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.


next view of this patient

"I always thought that having a beautiful nose
would make me feel better,
but I could never imagine that
it would change my life. "
See all of Dr. Denenberg's reviews on

 

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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: Can I Get Only Nose Rasping Done Instead of Full Rhinoplasty?
I like my nose, it's small & cute but the only problem I have is that from the side I have the biggest bump that is so noticeable. It makes me very insecure and I can't even take pictures of myself except from the front because the bump is that noticeable. I wanted to know if a surgeon can just shave it down instead of breaking my nose? & how much would it cost?
(Questioner submitted photos)

Dr. Denenberg's answer: Almost certainly need to narrow the bones, but that's not a bad thing!
There are a couple reasons not to just shave off the bump. First, if you just shave off the bump, it would leave a flat spot on your nose where the bump was. If the bump is like an Egyptian pyramid, and you take the top off, you are left with a flat plateau. Narrowing the bones makes the bridge of your nose normally narrow again after removing the hump. See my "Web reference" link for a morph of your nose without the hump, and more explanation of this topic.

There's another, less obvious reason not to just shave it off. When a hump is taken from a nose, it can make the nose *look* longer, as though the tip drooped down, even if the position of the tip didn't really change. The amount of that effect is different on different people, but the larger the hump, the more likely that we would consider raising the tip a little, not to make a shorty nose, or to change the character of your nose, but just so that the nose doesn't look longer to you after surgery. I made some morphs of that, too. 

Finally, in an operation that takes me about three hours, narrowing the nasal bones takes about three minutes, and it doesn't noticeably increase the swelling or bruising, so it's really a small issue.

Link to this question on RealSelf.com



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