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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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If the hooding of excess skin in the upper eyelids is severe enough, sometimes insurance will help pay for an upper eyelid blepharoplasty.  With a large amount of excess, the eyelids hang down low enough to interfere with peripheral vision.  That visual problem can be documented, and then the insurance company might consider the operation functional rather than cosmetic.


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"All our contact was so proffesional
and made me feel secure in my choice. "
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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