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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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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 Kind of Results Should I Expect if I Have Rhinoplasty? (Appearance Wise and Pain, I'm Terrified!)
Hi, so as you can see my nose is too large for my face, and I have wanted to get it done for over 8 years, but fear and money have been holding me back. My family is not on board because they think I am body dysmorphic and do not need it. Of course I don't need it, but it is much larger than I would like, and I would look and feel much better if I were to get it done. Anyway, I just wanted some input as to what I should ask for in a consult, and also some honest feedback on how bad recovery is!
(Questioner submitted photos)

Dr. Denenberg's answer: Recovery is probably much easier than you are expecting
These photos show a nose that probably has some excess width at the tip, and maybe a profile view would show it's longer than you like, too.  The recovery depends very much on who performs the operation, but my patients are typically happy being seen in public right when the splint comes off, seven days after surgery. Almost nobody takes the pain medication I prescribe. See the attached link for a before-and-after morph of your nose. You should look at a surgeon's before and after photos when deciding whom to hire to perform your surgery. Rhinoplasty is not a commodity: every surgeon performs the operation with different levels of skill.

Link to this question on RealSelf.com