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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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If my plan is to perform both a brow lift and upper eyelid surgery, I like to do the brow lift first, and then work on the upper eyelids about six weeks later.  It's a small hassle for the patient, but I think it gives better results.

When performing the upper eyelid surgery, I like to take off enough skin that the patient can't quite get her eyelids closed for a couple days after surgery.  By the end of the week, the lids are closing fine.  That way, I am convinced that I removed all of the skin that I could safely remove.

If I'm elevating the brows during the same operation, it's not safe to be that aggressive with the skin excision on the upper lids.  I have to skimp on the lid excision, and the result isn't quite as good.


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current: Left oblique
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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: Will Anyone Be Able to Make my Nose Look Like my Morphed After-photos?
Does it look like my after-photos is something that could be done? I am looking for someone who is skilled with especially tip-work, since I will need to deproject my nose-tip and possibly "slim" it down a bit, since it's also a bit bulbous. And then I also want to get rid of the bump on the nose bridge. Is it possible? And what would you charge for such a procedure?
(Questioner submitted photos)

Dr. Denenberg's answer: Your morphed changes are definitely possible
I like your morph a lot! The nose was made shorter (I kind of like shorter noses), the tip was brought back closer to your face, the hump was removed, and the artist also tried to decrease the prominence of your right tip cartilage. Click on my "Web reference" link for an animation of your morph -- I find that animations of the morphs allow you to study the changes better.

When selecting a surgeon, you definitely need to see before and after photos of patients with some of your same issues. Bringing the tip up, and back to the face, and making it more narrow -- all of those changes require advanced work on the tip of the nose, the hardest part of a rhinoplasty.

Link to this question on RealSelf.com