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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"...I felt instinctively that he was the one. "
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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: Asymmetry & hanging columella. Interests: Tim Woolford, Julian De Silva, Julian Rowe Jones, Lucian Ion
I am 7 yrs post primary rhinoplasty. I was looking for my slight bump amd bulbous tip to be addressed. Immediately after my cast was removed 1 wk after my op, it was clear I had been left with an asymmetrical and hanging collumella (my natural nose did not have this). Its been 7 yrs & I'd like revision. My main concern is my hanging & aysemetric collumella, I feel my tip is bulbous in comparison to my thin bridge with large projection. I have very thick, oily skin with large pores on my nose.
(Questioner submitted photos)

Dr. Denenberg's answer: It's more than just the columella
Hi,
It's not just that the columella is hanging, because your columella protrudes downward only a millimeter or two down beyond your nostril edges.

It's that the entire tip of your nose is low, the nose is very long, and best would be to raise the tip, much more than just elevating the columella. 

You are correct that the tip is somewhat wide, too.

See the first patient in the attached video -- she has a nose with some similarities to yours.

Link to this question on RealSelf.com



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