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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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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: Do You Think I Could Achieve This Look with Rhinoplasty?
I would love to balance out my face by reducing the size of my nose. Based on the nose I already have, I think a nose similar to Kara Dioguardi or Minka Kelly would suit my face well. Do you think I am being unrealistic?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose can be made smaller, more like the models
To reduce the size of your nose, I believe the issues would be to bring it back closer to your face, so it doesn't project as much, take down the modest bump along the bridge of your nose, and also elevate the tip, so it's not as long. I measure "length" as the distance from where the nose begins, between your eyes, down the length of the bridge to the tip.  Click on the "Web reference" link to see a modification that I made to your image, to show what could be possible with surgery.
From the frontal view, your nose appears wide.
While it's never possible to put someone else's nose on you, it is realistic that you could have a nose closer to the two models, because the changes that I describe would move your nose in that direction.

Link to this question on RealSelf.com