face lift FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's Medium.com article on probabilities in flipping coins.
face lift
 
Views of this face lift patient:

Image size is small
show larger

The fat underneath the skin of the neck was removed, and the skin was repositioned up and back.  If a patient is only 30 to 40 years old, I can sometimes perform only a liposuction under the chin, without the face lift.  However, if the skin has lost some of its elasticity, removing only the excess fat won't help, because the skin won't "shrink-wrap" to the neck after the fat removal; it will hang loosely, and the appearance might be worse than if nothing had been done.

The combination of removing the fat and repositioning the skin is our best bet in patients older than about 45 years of age.


next view of this patient

"I feel great, love the way I look ... "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this face lift patient:
face lift
face lift
face lift
current: Right oblique
face lift
face lift

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.


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 this nose be fixed?
I need a seriously talented surgeon to do my third and hopefully final rhinoplasty. I need a grand slam and I will travel anywhere if I can find a surgeon who can perform these multiple techniques. I need someone who can: 1. Decrease nostril width 2. Decrease projection 3. Tip reconstruction using donor cartilage 4. Lengthening of the nose I don't see raising the bridge as the solution to avoiding having to decrease projection. Referrals welcomed also.
(Questioner submitted photos)

Dr. Denenberg's answer: You may not need all of the techniques/changes that you listed
First of all, I agree that, from these photos at least, it's not at all clear that you need to have your bridge raised. The "profile" shot isn't really a profile, because the camera is too high and is looking down at your face, but it appears that the tip of your nose has very strong projection, and bringing the tip substantially back closer to your face will make the relationship between the tip and the bridge much better, without raising the bridge.

Then, a significant de-projection of the tip often can make the nose *appear* longer, so you might not need as much lengthening as you thing you might. 

It's also not clear that you'd need donor cartilage to help the tip. Often, even after previous surgery, modifying the cartilage that is still there is all that is needed.

See the attached video and Web reference links for some ideas.

If we had a pure profile, maybe a morph could be make to illustrate how deprojecting the tip also helps both the bridge and the length.

Link to this question on RealSelf.com