Nasal tip defects resulting from Mohs surgery can vary in size, shape, and depth. There are also a variety of ways to reconstruct these defects. This includes direct closure, transferring adjacent skin (flap closure), or a skin graft. While there will be a scar in the region of the reconstruction, in most cases, the end result is a normal appearing nose.

I have performed blepharoplasty in patients undergoing Mohs reconstruction of the lid.  These are usually smaller defects that need reconstruction.  Larger defects may need reconstruction followed by possible blepharoplasty later.  If you are desiring upper blepharoplasty, this can be performed at the same time.

It depends on the location and size of the defect to be reconstructed.  The Mohs surgeons I work with are very adept at reconstructing defects that they feel comfortable with.  For more complex Mohs defects, I will usually get consulted for the reconstruction.

I perform a septoplasty at the same time as rhinoplasty if the patient has a deviated septum.  Also, nasal obstruction can occur due to large inferior turbinates.  These can be reduced in size to improve nasal breathing as well.  Lastly, rhinoplasty surgery should address the nostril shape and size.  A physical examination of your nose would allow your surgeon to discuss the available options for you.

If you are in good health, you would be a great candidate for rhinoplasty.  In my practice, that is the number one most reason for patients desiring to have their nose reshaped.  It sounds like you may have a small chin as well.  Often patients are candidates for chin implantation, or chin augmentation.  One may achieve dramatic results by combining rhinoplasty with a chin implant.

Nasal reconstruction after injury dies not guarantee that your nose will be restored to its original appearance.  For minor injuries with little deformity, chances are better that the nose will be very close to pre-injury appearance.  However, with more severe injuries, there is no guarantee that there will not be some permanent visible alteration of the nose.

Yes, there is.  When patients consult with me for rhinoplasty, I always obtain digital photographs.  During the consultation, I provide simulations of the photographs on a computer software program to show the patient what I think would be an appropriate reshaping of the nose.  This not only allows the patient to see themselves with a different nose, but also to make sure that both myself and the patient have the same goals in mind.

I often inject Botox into the crows feet area in both younger and older patients.  However, if you have a lot of excessive skin around your eyes in this area, you may be a better candidate for upper and/or lower blepharoplasty surgery.  For prominent crows feet, Botox will lessen but probably not eliminate the lines present.

Several months after a facelift, there may be some relaxing of the skin of the jawline and neck, requiring a "tuck up" procedure.  Nevertheless, most patients who seek out a repeat facelift will have had their initial surgery around 10-15 years prior.

A midface lift addresses the cheek region and a lower facelift treats the jawline and neck.  However, a lower facelift can provide some cheek elevation, depending on the technique.  Most people require lower facelift procedures.  I personally rarely perform midface lifts.