Doctor James M. Ridgway, MD, FACS Bellevue, Washington 98004

Name: James M. Ridgway, MD, FACS
Last name: Ridgway
Began aesthetic medicine in: 2004
Years experience: 19
Primary Specialty: Facial Plastic Surgeon
Website: https://www.drjamesridgway.com/
Business: Ridgway Face and Aesthetic Center
Address: 1231 116th Ave. NE
Address suite: Ste. 900
Phone: (206) 745-4768
International phone number: +12067454768
City: Bellevue
State: Washington
Zip Code: 98004
Country: US
Statement: Dr. James M. Ridgway is a double board-certified plastic surgeon in Bellevue, Washington, where he provides premiere cosmetic, restorative and reconstructive surgery of the face for patients from across the greater Seattle area. Dedicated to providing exceptional aesthetic and naturally balanced results through the most advanced, reliable techniques, Dr. Ridgway has become a highly sought-out surgeon for his expertise in facial plastic surgery, especially when it comes to rhinoplasty, septoplasty, facelifts, buccal fat reduction, and eyelid surgery.

At his private practice, the Ridgway Face and Aesthetics Center, he also offers effective minimally invasive treatments, including Juvéderm dermal fillers like Vollure, Voluma, and Versa, as well as wrinkle treatments like Botox. Dr. Ridgway’s goal is to provide natural-looking results using the most advanced techniques.

Dr. Ridgway and his staff make sure that each patient is provided with care and compassion throughout their entire transformational journey. He believes that cultivating a strong connection and relationship with each patient is a key factor in helping them to achieve their goals.

After graduating from the University of Arizona with his medical degree, Dr. Ridgway attended the University of California, Irvine to complete his general surgery residency and otolaryngology education. There, he trained under some of the most respected figures in the facial plastic surgery field. He completed a fellowship at the prestigious Beckman Laser Institute, receiving various honors and accolades from The Triological Society, the American Broncho-Esophagological Association, the American Head and Neck Society, and the American Society for Lasers in Medicine and Surgery. This was followed by his acceptance into the highly competitive fellowship Facial Plastic and Reconstructive Surgery program at the University of Washington, where he honed his skills.

Dr. Ridgway is board-certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. He is a member and fellow of the American Academy of Facial Plastic and Reconstructive Surgery, the American Academy of Otolaryngology-Head and Neck Surgery, the American College of Surgeons, and the European Academy of Facial Plastic Surgery.

A highly respected authority in his field, Dr. Ridgway is honored to have been featured in numerous medical journals and textbooks. He is one of the founding members of the Swedish Medical Center’s Facial Reconstruction Team and is involved in various organizations and committees including Seattle Anesthesia Outreach, Global Surgical Outreach, and FACE to FACE, through which he provides voluntary surgical care for domestic violence survivors.
Consulting Fees: -1$
Has Sponsored Offer : No

Clinical Privileges:

Swedish Hospital Medical Centers, Overlake Medical Center and Evergreen Health Medical Center

Education:

Medical: MD, University of Arizona, College of Medicine

James M. Ridgway, MD, FACS

Postdoc Training:

Internship: General Surgery, University of California, Irvine
Residency: Otolaryngology – Head and Neck Surgery, University of California, Irvine
Fellowships:
Facial Plastic and Reconstructive Surgery, University of Washington
Beckman Laser Institute & Medical Clinic, University of California, Irvine

Member of:

GPS coordinates on map: 47.6211936,-122.1860568

Primary location:

Location name: Bellevue
State: WA
Country: US
Map point: 47.5975,-122.151001

Google plus: https://plus.google.com/103046980397357827849/about?gl=us&hl=en

Treatments:

