7 Weeks Post Op and Very Disappointed With MACS Facelift? Doctor Answers, Tips
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7 Weeks Post Op and Very Disappointed With MACS Facelift?

I had a macs facelift, upper and lower eye lift and fat transfer to cheeks. Wrinkles reappearing under my eyes and cheeks look like they are sagging already. Until last week I was very happy with the results but during the past few days the swelling has subsided radically and I look old again. Is it possible that the fat in my cheeks has begun to be absorbed? Is it that at this stage we look worse before we look better or has this lift just failed and I will have to undergo more surgery.

11 Doctor Answers | Asked by Jono4609
+2

Middle access facelifts yield good results only on selected patients.

Whereas limiting the length of the incisions is always admirable when applied to improper clinical situations the results can be disappointing. The operation has to be tailored to the anatomic need to the patient. The description sounds as though more formal facelift with have yielded better results. Fat injections are unpredictable at best.
+2

Fat graft "take" vs face lift laxity

Hello, Thank you for the question. All lifting procedures that are based on soft-tissue such as face lifts will have some degree of return of laxity. The weaker the tissue, the farther the pull, and the more its tightened the higher percentage of laxity to return. This is a normal and expected part of facial rejuvenation. If the amount of laxity is too much for you a re-tightening procedure will be needed. Luckily the recovery from this is usually not as... more
+1

Face lift biplanar smas

After 6 months,ask for a standard biplanar face lift; your surgeon-if well oriented-should accept with a low revision price see video

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+1

7 Weeks after MACS facelift and fat grafting

Some of this can be the reduction in swelling and not fat graft loss. It is helpful at this point to compare before and after photos to determine the change. Kenneth Hughes, MD Los Angeles, CA
+1

MACS Facelift AND Fat Grafting

The MACS Facelift produces fullness in the cheek area and typically some bunching beneath the lower eyelid. This typically can requiring a lower eyelid lift at the same time to reduce the bunching so adding fat to the cheek/eyelid area seems a bit unusual but I do not have your before photos. It has been less than 2 months and the swelling will continue to resolve. Give it more time your result may be just fine. Dr. ES
+1

Analyzing results after facial rejuvenation

Is not usually done until you have healed adequately. Yes, you can get an idea of what is going to happen at this stage but the final results can still change. You should discuss your concerns with your surgeon and you will have your pre-op photos to compare your post-op results with and usually you can easily appreciate the improvements there as opposed to viewing yourself in the mirror. This is where revision policies of your doctor are important so you know exactly what... more
+1

7 weeks post-op

It can take up to 6 months for you to be able to fully assess the outcome of your face lift surgery and fat grafting
+1

Unhappy with face lift result

Thank you for your question about healing after your MACS face lift. MACS = minimal access cosmetic surgery - ie, short scar. My thoughts: 80-90% of fat transfers tend to absorb. Your reappearing wrinkles might be from sun damage of the skin that need skin care and skin peels to improve, rather than surgery. I do standard and MACS face lifts. The MACS face lift looks great at first but is more likely to need touch-up procedures. See your plastic... more
+1

Results will not improve with time.

I'm sorry you are disappointed with the results of your surgery. It sounds like you were happy during the time of the most swelling ( which plumped out your face and made you look younger ) but now note minimal long lasting effects. In spite of the marketing buzz, the best science I know of shows only 30 - 40% of the fat placed in any location truly is retained; the rest is absorbed and that volume is lost. The threads used to lift the deeper tissues of the face may... more
+1

Unhappy with MAC-Lift

Seven weeks is still alittle early. The initial excitement was the swelling which everyone has and it resolves. The macklift is not a very aggressive facelift but it doesnt effect the eyes. Try and be patient and discuss with your PS. see video
+1

MACS lift and fat grafting to cheeks

Jono4609: The Minimal Access Suspension lift as pioneered by Dr. Tonnard was well suited for Belgium patients, who seem to have ample volume in the cheeks, which can be repositioned upright, in order to decrease the depth of the nasolabial fold and camouflage the tear trough groove. Regrettably, not all of us have full cheeks and will require some volume (fat grafting). The percentage of fat graft "take" depends on many factors, which include but are not limited to extraction... more
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Comments (1)

secrets 2 Feb 2013
My experience is that fat transfer does not last.! Although i only had fat transfer in my hands,initially it looked good,but it was all but gone within 3 weeks....utter rubbish ggrrrr

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