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Steven M. Denenberg, M.D.
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face lift and chemical peel
 
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The signs of aging developed in this face in typical ways: the jowls developing as drooping skin along the jaw line, the excess skin in the neck, and the creation and deepening of the lines that extend downward from the corners of the mouth and from the edges of the nostrils.

She had a face lift for the jowls and sagging skin and a peel for the wrinkles in the oral region.  Her longer, thinner neck and good jaw line gave her the possibility of a better result, as the skin draped over her good bone structure in the pull of the face lift.


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All views of this lift and peel patient:
face lift and chemical peel
lift and peel
current: Frontal
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: What procedures will I need to go through To correct this. Will I need a septoplasty and rhinoplasty?
Here is a better picture of my nose..I do have a couple of doctors that I am highly interested in. Theyre facial plastic surgeon & board certified. As you can see My bulbous droopy tip, crooked nose, & a bump That this nose is not for me. I am wanting a more feminine face. i wished my nose was smaller but not too small.. just something that will Fit my face. i am just so insecure with my face bc of my nose...i am around people everyday & i just deal with it. I almost want a nose like jen selter.
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose requires some advanced techniques
Hi,
It seems to me that your nose would benefit from a significant "deprojection." That means bringing the entire nose back closer to your face. Look at the simulated modification that I made in the video link. Ignoring the hump for the moment, you can see that the tip of your nose moved significantly closer to your face. Then, the hump was also taken down.

You have a little bit of what we call "tethering" of the upper lip. That's when the upper lip pulls forward, right where it meets the bottom of the nose. If the tip of the nose is successfully deprojected, the tethering tends to lessen, or go away.

Making a predictable deprojection of the nose is not something that every plastic surgeon can accomplish, so be sure to see photos of the doctor's other patients who had impressive deprojections, before deciding on a surgeon.

Link to this question on RealSelf.com