ActiveFX
Adam’s Apple Reduction
African American Rhinoplasty
AlloDerm
Areola Reduction Surgery
Asclera
Asian Rhinoplasty
Belotero
Body Lift
Botox
Botox for Migraines
Brazilian Butt Lift
Brazilian Butt Lift Revision
Breast Augmentation
Breast Fat Transfer
Breast Implant Removal
Breast Implant Revision
Breast Implants
Breast Lift
Breast Lift with Implants
Breast Reduction
Brow Lift
Buccal Fat Removal
Cheek Augmentation
Cheek Lift
Chemical Peel
Chin Implant
Chin Liposuction
Cleft Lip And Palate Repair
CO2 Laser
Collagen Injection
Deep Plane Facelift
DeepFX
Dermabrasion
Double Eyelid Surgery
Dysport
Ear Surgery
Earlobe Repair
Eyebrow Transplant
Eyelid Surgery
Facelift
Facelift Revision
Facial
Facial Fat Transfer
Facial Reconstructive Surgery
Forehead Reduction
Fractional Laser
Genioplasty
Hair Transplant
Hyaluronidase
Jaw Reduction
Juvederm
Kybella
Laser Hair Removal
Laser Peel
Laser Resurfacing
Latisse
Lip Fillers
Lip Implants
Lip Lift
Lip Reduction
Lip Surgery
Lipoma Removal
Liposculpture
Liposuction
Liquid Facelift
Lower Facelift
Microdermabrasion
Mini Facelift
Mohs Surgery
Mole Removal
Mommy Makeover
Neck Lift
Nonsurgical Facelift
Nonsurgical Nose Job
PRP for Hair Loss
Ptosis Surgery
QuickLift
Radiesse
Restylane
Retin-A
Revision Rhinoplasty
Rhinoplasty
Scar Removal
Sculptra
Septoplasty
Sinus Surgery
Skin Lightening
Skin Rejuvenation
SMAS Facelift
Subcision
TCA Peel
Teeth Whitening
Thigh Lift
TotalFX
Tummy Tuck
Ultherapy
Vampire Facelift
Vaser Liposuction
Vbeam
Voluma
Xeomin

RealSelf Info

Awards:

Shirley Baron Award, The Triologic Society – Seymour R. Cohen Award
American Head and Neck Society, Prize manuscript, Head and Neck Surgery
Award for Outstanding Academic Performance: Department of Otolaryngology – Head & Neck Surgery, University of California, Irvine
Triologic Society Resident Research Award
UCI Chao Cancer Center Research Award
American Society for Laser Medicine & Surgery (ASLMS) Award
University of California Irvine Clinical Research Symposium Award

Rating: 4.9
Profile views: 63359
Answer count: 367
Review count: 133
1 star count: 3
4 star count: 1
5 star count: 127
Total star count: 131
Star rating: 4.7261203151057
Lead count last three months: 36
Anonymous votes: 3
Offer count: 0
Profile created: Dec 14, 2010
Profile modified: Dec 14, 2022
Profile promotion: Yes
Profile inactive: No
Premier status: Preferred
Tier: Pro
RealCare Promise: Yes
Directory link: Board Certified Facial Plastic Surgeon
RealSelf’s PRO: Yes
Doctor Designation Start Time: Mar 17, 2018
Doctor Designation End Time: Jan 1, 2033

Locations

Bellevue, WA, US. GPS coordinates: 47.5975,-122.151001
Kirkland, WA, US. GPS coordinates: 47.6793,-122.1760025
Mercer Island, WA, US. GPS coordinates: 47.5746,-122.2269974
Seattle, WA, US. GPS coordinates: 47.621,-122.3470001

Latest ratings of treatments

Neck Lift (Sep 2022) – Overall rating: 1/5
Botox for Gummy Smile (Jun 2016) – Overall rating: 0/5
Neck Lift (Sep 2022) – Overall rating: 1/5
Facelift (Feb 2019) – Overall rating: 5/5
Double Eyelid Surgery (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Facelift (Oct 2022) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Chin Implant (Nov 2022) – Overall rating: 1/5
Chin Implant (Nov 2022) – Overall rating: 1/5
Chin Implant (Nov 2022) – Overall rating: 1/5
Chin Implant (Nov 2022) – Overall rating: 1/5
Rhinoplasty (Aug 2023) – Overall rating: 5/5
Rhinoplasty (Aug 2023) – Overall rating: 5/5
Rhinoplasty (Aug 2023) – Overall rating: 5/5
Buccal Fat Removal (Jun 2021) – Overall rating: 1/5
Eyelid Surgery (Dec 2022) – Overall rating: 5/5
Brow Lift (Mar 2022) – Overall rating: 5/5
Rhinoplasty (Jul 2021) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Injectable Fillers (Sep 2020) – Overall rating: 5/5
Neck Lift (Apr 2023) – Overall rating: 5/5
Eyelid Surgery (Dec 2022) – Overall rating: 5/5
Eyelid Surgery (Dec 2022) – Overall rating: 5/5
Revision Rhinoplasty (Feb 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 4/5, Answered questions: 5/5)
Rhinoplasty (Oct 2020) – Overall rating: 5/5
Rhinoplasty (Jan 2023) – Overall rating: 5/5
Rhinoplasty (Jan 2023) – Overall rating: 5/5
Rhinoplasty (Jan 2023) – Overall rating: 5/5
Rhinoplasty (Jan 2023) – Overall rating: 5/5
Revision Rhinoplasty (Feb 2022) – Overall rating: 5/5
Septoplasty (Oct 2022) – Overall rating: 5/5
Septoplasty (Oct 2022) – Overall rating: 5/5

