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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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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: Is There Hope for Another Revision Rhinoplasty?
I had a revision rhinoplasty to fix my deviated septum. I wanted to keep the shape and size and only fix the deviation. A graft was placed (not from my body) but I was surprised that now my nose appears to have bad scar tissue, resulting in a "no shape" and bulbous nose. Could another revision fix my nose, for the last time? Or, will scar tissue keep forming? Can my nose be slimmed and defined? I live in Saudi, but I'm considering a revision in the states. Is there any surgeon you recommend?
(Questioner submitted photos)

Dr. Denenberg's answer: Removing scar tissue to give definition to the nose can be difficult
While it's true that some scar tissue will always form after any operation, the question is whether your scar tissue can be carved enough to give a meaningful improvement despite the new scar that can form. Sometimes the cartilages can still be modified to help with narrowing and defining, or adjusting or removing the graft could help.

Could you post larger photos, taken from many angles, and also let us know where the graft sits? That would help. 

Link to this question on RealSelf.com