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Is it common to have a facelift revision?

By kbarbee on 16 Dec 2011

I had a lower face lift, neck lift and neck liposuction done 5 weeks ago. It looked fabulous for first few weeks while there was still swelling. Healing has gone very well also. About a week ago I noticed everything began to loosen again. My jowls, which was my primary concern have come back. Certainly not to the point they were prior to surgery but my jawline has relaxed so much and there are little loose skin pouches. I am so disappointed. Nobody has even commented that I look any different. I scheduled an appt. to talk to my surgeon next week and it will be a difficult appt. for me. I find it hard to ever complain but I do not think I should see this at only 5 weeks out. I am also concerned about the money and hope that he will not charge me for a revision. Just so disheartening when I finally got up the nerve to have the surgery. Any one out there with advice or similar story? I would appreciate any feed back. And will a revision cause more scarring? Please advise, thanks!

Comments (7)

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doctordeb7 7 Jan 2012
Yes, I had the same thing happen. The doctor kept saying, "relax, it takes time, I can tweak any issues, yada yada yada..". Long story short he redid the lift at the four month mark. Now, almost a year later my jowls are returning because it seems he used fat filler to fill the space in front of the jowls instead of elevating the SMAS properly to a higher level and securing it. So, my opinion is, if you decide to use the same PS for a revision ask him if he will lift the SMAS or use fillers. The filler doesn't last even if it's your own fat. And when the filler dissolves and the jowls return there is a funny folding of the skin. I've seen this posted by other RealSelf commenters. While money is always an issue, unless your PS has his own surgical facility you will get stuck paying for the surgical suite and anesthesiologist anyway even if the PS says he won't charge. Best wishes to you. One good thing, as time passes the puffiness also goes away and you return to a more natural appearance. Overall, the jowls are less prominent but still no excuse for sloppy surgical performance.
2trusting 9 Mar 2012
Ooooo boy,
Do I ever agree with you, doctordeb7 ! I think this whole lower SMAS thing should be thrown out as an option to plastic surgical procedures, UNLESS you're one of the about 5% that it will work for. AND it is being given to people who might have benefited from other procedures. I had a Life Style Lifts done in 2010 and I wish I had never believed their glowing promotionals about their most excellent Drs. in the whole wide world. Their procedure is a lower SMAS and now I see their promo for Lower Lift Reviews. Interesting.
NHaven 10 Mar 2012
The strange thing is LSL gets the bad wrap. Yes, they misrepresent in their TV promos, but even board certified plastic surgeons that are independent use the same procedures. On the one hand they bad mouth LSL as a "skin only lift", but it isn't necessarily so. Lifestyle, like you said, is a SMAS procedure. I told my plastic surgeon I did not want a Lifestyle lift so he did a SMAS lift referred to as a MACs. Guess what? It was the same thing as a LSL. Same thing....
2trusting 10 Mar 2012
I know NHAVEN you have to practically go to plastic surgery school to learn all the names, which muscles will be address etc. etc. etc.. and the lower SMAS goes under many alias they. I know others are performing it but in general if someone is really good they'll offer you a great deal a other alternatives. I wouldn't let anyone touch me again though that works for a corporate medical practice who has to have a high volume of victims in order to support their advertising habit and all their lawyers.
NHaven 11 Mar 2012
Amen to that 2trusting!
2trusting 11 Mar 2012
And if LSL is getting a bad wrap it's because they've been lyinig to people for the last over a decade!!!! It all comes out eventually. And They're learning they'll have to pay the piper one of these days. Oh YES! The Lake of FIRE!
2trusting 11 Mar 2012
And their little Debbie Boone TOO!!!

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