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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
face lift and chemical peel
 
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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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"I am so very astonished and pleased
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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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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: Rhinoplasty for bulbous very round nose?
I am a 20 year old white female. My nose is very very round/boulbous. The bridge is fairly straight, but the tip throws it off. I think my skin is pretty thick, (i know that can be an issue with rhinoplasty) but how do I know if it is thick? Would I just need a tip rhinoplasty or a full one? What should I expect? I am also haveing a hard time finding a before and after of a white female with a nose as boulbous as mine, so if you could send me one that would help.
(Questioner submitted photos)

Dr. Denenberg's answer: Perhaps work on more than just the width of the tip
Hi,
I see the width of the tip, and indeed it's possible to improve your nasal tip (see the Web link below). My suggestion would be to make a couple other changes at the same time, such as elevating the tip a small amount and taking down the small bump along the bridge of your nose. The video link below shows a simulation of those changes.

Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.

Link to this question on RealSelf.com



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