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Steven M. Denenberg, M.D.
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face lift and chemical peel
 
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Wrinkles like these are hereditary, and a face lift would not help them at all.  The face lift can reposition sagging skin, such as the jowl you see along her jaw line in the before picture, but it cannot pull out wrinkles.

It takes a skin resurfacing procedure to help the wrinkles, and I believe the deep chemical peel is the best of the resurfacing options.  Aligning the photographic flashes so that the light runs along the surface of the skin, as we see here, is a good way to highlight the improvement in wrinkling.


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All views of this lift and peel patient:
face lift and chemical peel
lift and peel
current: Right oblique
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel
face lift and chemical peel

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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.

Questioner: My nose looks like it's cut in the middle, and looks like an extension?
From the picture you can tell that the surgeon made a mess. Looking at the picture, do you think a surgery is necessary?
(Questioner submitted photos)

Dr. Denenberg's answer: No fillers, please! But I believe improvements can be made.
Hi,

I know it's just one photo that you posted, but there are generally ways to improve the areas that you complain about in a revision rhinoplasty. 

The "dents" can often be filled in with cartilage grafting, and they can be made further inconspicuous by lowering prominences of bone next to the dents.

Then, I don't know whether this bothers you, but the tip of your nose can be raised, too. Whenever a nose is a little smaller, the bothersome features often are less noticeable. I shortened your nose in my morph.

My guess is that the doctor who recommended fillers or fat grafting does not perform revision rhinoplasty. Respectfully, I just think that's not a good solution for what I see in your photo.

Link to this question on RealSelf.com