Wait a minimum of 6 months from the original surgery; the longer the better.

Lavinia Chong, 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?


Lavinia Chong, MD
21 days ago

The "pleating" that you exhibit may either be a result of inadequate undermining (elevation) of the cheek/neck skin off the underlying soft tissue (fat and muscle) or scar "adhesions" where the cheek/neck skin attached unfavorably.  At any event, waiting a minimum of 6-12 months after the original surgery will enable your surgeon greater safety in reelevating the skin.  Good luck.

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