The combination of the excess skin on her upper lids and the vertical creases
between her eyebrows makes her look like she's scowling at you in the before
picture. But she's not. Her face is in repose.
Ideally, we might have thought about elevating her eyebrows, but you don't
have to do everything. That would have entailed another trip to the
operating room, since I don't like to elevate the brows at the same time as
taking excess skin off of the upper eyelids. We simply planned as much improvement
as we could get while minimizing trips to the operating room.
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What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)
Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.
Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.
I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!
Link to this question on RealSelf.com