In the before picture, her pupils are just barely visible. The
after picture shows a more normal upper eyelid position, with the upper eyelids
cutting through the iris, well above the level of the pupil.
In some people, the upper eyelid position is too low because the muscle that
holds the eyelid up is damaged. In this patient's case, the muscle
was fine, it was just too taxed by the weight of excess skin it had to hold up.
next view of this patient
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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.
How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)
Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip.
The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.
Link to this question on RealSelf.com