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Steven M. Denenberg, M.D.
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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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Interested in morphs?
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 There Any Kind of Procedure for my Kind of Nose?
Theres a bit of cartilage at the base of my nose under my top lip which makes my nose and my profile longer (pic 1&3) Can anything be done about this? I think its because of this cartilage which runs from the columella to my bone which cause my nose to be pinocchio-esque. The Nasofrontal Angle is rather small around 100 degrees and in (2) you can see that the alar base is not in-line with columella base, its rather lower. From the front this makes my nostrils more pronounced (4).
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose mainly requires deprojection, bringing the tip back closer to the face
You have a strongly projecting tip, and otherwise many attractive features to your nose. Respectfully, I don't think it's the bone at the base of the nose that makes the tip projecting -- that bone is only rarely the culprit. It's almost always the length and strength of the lateral crura of the tip cartilages that provide the support and strength to overproject the tip. I made a morph to show what your nose can look like after surgery. You need a surgeon who can prove to you that he is expert in deprojecting noses; many, if not most, of the revisions that I perform relate to deprojecting noses that were inadequately projected during the primary operation.

Link to this question on RealSelf.com