You have significant herniation of fat and the two out of the three fat pockets in the lower lids. This is also called a prolapse. Do not have extra skin based on these limited photographs. We do not recommend fillers placed in this area due to significant complications that can happen such as blindness. Also important to get your allergies under control with nasal sprays, antihistamines and decongestants. A trans-conjunctival approach lower blepharoplasty can accomplish removal of these fat pads as an outpatient procedure under general anesthesia, which takes about 30 minutes. The incisions located completely on the inside of the lower lid, and there's no visible external incision. That's going be your best solution.

I have a mix of things going on, such as tear trough hollowing, bulging fat pad or muscle, some excess skin, and also thin skin leading to purple discoloration. I'm not sure I am ready for surgery. I'm not sure I'm a good canidate for tear trough filllers with my allergies and thin skin. Would fillers to the midface help? What are my best options?

Non-surgical options for undereyes - Tear trough hollowing, bulging fat pad, excess skin and discoloration? (photo)

Eyelid Surgery

Polly beak can be caused from two issues, thick skin and residual dorsal/tip cartilage. To treat thick skin require steroid shots to reduce the swelling in the supra tip area of the nose. If the poly beak is caused from excess cartilage, then a revision rhinoplasty is required. To prevent the tip of the nose from drooping down dynamically when smiling requires releasing of the depressor septi ligament.

I had a rhinoplasty and septoplasty about two years ago and the more time that passes the worse my nose is getting. My tip is super droopy now and there is a bump on the side of my bridge. I know I have thick skin but I’m wondering if I have pollybeak, or what some indications of Pollybeak are.

Tip is super droopy 2 years post-op. Pollybeak? (photo)

Revision Rhinoplasty

From the two limited photographs, it appears that most of your fat is located above the platysma muscle in the neck, therefore liposuction should be able to accomplish your goals. If you're looking for more jawline definition, a platysma- plasty can also be performed, which significantly improves your jawline once the fat has been removed. If you're fat deposits are located below the muscle than a formal neck lift surgery is required.

Dear doctors , I recently had a consultation with a plastic surgeon because my double chin bothers me. Although I was interested in double chin liposuction, he recommended a neck lift instead, suggesting that removing the fat pad would be a better approach. I’m 32 years old and weigh 110 pounds, so I was a bit surprised by his recommendation. What are the pros and cons of a neck lift versus liposuction? In what cases do you recommend a neck lift for younger patients? Do you think it’s necessary in my case?

Necklift and fat pad removal or just chin lipo? (photo)

Neck Lift

A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of your hanging columella, refinement to the nasal tip cartilages, and osteotomy placed in the nasal bones to narrow the bridge line and close the open roof that's created from the hump removal itself. All of the incisions are placed on the inside of the nose, and there's no external incisions needed, and no painful packing required either. An Alar plasty is performed to narrow wide nostrils, not lower them. Functional surgery, such as a Septoplasty and turbinate surgery can also be performed simultaneously on the inside of the nose for improvement of airflow dynamics. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience producing natural results.

Good morning everyone! I’m soon having a rhinoplasty to correct my breathing issues, focusing on my septum, alar cartilages (as they affect breathing), and inferior concha. At the same time, I’d like to refine my nasal tip, as I find it asymmetrical and quite bulbous. I’ve consulted a well-known surgeon in my area, and we created some morphs, which I’ll be adding. However, I’d love to hear other perspectives! I don’t want drastic changes—I like my nose’s character and feel it suits my face. My biggest fear is ending up with an overly “done” look (like a Barbie nose). I don’t want a pointy or overly small nose, just subtle refinements that keep my features balanced. My surgeon agrees that my tip asymmetry should be corrected and suggests slight refinement, as he feels it draws too much attention. He also mentioned that when correcting the functional aspects, the tip will need to be moved slightly upwards (minimally) for better tension. Additionally, he recommends a mini osteotomy to prevent the nose from looking too prominent and to improve harmony. Lastly, he plans small incisions to lower my nostrils slightly, making them less visible from the front and side. Do you think these changes will look drastic or would you agree? How can I ensure the result stays natural? Is this the right approach? Should I go for the mini osteotomy and nostril adjustment? I’ve attached pictures and morphs and would love to hear your thoughts and opinions!

Refine nasal tip, fix breathing, mini osteotomy. Will these changes look drastic? (photo)

Rhinoplasty

As long as there's no infection, and the implant has not been displaced, it's best to leave well enough alone. There's no reason to go in and just to remove a screw. In our practice, we use silicone chin implants manufactured by Implantech, and we secure the implant in place with a dissolvable stitch that takes about two months to go away. We usually perform chin implants under local anesthesia as an outpatient procedure, which takes about 30 minutes. They can always be removed if necessary.

