Jane,

Thanks for your questions, sorry I have taken so long to reply.  I have been out of the office and your questions were specific enough that my staff could not answer.  Regarding your questions on rhinoplasty we can under most circumstances add length to a previously shortened nose.  Usually in that case the nose has also been over-rotated.  The limiting factor is when the nose has been very over-shortened and the skin has contracted so much that it prevents expansion to the degree that we would want.  Usually though this is not the case.  We may utilize ear cartilage for the repair or possibly rib depending on the amount of cartilage I determine is necessary to accomplish the best result.  We have extensive experience with revision rhinoplasty and would be happy to see you.  The cost for revision surgery is between 6,000 and 7,000 including facility fee and anesthesia.

Regarding Fat Transfer it depends on how you do it and where you do it.  If your previous transfer was in the lips or perioral area then is was likely to fail and is likely to fail again.  If you perform the transfer in the correct manner and are utilizing it to rejuvenate the peri-occular area, cheek area and jawline then it is usually successful on one attempt.  All of the results on our website for fat transfer are after only one transfer.  Not one patient on the site has had any more than one procedure and many of the results are longer than two years.  In fact I just presented my long-term results for fat transfer at a facial plastic meeting.  I encourage you to review the results and we look forward to the opportunity to meet you.