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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.


next view of this patient

"I felt like he listened to me,
heard my expectations and hopes,
and then he ultimately delivered. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
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

Go here to learn how to send your photos to Dr. Denenberg,
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: Rounded tip, pollybeak and over-projection? Is it swelling or should I consider a revision?
I'm 4 months post op. My tip is very rounded and my nose appears to be over projected on three quarter view. Is this swelling, a pollybeak forming or just not a nice result? Should I consult with revision surgeons?
(Questioner submitted photos)

Dr. Denenberg's answer: Excess projection and fullness after rhinoplasty
Hi,
I'll try to be helpful, but for some reason I can't see the posted photos.

I suppose the rounded tip could be, as you said, swelling or a pollybeak or just not a nice result. Sometimes, if it's swelling, a steroid injection can help, but it's unlikely to help hugely. I don't see how projected your nose is, but probably the projection won' change much now.

De-projecting a nose involves advanced techniques on the tip cartilages, and most plastic surgeons don't have the training to make the changes with accuracy and predictability. Especially in a revision. If you consider a revision, you *must* see before and after photos of the doctor's other patients, with noses similar somehow to yours, so that you can see if he was able to accomplish for someone else what you want for yourself.

If you re-post the photos, I'd be happy to give you advice based on your specific situation. See the attached video and Web reference link for examples of changes that can be made in the right hands.

Link to this question on RealSelf.com