Latest Prices

Neck Lift Prices

$20000 – Sep 19, 2022
$20000 – Sep 19, 2022
$8500 – May 22, 2014 – Seattle, WA
$7000 – Jan 30, 2014 – Seattle, WA
$15000 – Jul 17, 2015 – Bellevue, WA
$15000 – Jul 17, 2015 – Bellevue, WA
$15000 – Jul 17, 2015 – Bellevue, WA

Botox for Gummy Smile Prices

$72 – Jun 2, 2016 – Bellevue, WA

Facelift Prices

$16000 – Jul 28, 2015 – Bellevue, WA
$31 – Oct 28, 2022
$31 – Oct 28, 2022
$31 – Oct 28, 2022
$17000 – Mar 19, 2014 – Seattle, WA
$12000 – May 2, 2013 – Seattle, WA
$15000 – Jun 21, 2013 – Seattle, WA
$17000 – Nov 14, 2014 – Bellevue, WA
$17000 – Nov 14, 2014 – Bellevue, WA
$11000 – Nov 2, 2013 – Seattle, WA
$16000 – Jul 28, 2015 – Bellevue, WA
$16000 – Jul 28, 2015 – Bellevue, WA
$15000 – Jun 21, 2013 – Seattle, WA
$15000 – Jun 21, 2013 – Seattle, WA
$15000 – Jun 21, 2013 – Seattle, WA
$17000 – Mar 19, 2014 – Seattle, WA
$17000 – Mar 19, 2014 – Seattle, WA
$17000 – Mar 19, 2014 – Seattle, WA
$11000 – Nov 2, 2013 – Seattle, WA

Double Eyelid Surgery Prices

$3500 – Sep 2023 – Seattle

Rhinoplasty Prices

$12500 – Aug 1, 2023
$12500 – Aug 1, 2023
$12500 – Aug 1, 2023
$6000 – Aug 1, 2013 – Seattle, WA
$8000 – Oct 11, 2012 – Seattle, WA
$21000 – Oct 22, 2012 – Seattle, WA
$10000 – Jan 21, 2014 – Seattle, WA
$11500 – Aug 1, 2018 – Bellevue, WA
$11500 – Aug 1, 2018 – Bellevue, WA
$11500 – Aug 1, 2018 – Bellevue, WA
$11500 – Aug 1, 2018 – Bellevue
$13000 – Feb 18, 2014 – Seattle, WA
$5000 – Jun 20, 2013 – Seattle, WA
$5000 – Jun 20, 2013 – Seattle, WA
$3000 – Jan 2012 – Seattle, Washington

Buccal Fat Removal Prices

$9000 – Jun 15, 2021
$9000 – Jun 15, 2021
$9000 – Jun 15, 2021

Eyelid Surgery Prices

$300 – Jul 15, 2022
$300 – Jul 15, 2022
$300 – Jul 15, 2022
$300 – Jul 15, 2022
$300 – Jul 15, 2022
$6000 – Sep 1, 2021
$6000 – Sep 1, 2021
$6000 – Sep 1, 2021
$6000 – Sep 1, 2021
$6000 – Sep 1, 2021
$5000 – Mar 6, 2014 – Seattle, WA
$9600 – Mar 2020 – Seattle, WA
$5000 – Nov 2017 – Seattle, Washington
$5700 – Aug 4, 2014 – Bellevue, WA
$5700 – Aug 4, 2014 – Bellevue, WA
$5700 – Aug 4, 2014 – Bellevue, WA
$5700 – Aug 4, 2014 – Bellevue
$6000 – Mar 10, 2015 – Bellevue, WA
$6000 – Mar 10, 2015 – Bellevue, WA
$7000 – Jul 9, 2014 – Seattle, WA
$7000 – Jul 9, 2014 – Seattle, WA
$5000 – Mar 6, 2014 – Seattle, WA
$5000 – Apr 2012 – Seattle, Washington
$5000 – Apr 2012 – Seattle, Washington

