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
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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Do I need rhinoplasty/chin implant to get desired look?
I want to fix hump and biggest issue is how long it looks. Would rhinoplasty fix this? Does the tip look like it needs to be fixed?When i look straight ahead I feel like nose looks to wide esp when I smile. Would doing a chin implant at the same time as rhinoplasty help my face look more even and aligned? I think my chin looks weak, or would using something such as fillers in the lips make my profile look better and everything aligned? I included examples of what I want my nose to look like.
(Questioner submitted photos)
Dr. Denenberg's answer: Rhinoplasty can help, but I like your chin as it is now
You have that gentle hump on the bridge, and a tip that could be elevated to make your nose more like the example photos. In the right hands, these are realistic goals for a rhinoplasty. See the Web reference link for an example.
I wouldn't recommend a chin implant. You have a tall chin with good strength, and an implant would draw too much attention to the chin.
Link to this question on RealSelf.com