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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What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)
Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.
Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.
I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!
Link to this question on RealSelf.com