face lift FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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.


next view of this patient

"He is a perfectionist and will honestly give you your best nose. "
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All views of this face lift patient:
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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.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Why is my Tip Still Droopy After Rhinoplasty?
I had closed rhinoplasty. If my tip was lifted, why does it still look the same as before? I'm frustrated... It just seems like the distance between my tip and upper lip is a bit different, but the tip is droopy and shaped droopy-like just like before. Why? was it the technique?
(Questioner submitted photos)

Dr. Denenberg's answer: It's certainly possible that you nose simply wasn't shortened in the previous operation
Hi. The photos you sent are sort of tiny, but they do show the relationship between the bottom of your nose and your upper lip, and it appears that the nose is still long. See my "Web reference" link for a morph I made of your nose, showing what it might look like if it were shortened.

Shortening a nose, in expert hands, is one of the more predictable changes to make in a nose, even in a revision, but it requires some complicated work on the tip cartilages. Still, no operation is 100% successful. You have a decision to make about using your same surgeon for a revision. If you feel that you selected him well, and you saw lots of his before and after photos, proving that he has shortened long noses for other patients and does excellent work in general, then take his advice about a revision to try again to shorten your nose.

However, if you did not see lots of before and after photos, and you suspect that he might not have been able to shorten your nose in the first place, then you should not have him revise your nose, because he is unlikely to succeed, and it can get you into more trouble.

Link to this question on RealSelf.com