Brow Lift Prices

$5000 – May 19, 2015 – Bellevue, WA
$30000 – Jun 24, 2013 – Seattle, WA

Injectable Fillers Prices

$2000 – Sep 15, 2020
$2000 – Sep 15, 2020
$2000 – Sep 15, 2020

Revision Rhinoplasty Prices

$5280 – Apr 10, 2014 – Seattle, WA
$5280 – Apr 10, 2014 – Seattle, WA
$5280 – Apr 10, 2014 – Seattle, WA
$10000 – Jan 21, 2014 – Seattle, WA

Septoplasty Prices

$64035 – Oct 17, 2014 – Seattle, WA
$10000 – Jul 9, 2014 – Seattle, WA
$7000 – Apr 11, 2013 – Seattle, WA
$7000 – Sep 13, 2017 – Bellevue, WA
$7000 – Sep 13, 2017 – Bellevue, WA
$7000 – Sep 13, 2017 – Bellevue, WA
$9000 – May 4, 2016 – Bellevue, WA
$9000 – May 4, 2016 – Bellevue, WA
$9000 – May 4, 2016 – Bellevue, WA
$64035 – Oct 17, 2014 – Seattle, WA
$7500 – Jan 6, 2014 – Seattle, WA
$7500 – Jan 6, 2014 – Seattle, WA

Juvederm Prices

$350 – Apr 18, 2017 – Bellevue, WA
$500 – Jul 2022 – Seattle, WA
$800 – Nov 2017 – Seattle, Washington
$351 – Apr 18, 2017 – Bellevue, WA
$351 – Apr 18, 2017 – Bellevue, WA
$351 – Apr 18, 2017 – Bellevue, WA
$500 – Dec 23, 2013 – Seattle, WA
$500 – Dec 23, 2013 – Seattle, WA
$500 – Oct 2012 – Seattle, WA
$500 – Oct 2012 – Seattle, WA
$500 – Apr 2012 – Seattle, Washington
$800 – Apr 2012 – Seattle, Washington

Facial Fat Transfer Prices

$6376 – Nov 1, 2018
$6376 – Nov 1, 2018
$6236 – Nov 1, 2018
$6236 – Nov 1, 2018
$6376 – Nov 1, 2018
$6236 – Nov 1, 2018

Lip Augmentation Prices

$300 – Jun 23, 2016 – Bellevue, WA
$300 – Jul 28, 2016 – Bellevue, WA
$300 – Jul 28, 2016 – Bellevue, WA
$300 – Jul 28, 2016 – Bellevue, WA
$300 – Jun 23, 2016 – Bellevue, WA
$3200 – Sep 25, 2015 – Bellevue, WA

Chin Surgery Prices

$3000 – Jun 16, 2015 – Bellevue, WA
$3000 – Jun 16, 2015 – Bellevue, WA
$3000 – Jun 16, 2015 – Bellevue, WA

Mohs Surgery Prices

$25000 – May 29, 2014 – Seattle, WA
$25000 – May 29, 2014 – Seattle, WA

Ear Surgery Prices

$5000 – Nov 21, 2013 – Seattle, WA
$3400 – Jun 4, 2018 – Bellevue
$3400 – Jun 4, 2018 – Bellevue
$3400 – Jun 4, 2018 – Bellevue

Mole Removal Prices

$1000 – Jul 1, 2013 – Seattle, WA
$1000 – Jul 1, 2013 – Seattle, WA
$1000 – Jul 1, 2013 – Seattle, WA

Facial Reconstructive Surgery Prices

$1500 – Oct 2018 – Seattle, Washington
$25000 – May 29, 2014 – Seattle, WA
$25000 – May 29, 2014 – Seattle, WA
$1500 – Feb 2012 – Seattle, Washington

