peel FacialSurgery.com
Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
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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: Am I a good candidate for finesse rhinoplasty?
I love how my nose looks from the front view. But, I feel like sometimes it just looks so masculine. I would ideally like a less austere nose, and one that has a more aesthetic bridge. . I do not wish to change a lot of my nose, but just tiny, tiny, tiny revision of it to be more appealing to me.
(Questioner submitted photos)

Dr. Denenberg's answer: You are a good candidate for rhinoplasty, but ...
you need to be very careful in selecting your surgeon and planning your operation with your surgeon. The top of your nose, where it begins, just below your eyebrows, is very strong. If that part of your nose is not reduced, but your small hump *is* reduced, your profile would resemble a Roman statue, where your profile line slides from your forehead right onto your nose with no break.

For an illustration, see the video link, which has a simulation of how I see changing your nose. As the simulation moves from "before" to "after," note, at the level of the arrow, how I reduced that upper part of your nose. The other small changes to the nose were reducing the bump, narrowing and elevating the tip a tiny amount, and bringing the entire nose a tiny amount closer to your face.

Many plastic surgeons consider lowering that top part of the nose to be impossible, or they don't know how, but in many noses, it's a crucial part of the planning and execution of an excellent rhinoplasty.

Link to this question on RealSelf.com



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