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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.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Would getting just the tip of my nose done help my face profile?
I am very insecure and I really don't like facing people. Especially from the side! I can't afford a a real expensive nose job! I currently have $4300 saved for the procedure and that took a whIle! Please give me some advice to make this as good but as cheap as possible! Thank you:)
(Questioner submitted photos)

Dr. Denenberg's answer: Tough question. Tough. My advice is to not have surgery right now.
Your nose has very wide tip cartilages and strong forward projection away from your face. While it is possible to make impressive improvement in your nose, the operation requires very advanced techniques, and the vast majority of plastic surgeons would not be able to handle it. 

Unfortunately, it's just reality that excellent rhinoplasty tends to be expensive; well more than half of the $4300 would be eaten up by anesthesia, the operating facility, required preoperative tests and examinations, leaving not enough for the surgeon's fee for a surgeon who could handle a nose like yours. And having surgery with a surgeon who is not qualified to handle a nose like yours (even though he might be board certified), could very well leave it worse, and now you're looking at a *much* more expensive revision.

When it does come time to look for a surgeon, be sure to look at his before and after photos. Seeing profile views where a hump was removed doesn't tell you anything about how the surgeon can handle the tip of the nose.

Link to this question on RealSelf.com



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