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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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"I traveled from my country (Portugal) to U.S. ... "
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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: Which Nose Looks More Suitable on Me? I'm So Stressed. I've Been to 5 Consultations
So the nose one the right a girl on realself morphed that for me. While the other one my PS morphed. I feel like the PS morph makes my nose still stick out. The other one is cute and fits my face. Maybe I'm wrong. Help me pls
(Questioner submitted photos)

Dr. Denenberg's answer: When you decrease the projection of the nose, you usually should elevate the tip!
I like the morph on the right, too. It looks like the RealSelf participant elevated the tip of your nose a small amount when she adjusted the position of the tip. When the tip of the nose comes back toward the face, it can make the nose look longer, so the nose can look more natural or pleasing if the tip is elevated.

We didn't see the "before" photo, but if you are concerned about the amount that the nose is brought back toward the face, you need to take special care to see before and after photos from your prospective doctors showing noses that were changed in that same fashion. Adjusting the projection of the tip is an advanced technique; many of the revision operations I perform are aimed at correcting an inadequate amount of change in projection of the tip from the first operation.

Link to this question on RealSelf.com



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