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Steven M. Denenberg, M.D.
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This patient's improvement was not the result of a face lift at all: she only had a liposuction under the chin.  Liposuction cannot be performed as the only procedure unless the skin is young and elastic enough to "shrink-wrap" to the contour of the neck after the excess fat under the skin is removed.

In a person who has lived long enough to lose skin elasticity, the skin would just hang down unattractively if the fat were removed without using a face lift to tighten the skin at the same time.


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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: Drooping tip, cave man like nose after rhinoplasty. Can this be fixed?
Droopy tip. rhinoplasty almost a year ago. Before surgery my smile was my best feature , now worst. I don't look normal when I smile as you can see in pictures it does not look right.When I smile the tip is pointy and cartilidge shows in certain lighting and it droops down like there's no support in the tip.My bridge also looks wider. My dr said he would make it thinner but hasn't .I feel so ugly , can this be fixed ? I'm a petite girl and should have a petite nose not a cave man looking nose.
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose needs to be shortened substantially
Despite what you might hear, shortening a nose -- raising the tip up -- often involves advanced work on the tip cartilages, and every plastic surgeon is not able to make those changes. Things get harder during a revision, but in expert hands, elevating the tip of the nose is one of the most predictable changes to make. See the attached video and Web reference link for examples of what can be done.

You must be certain to see before and after revision rhinoplasty photos of any doctor you are considering for your revision. You absolutely don't want to be in the position of having had two operations, and still a too-long nose.

Link to this question on RealSelf.com