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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
face lift and chemical peel
 
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Wrinkles like these are hereditary, and a face lift would not help them at all.  The face lift can reposition sagging skin, such as the jowl you see along her jaw line in the before picture, but it cannot pull out wrinkles.

It takes a skin resurfacing procedure to help the wrinkles, and I believe the deep chemical peel is the best of the resurfacing options.  Aligning the photographic flashes so that the light runs along the surface of the skin, as we see here, is a good way to highlight the improvement in wrinkling.


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"I am so happy that I cannot even put it in words ... "
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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
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel
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: Is This a Normal Result After Septorhinoplasty?
I got septorhinoplasty almost 5 months ago and i am depressed how my nose looks from the front and am so self concious now when i smile. I had deviated septum fixed, dorsal hump removed and deprojection of my nose done and NO TIP Work done. My nose looks great from the side profile but looks huge and like a shapeless potato from the front when i smile. Is it normal for it to look that way? Can steriod shots help? Please help!! thank you
(Questioner submitted photos)

Dr. Denenberg's answer: It's possible to improve the frontal view, depending on what was done to your tip cartilages
Hi. Forgive me if I try to address your frontal view by starting with your profile. When a hump is removed, it can make a nose look longer, so we often shorten the nose. Making the nose shorter can help the frontal view by presenting less of a vertical height of the nose. See my "Web reference" link for a morph I made of your profile view.

Since you had no tip work done, the tip of your nose probably didn't deproject, because deprojecting the tip of the nose, and shortening it, require complicated work on the tip. In my morph, I raised your tip and deprojected it.

Further, when a hump is removed, it's important to look at the very top of the nose, just below the eyebrows. If that part of the nose isn't reduced as well, the profile can take on a little bit of a Roman statue look, where the forehead seems to slide right onto the nose. You'll see in the morph animation that I brought that part of your nose closer to your face. If you find yourself thinking about a revision to get the frontal view looking better, you might think about these changes to the profile, too.

I personally don't think steroids would work very much this late after surgery. I would hope that at least part of the problem is due to the fact that no tip work was done, because that would make it more predictable to make some improvements: we are better at modifying cartilage than controlling the thickness of skin or scar tissue under the skin.

Link to this question on RealSelf.com



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