Whether performing an open or closed rhinoplasty, the soft tissue (skin, fat, and muscle) are separated from the bone and cartilage of the nose. It is the cartilage and bone that is manipulated to change the shape and improve the function of the nose. The soft tissue will then conform around the resulting bone and cartilage construct.
There is also a muscle in the upper lip that pulls the tip of the nose down. This muscle can be divided, in the right patient, to prevent the tip of the nose from dropping when a patient smiles.
If needed, the nostril shape and size can be changed as well. This is often performed at the very end of the procedure.
Hello, and thank you for your question. Candidacy for any surgical procedure must be
addressed on a case-by-case basis. Age is indeed an important consideration, but it is not the
only consideration that a surgeon must take into account. I cannot assess whether you are a
candidate for a breast lift without a consultation, but in general, a 65-year-old could be a
mastopexy candidate if their aesthetic concerns are treatable and they are in suitable physical
and mental health. You may wish to consult with another board-certified plastic surgeon for a
second opinion. After a thorough assessment, they will be able to advise you on the most
prudent way to proceed. Best of luck to you.
Michael Eisemann M.D.
Plastic Surgeon
Houston, Texas
Hello, thank you for your question. Total en bloc capsulectomy involves removing the breast
implant and the capsule that surrounds it as a single unit. It may also include repair of the
pectoralis muscle if the initial breast augmentation or reconstruction procedure involved
separation of the muscle. This decision is made on a case-by-case basis. Without photographs,
a physical examination or more details about your original procedure, it is difficult to determine
how your needs can be most ideally met. I suggest consulting with a board-certified plastic
surgeon who has experience with restoration of normal breast anatomy after explantation. Best
of luck.
Michael Eisemann M.D.
Plastic Surgeon
Houston, Texas
Hello and thank you for your question. Based on your photos, it seems your concerns could be
effectively improved with minimally invasive techniques. It does not appear that you have the
jowls or heavy wrinkles that facelift surgery is designed to address. Dermal fillers could help
support the corners of your mouth and correct the downward, “frowning” look. This could yield a
natural-looking result that is relatively long-lasting, and will help you avoid the need for surgical
rejuvenation until a later date. The best course of action is to consult with a plastic surgeon who
can help you identify the ideal procedure or combination of procedures for your goals. Good
luck!
Michael Eisemann M.D.
Plastic Surgeon
Houston, Texas