I already had the procedure nearly a year ago and healed very well. However, I’ve been talking to a friend who’s considering a chin implant himself who was surprised to hear my doctor had used a screw to fixate my implant, given all the risks of complications and possible bone erosion over time. Naturally this got me feeling anxious and in my head. My doctor assured me each step of the procedure was safe; and we got very good results. But now I’m second guessing: do I need to be worried about these future complications from the screw fixation? How likely are they? Is there anything I can do to mitigate or prevent them? Or do I need to schedule a revision surgery to get the screw removed? I appreciate any guidance or reassurance you could provide!

1 year post op - How worried should I be that my doctor used a screw to secure my chin implant (silicone)? (Photos)

Chin Implant

Asian Rhinoplasty

Brow Lift

Cheek Augmentation

Chin Liposuction

William Portuese, MD

The Idaho Center for Facial Plastic Surgery

Pam Anderson

Angela Lane

Jamie Jaramillo

Janet Silver

Facelift

SMAS Facelift

Sinus Surgery

Septoplasty

Nonsurgical Nose Job

Mini Facelift

Lower Facelift

Juvederm

Facial Reconstructive Surgery

Ear Surgery

Genioplasty

Dermabrasion

Botox

Cheek Lift

Double Eyelid Surgery

Atlanta

Robert Colgrove, Jr., MD

ARTAS Robotic Hair Transplant

Breast Implants

Breast Augmentation

Breast Implant Revision

Breast Lift with Implants

Mentor Breast Implants

Abdominal Etching

Adam's Apple Reduction

African American Rhinoplasty

Areola Reduction Surgery

Arm Lift

Asclera

Bellafill

Belly Button Surgery

Belotero

Biocorneum

Body Lift

Brazilian Butt Lift

Brazilian Butt Lift Revision

Breast Fat Transfer

Breast Implant Removal

Breast Lift

Breast Reduction

Buccal Fat Removal

Butt Augmentation

Butt Lift

Chemical Peel

Clitoral Hood Reduction

CO2 Laser

Collagen Injection

Daxxify

DefenAge

Dermal Fillers

Dermaplaning

Diastasis Recti Repair

Drainless Tummy Tuck

Dysport

Earlobe Repair

eMatrix

Eyebrow Transplant

Facelift Revision

Facial Fat Transfer

Feminizing Top Surgery

Fractional Laser

FUE Hair Transplant

Gynecomastia Surgery

Hair Loss Treatment

Hair Transplant

Hand Rejuvenation

Hyaluronidase

Ideal Implant

Inspira Breast Implants

Jessner Peel

Jeuveau

Kybella

Labia Puffing

Labiaplasty

Laser Hair Removal

Laser Resurfacing

Latisse

Lip Lift

Lip Reduction

Lip Surgery

Lipoma Removal

Liposuction

Liposuction Revision

Liquid Facelift

MACS Facelift

Male Tummy Tuck

Microblading

Microdermabrasion

Microneedling

Mini Tummy Tuck

Mole Removal

Mommy Makeover

Monsplasty

Natrelle Breast Implants

Nipple Surgery

Nonsurgical Facelift

Nonsurgical Neck Lift

Panniculectomy

critical risk

Miami

Max Polo, MD

AlloDerm

Body-Jet Liposuction

Breast Reconstruction

Breast Reconstruction Revision

Breast Reconstruction with Latissimus Flap

Butt Implants

Calf Implant

Cellfina

Deep Plane Facelift

Facial

Forehead Reduction

Glycolic Peel

Jaw Reduction

Lifestyle Lift

Lip Fillers

Lip Implants

Lipodissolve

Liposculpture

Masculinizing Top Surgery

Mesotherapy

Morpheus8

NeoGraft

Pec Implants

Power-Assisted Liposuction (PAL)

PRP for Hair Loss

San Antonio

Gary Lawton, MD, FACS

Mastectomy

Ptosis Surgery

Subcision

Thigh Lift

Tumescent Liposuction

Tummy Tuck

Tummy Tuck Revision

El Paso

S. Ozan Sozer, MD

ActiveFX

Agnes RF

CoolSculpting

Cosmelan

DeepFX

Fraxel Laser

Fraxel Repair

Laser Liposuction

Laser Peel

Lightsheer Laser

MiraDry

Radiesse

Retin-A

Salicylic Peel

Scar Removal

Sclerotherapy

Sculptra

Skin Rejuvenation

Skin Tightening

Smart Lipo

Tattoo Removal

TotalFX

Dallas

William Alan Dulin, MD

ArteFill

Blue Peel

BroadBand Light (BBL)

Dermapen

Dimple Surgery

Embrace Scar Therapy

Endermologie

Exilis

Facial Feminization Surgery

FemTouch