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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: From a ridiculous extreme long/upward nose, to the other extreme ridiculous long/downward/wide nose
My 3d nose revision...devastated! (At same time: face, neck & lip lifts, fine!). See pre/post op photos plus 2 nose models I gave to surgeon as guidance. But nose is now much longer, wider, downward...Will it look like the nose models after swelling is gone? Doubt it. Wait a year to fix it? No! I’m desperate...Is there somewhere a competent surgeon who can do a shorter nose like my nose models? (I’m 87 but absolutely healthy). Thanks ever so much for your opinions!
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose won't shorten as the swelling subsides
Hi,
Sorry, but it's just vanishingly unlikely that your nose will shorten as the swelling subsides, and certainly it won't shorten to the length of the models' photographs that you submitted.

The good news is that, with correct techniques, it is possible to shorten a nose substantially, even in a revision procedure. The bad news is that you can't jump in and have that operation right away. It may not be necessary to wait an entire year, but the nose needs at least many months to heal first.

Link to this question on RealSelf.com



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