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.
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Is It Possible to Make a Nose Shorter and Less Bulbous with Rhinoplasty?
I have a long nose with a bump and a big tip which I would really like to correct. Is there a way to correct all of these problems at once?
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose is more projecting than it is long
Hi. You have a nose that is strong in its forward projection away from the face. Lessening that strength is called "deprojecting" the nose.
"Length" is the measurement of the nose from where it begins between the eyes, down the bridge of the nose to the tip. So a nose with a droopy tip is "long," but Pinocchio had a "projecting" nose.
Deprojecting a nose involves complicated techniques on the tip cartilages, because it is those tip cartilages that hold the tip out away from your face. Be sure to see before and after photos of other patients whose noses were deprojected by the surgeon you are considering using, so you can see that he knows how to do this operation.
Link to this question on RealSelf.com