Other Prices

$600 – Sep 10, 2013 – Seattle, WA
$300 – Oct 2018 – Seattle, WA
$250 – Sep 26, 2013
$250 – Sep 26, 2013
$17000 – Nov 14, 2014 – Bellevue, WA
$17000 – Nov 14, 2014 – Bellevue, WA
$250 – Sep 26, 2013
$15000 – Jun 21, 2013 – Seattle, WA
$5000 – Mar 6, 2014 – Seattle, WA
$5000 – Mar 6, 2014 – Seattle, WA
$5000 – Mar 6, 2014 – Seattle, WA
$10000 – Jul 9, 2014 – Seattle, WA
$10000 – Jul 9, 2014 – Seattle, WA
$500 – Dec 23, 2013 – Seattle, WA
$9600 – Apr 2013 – Seattle, WA
$500 – Oct 2012 – Seattle, WA
$500 – Oct 2012 – Seattle, WA
$300 – Oct 2012 – Seattle, WA
$3500 – Mar 2012 – Seattle
$3500 – Mar 2012 – Seattle
$1500 – Feb 2012 – Seattle, Washington
$1500 – Feb 2012 – Seattle, Washington
$3800 – Jan 2012 – Seattle, Washington
$3000 – Jan 2012 – Seattle, Washington
$3800 – Jan 2012 – Seattle, Washington
$3000 – Jan 2012 – Seattle, Washington

Botox for Migraines Prices

$200 – May 2020
$200 – May 2020

Botox Prices

$2000 – Jun 23, 2019
$2000 – Jun 23, 2019
$2000 – Jun 23, 2019
$800 – Oct 2018 – Seattle, Washington
$420 – Jul 2018 – Bellevue
$420 – Jul 2018 – Bellevue
$200 – Aug 10, 2014 – Seattle, WA
$250 – Sep 18, 2014 – Bellevue, WA
$300 – Jul 9, 2015 – Bellevue, WA
$240 – Jul 25, 2016 – Bellevue, WA
$240 – Jul 25, 2016 – Bellevue, WA
$240 – Jul 25, 2016 – Bellevue, WA
$72 – Jun 2, 2016 – Bellevue, WA
$180 – May 24, 2016 – Bellevue, WA
$180 – May 24, 2016 – Bellevue, WA
$180 – May 24, 2016 – Bellevue, WA
$180 – May 24, 2016 – Bellevue, WA
$180 – May 24, 2016 – Bellevue, WA
$456 – Aug 28, 2015 – Bellevue, WA
$456 – Aug 28, 2015 – Bellevue, WA
$456 – Aug 28, 2015 – Bellevue, WA
$200 – Aug 10, 2014 – Seattle, WA
$300 – Jul 9, 2015 – Bellevue, WA
$300 – Jul 9, 2015 – Bellevue, WA
$225 – Apr 14, 2015 – Bellevue, WA
$225 – Apr 14, 2015 – Bellevue, WA
$225 – Apr 14, 2015 – Bellevue, WA
$250 – Sep 18, 2014 – Bellevue, WA
$250 – Sep 18, 2014 – Bellevue, WA
$300 – Oct 2012 – Seattle, WA

Volbella Prices

$399 – May 17, 2017 – Bellevue, WA
$399 – May 17, 2017 – Bellevue, WA
$399 – May 17, 2017 – Bellevue, WA

Dermabrasion Prices

$4000 – Oct 10, 2013 – Seattle, WA

Nose Surgery Prices

$21000 – Oct 22, 2012 – Seattle, WA

Laser Resurfacing Prices

$20000 – May 15, 2014 – Seattle, WA
$20000 – May 15, 2014 – Seattle, WA

Voluma Prices

$2000 – May 4, 2015 – Bellevue, WA
$2000 – May 4, 2015 – Bellevue, WA
$2000 – May 4, 2015 – Bellevue, WA
$2000 – May 4, 2015 – Bellevue, WA
$2000 – May 4, 2015 – Bellevue, WA

Ultherapy Prices

$3850 – Oct 2012 – Seattle, Washington
$3850 – Feb 2012 – Seattle, Washington
$3850 – Jan 2012 – Seattle, Washington
$3850 – Jan 2012 – Seattle, Washington
$3800 – Jan 2012 – Seattle, Washington

CO2 Laser Prices

$3000 – Feb 2012 – Seattle, Washington
$3000 – Feb 2012 – Seattle, Washington

Practice Locations

Name & Website

Ridgway Face and Aesthetic Center, https://www.drjamesridgway.com/

Address

1231 116th Ave. NESte. 900, Bellevue, Washington, US, 98004 (GPS coordinates: 47.6210873,-122.1860501)

Phone

(425) 365-4970

Working Hours

Created / Modified

Sep 12, 2019 / Nov 3, 2021

Doctor’s answers

Question

Answer Header & Date

Answer Snippet

I have a small chin. Could I increase the vertical height of my chin using fat transfer?

