Lower Face Lift: Q&A

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How Long to Wait for Lower Face and Neck Lift Revision Surgery?

I am 4 months post op from lower face and neck lift. When I look forward with my head raised my jawline looks perfectly smooth. If I smile, turn or lower my head I have terrible creasing and folds in my left jawline and lower cheek (see photo). My right side looks perfectly fine. My PS thinks this may be scar tissue and wants to undermine this area and under my chin again.

If this is scar tissue, why does this happen? What's to prevent this from reoccuring with a revision? How long should I wait for revision surgery?

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19 Doctor Answers | Asked by Bunny123 in MA

Doctor Answers (19)
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Neck Lift Revision?

After reviewing your photos, I would suggest that you wait at least 6 months before revisional surgery. Your result may improve with the passage of time. If it doesn't, then waiting will allow the soft tissues to soften. This will increase your likelyhood for a better result. Good luck.

Wait a year for face/neck lift revision surgery.

It is important to wait at least a year prior to embarking on further revision surgery on your neck. The pleats that are present upon looking to the left are caused by excess skin contracted down to bare platysma with loss of intervening fat. The posterior portion of the skin appears it has also been rotated too far anteriorly in the postauricular area and needs to be re-draped.

Facelift revision

In a case like yours where you need the lift revised extensively, it is usually safest to wait about a year from the original surgery. The reason is that there is scar tissue under the skin that takes time to soften up. Minor revisions can be done sooner, but in your case, wait a year.

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Timing for Lower Face and Neck Lift Revision Surgery

You may be a candidate for a revision, but should wait between 6 months and a year. Communicate your concerns clearly but calmly to your surgeon so he/she can continue to monitor, and respond appropriately at the correct time.

Facelift revision - How long to wait ?

The general rule of thumb is to wait at least for a year for edema to resolve and suppleness to return. In some cases if the skin and underlying tissue is supple and your surgeon thinks it might resolve a few months less would be considered.

Creases on the neck after lower facelift

Dear Lower Facelift Patient from Massachusetts, The creasing or “pleating” appearance of skin on your left side of the neck could be contributed from inadequate undermining and re-draping of the skin flap during the surgery. If you wish to correct it, I would recommend waiting another 6 months before pursuing revision. Good luck

LOWER FACELIFT & NECK LIFT REVISION - WAIT 1 YEAR BEFORE DOING THE FACELIFT AGAIN

Revision surgery of any kind should not be performed before six months have elapsed. Ideally one year is even more prudent. If the area in question was not treated at all at the time of the initial surgery, then revision surgery may be carried out sooner rather than later. Dr. Carlos Cordoba MDCM, CSPQ, FRCS, FACS Plastic & Esthetic Surgeon 4055 Ste-Catherine O. Suite 100 Montreal, QC. Canada H3Z 3J8 514-932-7667

Face lift

After review your pictures I believe you will need a revision but is important still to wait at least six months after your surgery.

Revision after a lower face and neck lift

A lower facelift is an excellent option for patients who are interested in recontour and the jawline and neck. After such a procedure, patients should expect a recovery process that may last between four and eight months. This is especially true if liposuction was performed at the same time. You should consider waiting at least 8 to 10 months before considering a revision or elevating this flap of skin.

At least 6 months waiting period for lower face and neck lift revision

I agree with the majority of posting doctors to wait at least 6 months. As to cause, it could be many factors. Bleeding in tissue, poor dissection and draping of the skin, residual fat deposits, infection localized to the area, etc. No matter the cause you still need to wait the 6 months. Hope that helps.

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