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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 I need rhinoplasty/chin implant to get desired look?
I want to fix hump and biggest issue is how long it looks. Would rhinoplasty fix this? Does the tip look like it needs to be fixed?When i look straight ahead I feel like nose looks to wide esp when I smile. Would doing a chin implant at the same time as rhinoplasty help my face look more even and aligned? I think my chin looks weak, or would using something such as fillers in the lips make my profile look better and everything aligned? I included examples of what I want my nose to look like.
(Questioner submitted photos)

Dr. Denenberg's answer: Rhinoplasty can help, but I like your chin as it is now
You have that gentle hump on the bridge, and a tip that could be elevated to make your nose more like the example photos. In the right hands, these are realistic goals for a rhinoplasty. See the Web reference link for an example.

I wouldn't recommend a chin implant. You have a tall chin with good strength, and an implant would draw too much attention to the chin.

Link to this question on RealSelf.com