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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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"When I look in the mirror,
I am in disbelief at how natural it looks ... "
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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: What Can Be Done to Improve my Nose ?
I have always hated my nose, im a very pretty girl and my nose just takes away from it. My nose is uneven, there's a dent right in the middle of the tip of my nose and I don't remember when it got there or how but I didn't have it last year. And i hate my projection. I want my nose to be in line with my lips, Can you please tell me what can be done to correct this news of a nose ? What expectations are realistic ?
(Questioner submitted photos)

Dr. Denenberg's answer: Narrow the tip, deproject (slightly), fill in the dent
It seems to me that one of the main issues of your nose is the width of the tip. That's related, of course, to the strength of the two cartilages that form your tip, and the space between those two cartilages can show up as a dent if the cartilages are strong. See my "Web reference" link for a morph and an animation showing how your nose might look after surgery.

In the morph, I also brought the tip of your nose back toward your face. You didn't provide an exact profile view, which view shows the projection best, but from the three-quarter, it seems that some of the strength of projection might be related to the width of the tip, which can *look* like excess projection on that three-quarter view. I think the morph might make that clearer.

When looking for a plastic surgeon, you need to see before and after photos of tip work, because that's the hardest part of the operation. At least I think so!

Link to this question on RealSelf.com



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