient desires should be reviewed with the surgeon after a physical examination of the nose anatomy. I hope that helps!

Thank you for the photo and your question. It appears that you would be an excellent candidate for a lip lift surgery, possibly with a small corner lip lift also. This procedure is designed to shorten the distance between the base of the nose and mouth opening by reducing the height of the skin portion of the lip. This will also result in more visibility of the vermillion (red part) of the lip and more tooth show with smiling. The procedure takes less than an hour and can be performed with local anesthesia. Best of luck moving forward!

Thank you for the photos and your questions. For asymmetry in the face, injectable fillers are the best place to start. In your case, adding volume and contour to the left side of your cheek and jawline will help significantly. In addition, these treatments are temporary -- so if you don't like it for some reason, it will wear off (and some can be reversed). If you do like the effects, facial implants could be considered as a permanent solution. This would likely include a left malar (cheek) implant and possibly a chin/jawline implant that is customized for your anatomy. These are fairly minor surgical procedures. Best of luck moving forward!

Thank you for writing and sharing your pictures. It is possible to change the profile, particularly the upper 2/3 of the nose, with minimal change to the tip of the nose. In your comments, however, you mention making the tip smaller. Obviously this will change the tip shape a little in all views. The most important thing to remember in rhinoplasty is that each part of the nose relates to the other parts -- so lowering the bridge will change how you see the tip. In some cases, the tip shape should be changed to match the height and width of the bridge after reducing a hump. Best of luck moving forward!

Thank you for the question. This is an important one that comes up a lot. Basically, the shorter the incision and/or the less tissue release and resuspension, the shorter the duration of effect that can be expected. With time, the skin will continue to age and lose elasticity. In a thin person, such as yourself, you may also experience some volume loss in the face. There are also lots of individual biological and behavioral factors to consider. These include sun exposure, skin care, diet/exercise, exposure to cigarette smoke, etc. If you have a facelift now, you may find yourself wanting a touch-up procedure in 10-15 years or so. With a quick-recovery or mini-lift, this may be sooner. Best of luck moving forward!

Thank you for the question and the photo. Dermal fillers could be used to smooth out this area. Another option would be fat grafting (fat transferred from another part of your body). Custom implants can be used also, but this would require an incision that may be difficult to hide with a shaved head. Best of luck!

Thank you for the photo and your questions. Hairline lowering is best used in women because of the risk of male pattern baldness in men. That said, if you have dense hair and no family history of baldness, you could give it a shot. The incision will fade over time but would never disappear completely... so if you did experience hairline recession, it could become visible. Another option is to do FUE hair transplantation in front of your existing hairline to lower it. This is a much safer option, though achieving high density can be a challenge and may require multiple transplant sessions. Best of luck moving forward!

Thank you for the question and your photo. It looks like you have a fairly high hairline. It is difficult to assess the projection without a profile view. However, if your upper forehead is flat and the lower forehead is prominent, you can address these things surgically. The hairline could be surgically lowered (typically around 2cm). For the forehead contour, you can do either or both: 1) forehead implant (an oval-shaped augmentation for the central upper forhead); 2) brow bone contouring (using surgical reduction of the browbone). This last portion is pretty invasive. The other procedures mentioned are relatively straightforward. Best of luck and take care!

Hi there! Thanks for the great question and your photo. Yes, you can have hairline lowering surgery with a small widow's peak like I see in the photo. The key thing for hairline lowering (a.k.a. forehead reduction) is that most of the need for hair coverage should be in the central forehead rather than the temples. If you needed additional coverage after the lowering procedure, a small amount of hair grafts can be used to fill in or add density. Best of luck moving forward!