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Is there surgery to shorten the midface? Can this be achieved by rhinoplasty & lip lift?

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stapleappleDec 6, 2017

I want to shorten my midface (from the top of my nose to my bottom lip). Can this be achieved by rhinoplasty & lip lift (shortening my nose & philtrum each by 1-2 cm?), or would maxillofacial surgery be an option? Can shortening the midface by cutting into bone be performed without a prerequisite of serious disfigurements? Does this shorten the whole face (i.e. distance from eyes to bottom of chin)? Are general plastic surgeons aware of this procedure/capable of performing it? What is the cost?

Answers (2)

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1739 Reviews
Answered on Dec 8, 2017
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Dr. Arthur Shektman, MD
Dr. Arthur Shektman, MD
Board Certified Plastic Surgeon
Answered on Dec 8, 2017
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John Michael Thomassen, MD

A rhinoplasty would be a nice option for you.  It would reduce the dorsal hump and nasal projection and in the process reduce the visibility of your nostrils.  A nostril width reduction may not be necessary after the dorsum and tip are addressed. 

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Steven M. Denenberg, MD

But it has to be an excellent virtual consultation. (I'll base my answer on how we handle our out-of-town and out-of-country patients.)If you live outside of the United States, for example, and want to have surgery in the US, it's terribly impractical, and unnecessary, to narrow your choice of...

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Jonathan Kulbersh, MD

Yes, this is typical. It's still too soon to tell what your final results will be. You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and ...

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Kian Karimi, MD, FACS

Thank you for sharing your question.  In my practice, I advise my patients to wait 6 weeks post rhinoplasty before wearing eye glasses and sunglasses. This is to prevent any disruption of the healing process and to allow for a nice silhouette of the nasal dorsum. You can certainly wear contacts ...

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Ronald J. Edelson, MD

Since it has only been one week it is too early to tell if the bump will remain. I suspect it will continue to improve fit several months but just takes time and patience.

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Callum Faris, MD

Great question. Most Surgeon still use permanent sutures in the nose to stabilise cartilage grafts etc. They can extrude rarely, but no one knows the true extrusion rate. There are just too many variables, size of suture, area of placement in the nose, thin skin,...

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