Dr. Steven Denenberg's facial plastic surgery before and afters: Face lift #4

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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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"...he is straight forward with you
and will let you know what results
he thinks are realistic. "

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All views of this face lift patient:

face lift 1: Right oblique	face lift 2: Left oblique	face lift 3: Right oblique	face lift 4: Frontal

face lift 5: Right oblique	face lift 6: Frontal	face lift 7: Frontal	face lift current: Left profile

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Questioner: Can This Bad Revision Rhinoplasty Be Fixed?
It was supposed be simple revision ( I know no such thing) of droopy tip from profile . Front was pretty good. After revision it became worst from every angle. Bridge became crocked, there is a bump from 3/4 view and worst of all tip became longer and pointy. It has been 3 years and I can't get used to this unfamiliar look it gave me. Am I looking for more disappointment with another surgery? Willing to travel Anywhere
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose can likely be improved, much closer to your original goal.
Well, please tell everybody that if a doctor tells you that a revision will be "simple," you should run away at top speed. But going forward, one of your main complaints is that the nose is long, with the tip drooping. Even though we can't accomplish *everything* we want to in a revision, raising the tip of the nose is one of the more predictable changes, even in a revision, in competent hands. See my "Web reference" link for a morph showing your nose with the tip elevated.

The bump on the three-quarter view is caused by your nose being off center from the frontal view. Asymmetries like that are the most difficult features to correct in a revision, or even in a primary rhinoplasty. They can generally be improved, but not eliminated. The goal is to get a nose that you are happier with, more satisfied with, even if there are still some features that bug you or that you wish could be a little better.

Link to this question on RealSelf.com


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