DR. NASSIF: Good morning! How are you?
DR. NASSIF: Are you ready to have fun this morning?
JULIE: I decided to have my nose done, my upper and lower lids, a mid face lift and a chin implant.
DR. NASSIF: First I am going to do the inside of your nose so that you can breathe better. You have a deviated septum. Hopefully I am only going to make incisions inside your nose and that will cut down some of the swelling. Let’s get ready to go!
JULIE: I am about to go into surgery and I am very excited, very nervous. I can hear it in my voice a little bit, the nervousness; but I know I am in great hands so I feel that I will be okay.
DR. NASSIF: Julie wants some eye improvement, wants the nasal hump removed, wants to breathe a little better, wants to enhance her neck, jowl line and chin. Our goal was to perform different procedures.
Upper eyelid lift or an upper blepharoplasty. The lower eyelids have a little bit of hollowness and wrinkles. I took some of that fat that we harvested from the abdomen and we injected it in the lower corner of the eye called the lateral canthus.
For her chin, we will give her some augmentation to soften her profile. We talked about performing a chin implant. We also did something called an endonasal rhinoplasty to soften up the hump. She also had a deviated septum and we corrected that.
We always look at the chin with a rhinoplasty, especially in cases where the nose sticks out too far. Sometimes the nose may only be sticking out a little bit but the patient may feel that it is sticking out a lot because of one thing, the chin. The more the chin is receded, pushed back, the longer the nose will look like it is projected.
We also performed a neck lift through the same incision that we did the chin with. That is the wound incision behind the ear and just in front of the ear, which is hiding beautifully. You can barely see it. Overall her neck looks beautiful and her incisions look perfect.
In addition to the surgical procedures, to help with the swelling we performed a few things. We performed a red light treatment where a red light is applied to the nasal soft tissue to help with the swelling. She also underwent an intense pulsed light treatment to help with some of the redness of the neck, where she had a lot of chronic sun exposure.
The goal is to have everything in our office so the patient can come in, feel comfortable and be treated great so when she comes in the office she knows that she can get everything done in one place.
The reason why all these treatments benefit the surgery, they take care of the texture of the skin. I am not really dealing with the texture of the skin, that is something that the estheticians will take care of. Doing these extra little procedures help make the skin look better, which makes the surgical outcome a lot better.
JULIE: I went for the whole refreshed look. I am thrilled with the results. There is still a little bit of swelling and stuff like where I think I look a little different but is wonderful! I feel very pretty! I am able to put my make-up on without those wrinkles. It is just fun looking younger, feeling better. My friends and family reacted. They were a little afraid I think at first, thinking that I did not need to have a change but I think they are trilled with the results too. They love my nose. I had a little bit of a bump in my nose so Dr. Nassif took that away. I think too, I look the same, I just look refreshed which is great. I look the same, just a little bit younger.
DR. NASSIF: We will look at your nose first and then we will look at everything else.
JULIE: I went to a party a couple of weeks ago and I saw some friends. They did not really recognize me it at first because it was kind of like a salsa party so I had my hair done and my make-up on. Actually a friend of mine said, “Jules, you look like ten years younger.” He did not know. He just thought it was because of the make-up and my hair was all done up and stuff like that. So that was kind of fun.
It has just helped me tremendously with my self confidence, my feeling better. It is just wonderful! I think it will just be positive in every avenue that I proceed in. I would do it again in a heartbeat!