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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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All views of this lift and peel patient:
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: Rhinoplasty gone wrong? Nostrils not even
Help, I had surgery on the 18th of May. Right away I noticed my nostrils were not even. When I went back to my doc the following day after surgury and addressed this with him he said my nostrils were probably uneven before the surgery, which is not the case. What should I do? What do you think ? I am panicking because it is now the 20th and although I know my nose is still swollen I don't believe my nostrils will change. What do you think?
(Questioner submitted photos)

Dr. Denenberg's answer: Go back to your doctor again.
Asymmetric swelling can cause visible asymmetries that go away if it's truly only the swelling that's asymmetric.

But you're only a couple days after surgery! Your doctor is the one who knows what happened during surgery, and you're kind of stuck with him for support right now. Call him again for another evaluation/pep talk.

Link to this question on RealSelf.com



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