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Steven M. Denenberg, M.D.
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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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"I flew all the way from South Africa
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Swollen nose 9 months post-op?
Hello. I had a nose surgery back in June 2014 and, though I was told it takes up to a year or more for the swell to dissolve, I'm starting to worry about it. I had a problem with my nose's tip (it was too big & out of proportion with the rest of my face) but it's still not small enough, although it's been a long time since the surgery. Plus, the tip is very hard & feels numb when I touch it. Is this natural?
(Questioner submitted photos)

Dr. Denenberg's answer: Need bigger photos, at different angles
Hi,
While it's true that it takes about a year for almost all of the swelling to go down, it's also true that if you are to receive a great result, you probably should be closer to that result by now. With a great result on the way, you wouldn't be worried about the tip getting smaller at 9 months; rather, the last three months would see just the very tiniest of swelling resolve to give more finesse to the result.

It's sometimes possible for a surgeon to give a patient an idea of what might be going on based just on photographs, but we would need photos that are much larger, and taken from different angles, to get a better evaluation. We'd need to see more details of the nose. Hope that helps some.

Link to this question on RealSelf.com