Boston Lower Face Lift doctors
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Edwin Ishoo, MD
Boston Facial Plastic Surgeon
1000 Plain St First Floor , Marshfield |
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3 answers |
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Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester |
1 answer | |
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Mark B. Constantian, MD
Nashua Plastic Surgeon
19 Tyler St #302-304, Nashua |
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Kimberley O'Sullivan, MD
Boston Plastic Surgeon
14 Denton Road, Wellesley |
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Brooke R. Seckel, MD
Boston Plastic Surgeon
131 Old Road Nine Acre Corner - Suite 700, Concord |
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Recent Answers
I am in early forties and I'm noticing indents on the corner of my upper mouth and lines around my mouth. I was wondering if I shall go in for mid face lift or lower face lift with chin implant? Also, I have undergone rhinoplasty which had gone bad.
I have asymmetrical nostrils with too much cartilage removed on one side. Two months ago I got juvederm on my upper lips, and it looks overly done. Also, I have some radiasse on my cheeks which too appears looking crooked.Please help. Thanks.
Looking at your limited pictures, I would recommend a mini or lower face lift with a submalar cheek implant and not necessarily a chin implant. You definitely need more midface volume and a conservative mini or even MACS lift can bring the face into a nice balance. I believe you would also benefit from a fractional CO2 peel and routine skin care to improve skin texture and pigmentation. As you have seen, soft tissue fillers and fat grafting are extremely operator dependent and asymmetry and contour irregularities are not uncommon. A conservative mini lift and submalar cheek implants will likely rejuvenate your face nicely with minimal down time and risk in the hands of a well trained surgeon specializing in facial rejuvenation
I had a necklift 3 years ago, in which the dr. pulled skin horizontally on jawline, making it so tight that my facial skin was pulled hard downward for weeks. After that my mouth turned down. Then I had 2 facelifts from a dr. who, in the first lift, actually anchored my face downward, then in the second, did do lifting, but my mouth area is still too low, and mouth is turned down. I have now talked with a dr. who says he may be able to do a "Sling lift." Do you know what that is?
In your original "neck lift" procedure you likely had a Feldman or corset midline platysmaplasty which tighten the neck but can definitely pull the jowels and the corners of the mouth down if the tissue is not released and there is no concurrent SMAS or midface lift. The options for the down turned corner of the mouth in such a situation is to release the midline platysma high in the neck, cut the DAO muscles (don't recommend), Botox the DAO muscle, soft tissue fillers to elevate the corners, or midface lift. I believe that a "sling lift" will give you an unnatural appearance and I only perform it in facial paralysis patients for functional improvement.
I am 7 months postop lower facelift. I still have an area of soft, "puffiness" above each clavicle, but more pronounced over the left one. It tends to increase with activity during the day, and recedes at night. Is this a probable lymph drainage issue?
This is an unusual problem especially this far out from the procedure. It is too low to be a sialocele or saliva fluid collection. Given that the fullness appears to fluctuate with activity, it may be a pre-existing venous abnormality (e.g. high riding subclavian vessel, AVM, prominent thoracic duct) that has become more appearant after debulking or correcting the sagging of neck tissue. You do not describe any erythema, induration or tenderness which would suggest an inflammatory process. Does it pulsate? It is possible that this may be a Chyle fistula or lymphatic fluid collection but I would expect that it would continue to fill up and not return to normal in the intervening period. There is no substitue for hands on physical exam by your doctor. If I was concerned with a fluid collection or a vascular process, I would investigate with an imaging study and likely start with an Ultrasound. I strongly recommend you schedule a follow up visit with your surgeon.