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Steven M. Denenberg, M.D.
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brow lift
 
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She has excess skin on her upper eyelids, but the real problem is that her eyebrows had lowered in position from where they were years ago.  The correct operation for her was to elevate the eyebrows.

If upper eyelid surgery is performed when the real problem is the eyebrow position, the eyes won't look quite right after surgery, so it's important to diagnose the correct condition before deciding what to do.


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"I am so happy that I cannot even put it in words ... "
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Asymmetry & hanging columella. Interests: Tim Woolford, Julian De Silva, Julian Rowe Jones, Lucian Ion
I am 7 yrs post primary rhinoplasty. I was looking for my slight bump amd bulbous tip to be addressed. Immediately after my cast was removed 1 wk after my op, it was clear I had been left with an asymmetrical and hanging collumella (my natural nose did not have this). Its been 7 yrs & I'd like revision. My main concern is my hanging & aysemetric collumella, I feel my tip is bulbous in comparison to my thin bridge with large projection. I have very thick, oily skin with large pores on my nose.
(Questioner submitted photos)

Dr. Denenberg's answer: It's more than just the columella
Hi,
It's not just that the columella is hanging, because your columella protrudes downward only a millimeter or two down beyond your nostril edges.

It's that the entire tip of your nose is low, the nose is very long, and best would be to raise the tip, much more than just elevating the columella. 

You are correct that the tip is somewhat wide, too.

See the first patient in the attached video -- she has a nose with some similarities to yours.

Link to this question on RealSelf.com