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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
eyelid surgery
 
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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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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 there any way I can straighten my nose bridge?
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, a rhinoplasty can straighten your nose bridge ...
... but for a couple of reasons you need to pay attention to other features of your nose when planning your rhinoplasty and getting an agreement from your surgeon that he will and can make the additional changes.

Look at the video link below, where I made a simulation of a proposed rhinoplasty on your nose. I removed the bump, straightening the bridge of you nose. However, when you remove a bump, it usually makes the nose *appear* longer than it was, so it's important to raise the tip a small amount, so the nose doesn't look too long after surgery.

Then, your nose is a little strong *above* the bump, at the level of the black arrow, so that area needs to be reduced as well, or your nose might get a bit of an impression of a "Roman" statue nose, where your profile slides from your forehead down onto the nose without the little dip at the top of the nose, just below the eyebrows, which dip we usually think is an attractive feature. In the animation, you'll see how in the "after" picture, I reduced the nose *above* the bump, by the arrow.

Reducing the top of the nose like that, and elevating the tip, are changes that not every plastic surgeon can create, so you must see before and after photos, and see whether you think you are communicating with perfect accuracy when you visit your surgeon.

Link to this question on RealSelf.com



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