This is a beautiful 57-year-old female business owner presenting for facial rejuvenation and revision rhinoplasty. On analysis of her face she has ageing of the upper and lower eyelids with excess skin and puffiness, although she has naturally high cheekbones she has soft tissue descent of the jowl and malar fat pad and neck obliquity of skin laxity and muscle laxity of the neck as well as fine lines around the mouth. On analysis of the nose she has a supratip deformity residual dorsal hump and poor definition of the the tip. The patient also had breathing difficulties. Dr Lipschitz performed a deep plane facelift, necklift, upper and lower blepharoplasty and perioral Pearl laser. The patient also underwent revision rhinoplasty with revision of the supratip deformity, dorsal hump reduction and reshaping of the tip with a combination of suture technique and cephalic trip. She is seen here 6 weeks post operatively.
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