Autologous fat transfer to increase vertical length of the chin
Jan 11, 2023

Dear Cherry Jagar,
Thank you for your question. Vertical length can be created using fat transfer, but the dimension of length becomes more challenging the greater the vertical increase due to graft survival. Silicone (not liquid, but solid implants) can create a more uniform shape that has definition, feels like your skeleton and is non-mobile. Hope this help you.
Be healthy and be well,
James M. Ridgway, MD, FACS

Can a lip reduction to the center of the lip improve upper teeth show?

Lip reduction to improve smile
Jan 11, 2023

Dear an132,
Thank you for your question. Two other items that are helpful to know and see is how your lips rest (slightly open) and to feel if there is a large outcropping of bone right at the center of your nose. This would be at the base of the columella (this this the tissues right between the two nostrils). The reason for this is to see if your upper lip is restricted in motion by bone versus lip excess. I hope this helps you and wish you the best in the new year.
Be healthy and be well,…

Can scalp Botox stop/alleviate hair growth?

Botox for hair loss
Apr 17, 2018

Dear Carlos.Dac,Thank you for your question. There are a number of next generation therapies that are utilized for hair restoration/preservation. These include PRP (platelet rich plasma), laser, and Botox. Preliminary studies in the treatment of scalp sweating with Botox had serendipitous findings of hair growth/hair preservation. The concept is that the Botox promotes vascular circulation to the relaxation of musculature. This, of course, is a new field/application that is just being…

Considering Botox, how do I know if they are trained properly to inject?

However Y no if someone injects Botox well?
Apr 4, 2018

Dear SeattleChick, Thank you for your question. The question you ask is a very important one, and depending on who you ask – the answer may vary. There are number of specialists who perform good work: Facial plastic surgeons, whole body plastic surgeons, dermatologists, and oculoplastic surgeons. Ultimately, with appropriate training each of these individuals has the “education” to perform good work. One of the more important elements though is the results of the said providers and how t…

I don’t like my chin. When I smile my chin sticks out and I would like to permanently fix it

Prominent chin with smiling
Jan 30, 2018

Dear heartbrie1998,Thank you for your question in the images you have provided. The images that you have provided classically show “ptosis” of a chin fat pad. What this means is that when you smile the fat pad rotates down and back, off of the “bony” chin of the jaw. The correction of this is a surgical procedure with meticulous reduction of the fat pad as well as reduction of skin along the chin. The scar is hidden under the chin and out of sight. If this is something that you wish to ad…

Procedure(s) to contour my lower face? Had a naturally full chubby face, but got Masseter Bo

Unwanted facial changes after Botox placement – what to do?
Jan 30, 2018

Dear Gilligans,Thank you for your question and for sharing your images. Although the first impression is to immediately try to create additional changes, I personally think this is a mistake. The contour changes that you see are related to too high of an injection of the Botox along the masseter muscle. For your desired effect the Botox should be injected closer to the lower portion of the jaw – to create a more oval appearance of your face. In around 3-4 months after the current B…

Can a person still do autologous rhino who inject semi perm filler (aquamid) 5 years ago?

Nose surgery with permanent filler in place
Dec 17, 2017

Dear Cel2911, Aquamid is non-absorbable soft volume filler. Concerns in nasal surgery with such a product in place include, but are not limited to, infection of filler with need for additional surgery to remove all implant material, abnormal scarring and even tissue loss.The filler is not living, is unable to assist in the survival of autologous rhinoplasty, and most likely with create unforeseen complications, early or late. I am sorry to mention this to you, but these are the main co…

I am planning to undergo alarplasty. Can anyone tell me any options so that won’t feel any p

Pain-free Alar Reduction
Dec 17, 2017

Dear Jade7771,This is a very reasonable question. In the circumstances I place topical anesthetic along the gums within the mouth and perform nerve blocks through these numb mucosal regions. This will allow for complete numbing of the lower nose and a relatively painless procedure. As noted additional caution, and for better hemostasis (bleeding control) I also injected local anesthetic in the region in which surgery will be performed. Of course, this is my own approach, and it would…

What type of nostril reduction is best for Asians?

