Rich & Humenansky Plastic and Reconstructive Surgery

A: Sorry to hear about your injury. There are generally three reasons why one eyelid may appear more "droopy" than the other. #1 true eyelid ptosis #2 dermatochalasis (excess skin) #eyebrow ptosis. An in person exam with a plastic & reconstructive or oculoplastic surgeon would help you identify which one is causing your concern. One year out from your accident, swelling should have subsided.
-Dr. H

A: The key here isn't if you would benefit from a slightly difficult septoplasty but how to do this without insurance in an era when the hospital cost normally exceeds $30,000. Most facilities offer self pay rates that are negotiated. Here costs are less than $2000. The surgery must maintain support of the tip of your nose while moving it to midline to open both sides for breathing. This makes it slightly like a rhinoplasty but skilled ENT surgeons are capable as well as others specializing in rhinoplasty. You can benefit but need to ask the questions about costs.
Good luck,

Smythe Rich, MD
Facial Plastic Surgeon
Columbia, SC

A: If you speak to a qualified surgeon they will definitely suggest a chin implant. Perfect..permanent..and rare problems. You will spend much more and have less effect with injectables. The perception of fat under your chin is just redundant unsupported tissue that would disappear with a stronger jaw line.

Best,

Smythe Rich, MD

Facial Plastic Surgery

Columbia, SC

A: The common answers of botox for the depressor muscle or filler will be brief and partially correct the concern. A correctly sized chin augmentation will release the ligaments pulling the corners of the mouth down and more importantly produce a better jawline. This is permanent and rarely but easily removed. 

Good luck




J.Smythe Rich

Facial Plastic Surgery

Columbia, SC