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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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).


next view of this patient

"I always thought that having a beautiful nose
would make me feel better,
but I could never imagine that
it would change my life. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
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: Which Nose Looks More Suitable on Me? I'm So Stressed. I've Been to 5 Consultations
So the nose one the right a girl on realself morphed that for me. While the other one my PS morphed. I feel like the PS morph makes my nose still stick out. The other one is cute and fits my face. Maybe I'm wrong. Help me pls
(Questioner submitted photos)

Dr. Denenberg's answer: When you decrease the projection of the nose, you usually should elevate the tip!
I like the morph on the right, too. It looks like the RealSelf participant elevated the tip of your nose a small amount when she adjusted the position of the tip. When the tip of the nose comes back toward the face, it can make the nose look longer, so the nose can look more natural or pleasing if the tip is elevated.

We didn't see the "before" photo, but if you are concerned about the amount that the nose is brought back toward the face, you need to take special care to see before and after photos from your prospective doctors showing noses that were changed in that same fashion. Adjusting the projection of the tip is an advanced technique; many of the revision operations I perform are aimed at correcting an inadequate amount of change in projection of the tip from the first operation.

Link to this question on RealSelf.com