Prominent Neck Creases After Facelift

Tanveer Janjua, MD answers: 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?


Tanveer Janjua, MD
1 month ago
By Tanveer Janjua, MD - Bedminster Facial Plastic Surgeon

These creases can be from adherent scar tissue forming bands or sutures under the skin pulling that area towards the ear. If there are permanent sutures, those would need to be cut. If there are scar tissue bands then undermining like your plastic surgeon is recommending should work. Four months post op is a reasonable time period. Your healing is complete and you should recover quick.

The most important thing is NOT to remove any fat as usually the fat covers up any irregularities and keeps the skin looking smooth. If for some reason that does happen down the road, you might need  a filler to smoothen out the wrinkles.

Regards

Web reference: http://www.janjuafacialsurgery.com
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