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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
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.
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Questioner: Rhinoplasty and Chin Implant.
Hello, I'm looking to get a professional opinion. I was often made fun of about the size of my nose in elementary school, which has since affected my confidence. Also, I feel my jawline is not very defined. Would a chin implant help with that? I very much appreciate any input/feedback I can get. Thank you very much!!
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose does have features that can be changed
Most of what I see involves the lower part of your nose: The tip cartilages are thick and strong and widely positioned, which makes your tip look wide from the front. It also make the nose project strongly forward away from your face, and it holds the tip in a low position, so the nose is long from top to bottom.

Expert work on the tip of your nose can elevate the tip, bring it back closer to your face, and narrow the tip, making you more comfortable with your nose.

You have a little bit of a weak chin, but I think your jawline definition is great. A small chin implant could balance your nose: when the chin is weaker the nose looks larger, so augmenting the chin can make the results of the nose surgery look better.

But alternatively, if your nose were made smaller, you chin wouldn't look quite so weak. To me, it's a close call whether you need a chin implant.

See the Web reference and attached video for examples of the kind of change you could benefit from. Realize that work on the tip of the nose always involves advanced techniques, and most plastic surgeons are not capable of making the changes, so you always must see a doctor's before and after photos.

Link to this question on RealSelf.com



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