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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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"...he and his staff are very accessible
with any and all questions. "
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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: Is it common after Rhinoplasty the tip of nose to drop?
I got rhinoplasty 3 months ago and 3 weeks post op the tip of my nose dropped loads and is getting worse and which is giving me my bump back again, I'm ment to be getting revision on it but people have went and have got worse so I'm worried, is it normal for it to drop or is there something the surgeons not done right?
(Questioner submitted photos)

Dr. Denenberg's answer: Uh oh, I'd be worried, too.
It's true that three weeks is very early for healing of a nose, but in the next many months, most of the changes have to do with decreasing width: the tip getting smaller, the bridge getting narrower. However, in my experience, if the *length* of the nose is the problem, the length does not shrink as the swelling subsides. The tip does not climb up. In fact, we typically expect a tip to drop with time, so, for example, I'm not unhappy if my patients are nervous because the nose looks *too short* at first, because I know the nose will lengthen a little bit with time.

Still, there's nothing to do right now but wait, and as the water leaves your nose and the overall nose gets smaller, the length may bother you less.

However, one of the most common problems that I see in my revision patients is that the previous surgeon did not shorten the nose enough. It's not easy to do, and most doctors can't get it accomplished well. If you do wind up looking for a revision later, be certain that you've seen before and after photos that show excellent shortening of the nose.

Link to this question on RealSelf.com