Mimis N. Cohen, M.D., FACS
I am considering chin augmentation, but I don't know whether or not my complaint can be fixed. My complaint is this: Not only do I have a small chin in profile, but from the bottom of my bottom lip to the indentation where my chin actually starts, there is a big space, about an inch. I actually want my chin to "start" right below my bottom lip, not an inch below it. I was wondering if this can be changed through surgery, and if it can, will there be massive scarring or an artificial look?
I believe that your condition could be corrected with surgery. There are several techniques available, and selection depends on the individual's condition. If your chin is small but your bite (the way that your top and bottom teeth come together) is good, then you would be a candidate for augmentation with an implant or by advancing forward the bottom portion of your jaw around the chin area (advancement genioplasty). Both procedures can be performed from inside the mouth or through a small incision under your chin. If your bite is off and your lower teeth sit behind your upper teeth with your mouth closed, then you might be a candidate for an advancement of your entire lower jaw (sagittal split advancement osteotomy). This is a more complex procedure but is also done from inside the mouth, and there are no external scars. All these procedures can significantly improve the appearance and achieve facial balance.
My husband, who is 42, has small ears but they stick out. He wears his hair so they are not so noticeable. I was wondering if there is a procedure to fix this and, if so, is he too old to have it done?
Protruding ears is a common condition that can be corrected with plastic surgery. The procedure is called otoplasty. It is performed as an outpatient, under local anesthesia, through small incisions placed behind the ears. The outcome is consistently good, with very few complications or unfavorable results. Age is not a contraindication. Children often have their ears corrected when they are as young as 5 or 6 years of age, but adults also can benefit from the procedure.
I am a middle aged female and have been working very hard to lose weight on my thighs, with no success. Is there a surgical procedure that I can have with relatively quick results but not have to go under general anesthesia?
If your problem is localized to your thighs you could be a candidate for liposuction. This procedure can be done under sedation and local infiltration or under spinal anesthesia. The results are generally very good. There will be however, some restrictions in your activities after your surgery and you will have to wear a special garment for several weeks. Your plastic surgeon will be able to provide you with detailed information based on your body build and personal requirements.