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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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This gentleman also had a face lift operation.  With the combination of the face lift and the peel, he achieved some improvement of the folds that course from the bottom of the nose to the corners of the mouth.  Those folds are typically corrected not at all or only slightly with a face lift, but adding the peel can give some reasonable softening.  The folds that extend downward and to the side from the corners of his mouth were also helped by the peel.

The improvement in the front of his neck was the result of the face lift.  We don't peel below the jaw line because the skin of the neck wouldn't heal well after a peel.


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Drooping tip, cave man like nose after rhinoplasty. Can this be fixed?
Droopy tip. rhinoplasty almost a year ago. Before surgery my smile was my best feature , now worst. I don't look normal when I smile as you can see in pictures it does not look right.When I smile the tip is pointy and cartilidge shows in certain lighting and it droops down like there's no support in the tip.My bridge also looks wider. My dr said he would make it thinner but hasn't .I feel so ugly , can this be fixed ? I'm a petite girl and should have a petite nose not a cave man looking nose.
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose needs to be shortened substantially
Despite what you might hear, shortening a nose -- raising the tip up -- often involves advanced work on the tip cartilages, and every plastic surgeon is not able to make those changes. Things get harder during a revision, but in expert hands, elevating the tip of the nose is one of the most predictable changes to make. See the attached video and Web reference link for examples of what can be done.

You must be certain to see before and after revision rhinoplasty photos of any doctor you are considering for your revision. You absolutely don't want to be in the position of having had two operations, and still a too-long nose.

Link to this question on RealSelf.com