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).
next view of this patient
|All views of this lift and peel patient:
Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.
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.
Drooping tip, cave man like nose after rhinoplasty. Can this be fixed?
Droopy tip. rhinoplasty almost a year ago. Before surgery my smile was my best feature , now worst. I don't look normal when I smile as you can see in pictures it does not look right.When I smile the tip is pointy and cartilidge shows in certain lighting and it droops down like there's no support in the tip.My bridge also looks wider. My dr said he would make it thinner but hasn't .I feel so ugly , can this be fixed ? I'm a petite girl and should have a petite nose not a cave man looking nose.
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose needs to be shortened substantially
Despite what you might hear, shortening a nose -- raising the tip up -- often involves advanced work on the tip cartilages, and every plastic surgeon is not able to make those changes. Things get harder during a revision, but in expert hands, elevating the tip of the nose is one of the most predictable changes to make. See the attached video and Web reference link for examples of what can be done.
You must be certain to see before and after revision rhinoplasty photos of any doctor you are considering for your revision. You absolutely don't want to be in the position of having had two operations, and still a too-long nose.
Link to this question on RealSelf.com