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Steven M. Denenberg, M.D.
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face lift and chemical peel
 
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This woman had a face lift operation and a chemical peel of the skin around her mouth.  But she also had another procedure, called a pre-jowl implant.  The jowl makes a bulge in the jaw line, and there usually appears to be a dent just in front of the jowl.  The face lift pulls the jowl's excess skin up and back toward the ear to smooth the jaw line, but the smoothing can be more effective if we put something underneath the skin to push out that dent at the same time.

That something is called a pre-jowl implant, and as the name suggests, it fills out the depression in front of the jowl.  The implant looks very much like a chin implant, but it is shaped so that it doesn't make the chin stronger from the profile view.  The face lift surgery tutorial contains a chapter devoted to the topic of pre-jowl implants (the surgery tutorials contain explicit photographs taken during surgery).


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All views of this lift and peel patient:
face lift and chemical peel
lift and peel
current: Right oblique
face lift and chemical peel

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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: I'm 19 yrs old and I broken my nose. What Type of Rhinoplasty Procedure Would You Recommend for This Nose?
Hi there, I've been thinking about having rhinoplasty for a while now and I thought this site is a good place to start. To begin, I've broken my nose when I was 11 (19 now) and it was kinda crooked at a particular side angle. By looking at these pictures, what kind of rhinoplasty procedure would you feel is best to fix my nose. I'm looking for a professional opinion. Thanks.

(Questioner submitted photos)

Dr. Denenberg's answer: Your rhinoplasty requires expert work on the tip, besides the hump removal
You have a hump that can be reduced. In addition, the size of the hump disguises some other large features of your nose: your nose is strong in its forward projection from the face, and it is long, too, with the tip low. I made some morphs for you at the web reference link, to show changing all of those features. If only the hump is removed, your nose will almost certainly look too big to you. You need to select a surgeon who can show you that he knows how to deproject and shorten a nose, changes that are much more complicated than simply removing a hump.
Other problems resulting from the previous trauma can be addressed at the same time as the rhinoplasty.

Link to this question on RealSelf.com