Is facial fat grafting and rhinoplasty the solution to my flat face, jowls, and protruding nose? (Photo)
Doctor Answers 8
If you also decide to address your nose we perform Vectra 3D imaging to enable patients to preview anticipated surgery results before even deciding to proceed.
Rhinoplasty, some advices:
The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.
In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.
With this procedure you get a delicate nose, better harmonize with your other facial features.
Dr. Emmanuel Mallol Cotes.-
Cheek implants in a rhinoplasty procedure
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Flat Face and Protruding Nose
What to do...
I have looked at your pictures and have looked at several of the answers that have already been posted. Consider my answer to be one of several opinions you may receive. I am responding in a way I would respond to most patients with your situation. On your pictures (but really, the only way to give you a valid opinion about you is to see you in person) I see a somewhat overprojected nose with a dorsal convexity and wide tip. I see a flattened midface and infraorbital hollowing.First, within limits, I think one should consider to correct the things that bother you. I also think one should stick with interventions that have a limited downside and interventions that will have a limited deleterious impact on ongoing facial maturation.I think one should consider volumizing a midface deficiency with HA fillers. They will do the job, are not permanent, and have limited risk. In a patient with your age and nasal characteristics, I would perform a conservative rhinoplasty. One wants ti have something done that has limited risk and is well executed to preserve adequate long term structure in a young persons' nose. I wish you luck, try to make the right choices, your have a lot of years ahead of you!Best regards,
Fred G. Fedok ,MD
Is facial fat grafting and rhinoplasty the solution to my flat face, jowls, and protruding nose?
Improving your appearance
That's a great question, and one that has many different approaches depending on how you would like to tackle the problems that concern you. I agree, the improvement you seek is really one of contouring...basically, improve the overall contour of your face while maintaining a young, heart shape to it that does not look out of place. There are a couple of ways of doing it, first of, fat grafting is a great option. You do need global volumization to improve the contour over your cheek and create a youthful lid/cheek junction, contour through the cheeks and into the jawline. Fat grafting has its advantages (its long lasting, large amounts of volume which look soft and natural) as well as its disadvantages (its a procedure with downtime, swelling can take 2-3 weeks to come down, etc). Another option is doing something in between traditional fillers and fat grafting such as sculptra. It's a product that generates collagen in the fat pads of your face, and can be used in a similar fashion to fat grafting. It does take time to show results (because its generating collagen) and you may need 2-3 treatments. Once done though, however, you are in good shape for a couple years. Once you build this soft layer of collagen, you can always feather in traditional hyaluronic acid fillers to get the contour just where you want it. So, long story short, there are a variety of possibilities to help you. I suggest you bring these up when you go on your consultations. I hope some of this helps. And once you are ready, then you can tackle what bothers you about your nose! Best of luck.