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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
face lift and chemical peel
 
Views of this lift and peel patient:

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In this fully-lit oblique view, you can see that she has some irregular pigmentation as a complication of the peel.  Follow from the front of her chin, along her jaw line up toward the ear and see how the skin color changes.

She was at a much higher than average risk of a noticeable pigmentation change because she had so much pigment in her skin before surgery.  If the skin has a noticeable change after surgery, it's usually that the peeled skin is lighter than it was before the operation.  The lighter your skin, the less pigmentation you have before surgery, and the less likely you are to have a noticeable change.

She was still an excellent candidate for the peel, however, because we anticipated such a marvelous improvement that we thought we could live with a little pigment irregularity.


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"Dr. Denenberg addressed all my questions
and concerns in a clear and detailed manner. "
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All views of this lift and peel patient:
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
lift and peel
current: Right oblique
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel

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or to arrange a personal consultation.


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: My nose is too narrow and I have droopy tip when smiling after rhinoplasty. Is this because of my smile muscle?
I had a septorhinoplasty done almost 2 years ago by a well certified doctor. The procedure was to correct my septum, straighten my nose, hump reduction and reduce a bulbous tip. Overall I feel my nose looks better but it seems that the tip is too narrow looking pointy and the tip droops when I smile. I feel this has gotten worse over time. My surgeon says its because of my smile muscle, is that true? Is this something a tip revision can correct?
(Questioner submitted photos)

Dr. Denenberg's answer: A contrarian viewpoint
Well, you didn't post any **non-smiling** views, but from the smiling view you submitted it seems to me that your nose is long, even without smiling. Everybody's nose tries to lengthen when smiling, but it doesn't lengthen *hugely*, and in order for the nose to not look too long when smiling, it needs to be shorter when the face is at rest. Perhaps if you posted profile views when not smiling, we would be better able to get this figured out.

I personally feel that it's just not possible that clipping a tiny muscle will fix this problem. In fact, it wouldn't fix anything at all. In another fact, I never clip that muscle, because I don't think it does anything. If we want a nose that is short enough, when smiling and when not, it takes advanced work on the tip cartilages, to get the tip to a good position, and sutures to hold the tip in place when the facial muscles try to pull it down with smiling.

Link to this question on RealSelf.com