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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.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Is It Possible to Make a Nose Shorter and Less Bulbous with Rhinoplasty?
I have a long nose with a bump and a big tip which I would really like to correct. Is there a way to correct all of these problems at once?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose is more projecting than it is long
Hi. You have a nose that is strong in its forward projection away from the face. Lessening that strength is called "deprojecting" the nose. 

"Length" is the measurement of the nose from where it begins between the eyes, down the bridge of the nose to the tip. So a nose with a droopy tip is "long," but Pinocchio had a "projecting" nose.

Deprojecting a nose involves complicated techniques on the tip cartilages, because it is those tip cartilages that hold the tip out away from your face. Be sure to see before and after photos of other patients whose noses were deprojected by the surgeon you are considering using, so you can see that he knows how to do this operation.

Link to this question on RealSelf.com