face lift FacialSurgery.com
Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
face lift
 
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The paired jowls interfere with the contour of the jaw line as it moves from the chin up to the ears.  In the after picture, that contour is more triangular; in the before, the jowls make burbles in the smooth line of the jaw.  Note that her melolabial folds did not improve with the face lift, as they typically do not.

Her lower eyelids sit in a low position as a complication of lower eyelid surgery that was performed elsewhere.  The eyelid surgery tutorial's chapter on lower eyelid surgery contains a discussion on what can happen to the eyelids when the eyelid operation isn't performed with judgment and care.


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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: I'm trying to understand my surgeon's operative report in order to understand what was and wasn't done. Please help?
As the photos demonstrate, my primary rhinoplasty was not successful in any way, shape, or form. Since acquiring my surgeon's operative report, I've been trying to make sense of the medical terminology in order to understand what was done to my nose during my operation... Thus educating myself. I want to fully understand as I navigate my revision consults. I keep telling people that the "tip wasn't touched at all," but aside from that, could someone please help me interpret the report? (Photos).
(Questioner submitted photos)

Dr. Denenberg's answer: It doesn't look as though much was done to your tip.
The report says "a portion of the lower lateral cartilages" was removed. That *can* result in a tip that is less wide, or less projecting, but it's the rare, rare tip that will respond completely to a simple removal of some of the tip cartilages as described. Perhaps your tip requires much more advanced work to change it's size and shape.

If you are seeking a revision, be very careful. Revision rhinoplasty is far, far more difficult than a first-time rhinoplasty, and even in a first-time rhinoplasty, most plastic surgeons are not expert enough to handle more difficult tip structures. You must see before and after photos of a doctor's work before deciding whether to use him for your revision. See the attached video and the Web reference link for examples of the changes that are possible in expert hands.

Link to this question on RealSelf.com



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