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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: Am I a Good Candidate for These Rhinoplasty Procedures?
I would like to get cosmetic surgery to reduce my dorsal hump and possible Radix reduction. Would I be a good candidate for these procedures? Would I require additional refinements other than what I mentioned? Is closed Rhinoplasty an option? I am unhappy with the bump, and height of my nose. It is also very wide and causes difficulties when I want to wear glasses.
(Questioner submitted photos)

Dr. Denenberg's answer: Radix reduction is important in your nose
If the hump is removed, the radix must be taken down as well, or you nose would look too long, like a Roman statue's nose. Also, raising the tip would help, as well as bringing the entire nose back, closer to your face. See the link to see what these changes could do for your nose.

Link to this question on RealSelf.com



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