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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What's happening to my tip after rhino? Thin / medium skin, rhino performed by renowned surgeon. Should I seek revision?
Got closed septorhino 10 months ago. According to a doctor small hump removed, crooked nose straightened, tip lifted and refined, no alar base reduction. Profile is accetable, but too projected to my taste. But the front... What I am left with is just beyond my imagination. Please tell me if this is still swelling on the tip? It's bigger and droopier than before rhino, on one side there is big ball, which i can press but it will reappear. Nose still if not more crooked!! I am really depressed.
(Questioner submitted photos)

Dr. Denenberg's answer: I wouldn't expect compressible swelling this long after surgery
While there is usually still *some* swelling 10 months after rhinoplasty, any remaining swelling would likely be soooo subtle -- not something that you can visibly compress and have return. That's more likely to be a more permanent feature, perhaps some tenting of the skin over or across two prominences of cartilage.

To raise the tip would require a revision rhinoplasty. Issues of the width of your tip, the projection of the tip, and the remaining asymmetry could be addressed at the same time. 

Elevating the tip, even during a revision, is quite predictable, if the doctor is expert at making those changes during a revision. The other changes you are requesting can be even more complex to achieve, so you must see a doctor's before and after photos before you decide on a surgeon for the operation. See the attached video and Web reference link for examples of what can be done in the right hands.

Link to this question on RealSelf.com