face lift FacialSurgery.com
Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
face lift
 
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Her face lift did a better-than-average job of tightening her cervical angle.  What's the cervical angle?  Let's draw more lines.  Picture a line that ascends the skin along the front of her neck, and another line that goes backward from her chin toward the front of her neck.  The area where the underside of her chin meets the front of her neck is a fairly distinct angle in the after picture, whereas the skin makes a gentle curve from the chin to the front of the neck in the before picture.

It's usually difficult to make the cervical angle this tight during a face lift, because the cervical angle is the farthest point from where the face lift incisions are made.  But sometimes things just fall into place.  Different people will obtain different amounts of improvement in the area of the cervical angle, even if the operation is performed with technical skill every time.


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current: Left profile

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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Bad Nose Job?
Got my nose done 2yrs ago sometimes it looks swollen,is it still healing? Also my nose is crooked,my surgeon said it wasn't&he'd prob make it worse be4 better,I think it's crooked&2 big&bulby looking(tip)&slight bump still there(he said he could fix the bump). I had a bit of trouble breathing through my right nostril after the rhinoplasty it's double worse,I need a nasal spray just to sleep,my regular dr said it looked swollen inside,why is that? I'm going to have to get another surgery?
(Questioner submitted photos)

Dr. Denenberg's answer: Nose is still long, tip is forward projecting
After two years, your swelling is probably all gone. On the profile view, your nose is still strongly forward projecting from your face. I'd like to see it closer to your face. Also, your nose looks long, where we measure "length" from the tip of the nose up along the bridge to where it begins between your eyes. Click on the Web reference link for a morph of your current nose to a proposed after photo, correcting those features, and links to some other patients who had similar changes to their noses. From the front, your nose does look somewhat crooked still, and somewhat wide. Revision rhinoplasty is very difficult, so if your doctor doesn't describe these changes and show you other patients with similar problems where he's had success, don't let him operate again. The good news for you is that, in expert hands, decreasing the nose's length and projection are two of the most predictable changes to make in revision rhinoplasty.

Link to this question on RealSelf.com



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