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.
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Can my Results Still Be Corrected or is It Not Worth the Risk?
Furthermore, Based on the Pictures What Can Be Done to Improve? Hi, I had an open rhino. about a year ago, I'm really unhappy with the results. I originally had a dorsal hump removed but the doctor put a whole bunch of grafts in my nose also. (I have oily med/thick skin and I think I still have shrinking/swelling left). However, it still looks droopy, long, wide especially when I smile or laugh. How do I find a good dr. that can fix my nose type, my last specialist surgeon had a great "record" but it obviously didn't cut it. Any info would help. Thanks.
(Questioner submitted photos)
Dr. Denenberg's answer: I agree your nose would probably improve if it were shortened
Even on a revision, shortening a nose by raising the tip can be one of the most predictable changes to make. See my "Web reference" link for a morph I made of one of your images.
Shortening a nose like that requires advanced work on the tip cartilages, so be sure your next surgeon has shown you before and after photos of other patients of his whose noses were shortened attractively. Seeing photos is your only way of checking out a surgeon's skill.
Link to this question on RealSelf.com