Best techniques in Asian Rhinoplasty
Dec 17, 2017

Dear enquiryinquiry,Thank you for your question as it gives an opportunity to review that all noses do not begin at the same start point. Each nose is different as it relates to each individuals ancestry. Often, patient’s wish to have the “ideal” version of their own nose. Something that they observe as “self” versus nonself or “done”. When looking at the images you have provided there does not need to be any direct reduction of the nasal sidewalls as opposed to reduction and rotation of…

Ear Cartilage (DCF) or Silicone Implant for Asian Rhinoplasty?

Asian Rhinoplasty and Implant Choice
Dec 15, 2017

Dear Sanawm,Thank you for your question. From the photo you provided you have a nasal hump that would need to be reduced to give a nice and natural aesthetic line. Placement of a silicone 1.5 mm implant will only make the whole nasal bride higher. Infections are not related to thickness, they are related to biologic contamination and resulting biofilm formation (1.5 mm implants can become infected as well, but there is a lower chance of extrusion/breaking through the skin). If cartilage is p…

URGENT- Extrusion from only ear cartilage in tip from rhinoplasty 2 yrs ago?! Should I go to

Extrusion of nasal implant
Dec 15, 2017

Dear Gorgeousified,Thank you for your question. The question you ask is a very reasonable one and the short answer is that you should seek medical advice as soon as you can, preferably from the provider who performed your surgery. Extrusion of an implant can happen, but the AlloDerm that you had placed should be able to integrate into normal tissue and prevent such an event. If there is other foreign material in the nasal tip, then extrusion can happen at any point in your life – often oc…

Planning to get a rhino, tip, alar surgery soon. How soon after surgery will I show possible

Nasal Implants
Dec 12, 2017

Dear BeeBoomBeeBoom,Thank you for your question. The use of nasal implants has been long studied. There are 2 different groups for nasal dorsum augmentation: Self and non-self. In the “self” category this includes autologous rib cartilage, ear cartilage, septal cartilage, and fascia. The use of these “own body” materials can be used in a variety of ways to naturally augment the nasal dorsum with limited adverse events. In the “non-self” category we find non-organic implants (silico…

Should I look for an Asian nose specialist?

Specialist vs Mainstream
Dec 12, 2017

Dear Starheart,Thank you for your question. The most important element in your search is to find a surgeon who specializes in nose surgery – not just an individual who is board certified. Nearly 1/3 of my practice comprised of revising other surgeons work in the nose.

With regard to your Asian ancestry, your nose does not pose greater challenges been any other nose, but just specific challenges that inherent to your own. The nose, as a whole, has the highest revision rate of any aes…

Asian Rhinoplasty. Am I able to change my nose to a high raised button nose?

Can I get a button nose?
Dec 12, 2017

Dear Kimiko94,Thank you for your question. As I am certain you suspect one is not able to choose any nose and have it placed on your face, but there are certainly techniques and options that can refine your nose and bring its appearance closer to the images that you display. You have a very good and strong bridge of your nose, which is good. Your nasal tip is more down-turned in the photos you display and your nasal skin is thicker than the images that have been provided. Alteration in th…

Which rhinoplasty procedures should I get for the natural look?

Asian Rhinoplasty: What to do – or not
Dec 12, 2017

Dear Sparkle00,The question you ask is an excellent one – and you are doing it in an excellent forum (RealSelf).

Comment characteristics the patient see me for regarding a pure “Asian rhinoplasty” (no breathing issues) commonly involve treatment of the nasal bridge, the nasal tip, and the nasal width. Not all patients need to each of these areas to be treated to have a very aesthetic and natural result, but I bring all these together see you have a more complete answer.

Treat…

Latest Before And After Photos

Doctor James M. Ridgway, MD, FACS, Bellevue, Washington Rib Nose Surgery Operation

Dr. Ridgway, Bellevue, Washington (98004) 28 Year Old Mother Treated With Lip Augmentation

Asian Cosmetic Nose Surgery By Dr James M. Ridgway, MD, FACS, Bellevue, Washington (98004)

Dr Ridgway, Bellevue, Washington 48 Year Old Female Treated With Neck Lift Pic

Dr. James M. Ridgway, MD, FACS, Bellevue, Washington Plastic Surgery Face Change With Fat Grafting (Transfer) Photo

Revision Aesthetic Nose Surgery With Rib Grafting By Dr. Ridgway, Bellevue, Washington (98004)

64 Year Old Lady Treated With Neck Lift Pic By Dr James M. Ridgway, MD, FACS, Bellevue, Washington

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Last updated on 11/23/2023