Facelift Q&A
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I Had my Face Lift Repeated Because the Undermining the First Time Was Inadequate.
asked 1 year ago by NHaven in Oklahoma City, Oklahoma
Latest answer by Sam Naficy, MD
Question viewed 480 times
Tags: eyelids, eyes
I had my face lift repeated because the undermining the first time was inadequate. This time feels much better, secure and more natural. Sadly, during the same corrective procedure the surgeon cut my levator muscle when adjusting one eyelid and brow. He stitched it up in his office and says it looks fine, but my eye itches and aches, and by evening my eyeball looks like it's bulging. Is this normal post surgical? Will this correct itself? It's been two weeks since surgery.
20 answers to I Had my Face Lift Repeated Because the Undermining the First Time Was Inadequate.
+3
Revision facelift
Talk to your doctor about your concerns about your eyelid. You may want to go into the office to have him examine things again.
Itching in the eye can be quite normal; there are things you can do to minimize it. It should be unrelated to any levator work that was done.
+2
Itching after revision facelift and eyelid lift can be a sign of healing but see your doctor
It is not uncommon to feel itching 2 weeks after facial and eyelid surgery. This is usually related to healing. However the bulging can be a sign of internal bleeding or excessive scar formation. It is best to see your doctor and have an exam
+2
Two weeks = too early to tell after redo of a mini-lift.
Revision faces tend to hang on to swelling longer. Even if the original face surgery was an abbreviated technique. As far as eyelid misadventures, make sure the eye is properly lubricated during the healing phase during which function is not completely normal. Follow surgeons instructions to the letter.
Ritu Chopra, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+2
Revisional Surgery Recovery
Two weeks is a short period of time for a secondary eyelid procedure. A secondary procedure may lead to increased swelling and recovery. I would recommend following your physicians recommendations and having patience with your results.
Marc Schneider, MD
Fort Myers Plastic Surgeon
Fort Myers Plastic Surgeon
+2
The Failed Face Lift
One has to fully evaluate why the result of a face lift is inadequate. Often it is not the skin undermining, but it's what is done or not done in the deep layer (SMAS). The deep layer, or the SMAS, is actually the component of a face that provides the longevity to a facelift and separates it from the "quick one day mini face lift" with skin undermining only. One would have to fully evaluate the patient because a true face lift is one that is multiple layers with skin...
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+2
Complications after facelift.
.MINI =MINI I TELL MY PATIENTS. POSSIBLY YOU HAD A MINI LIFT AND IT WAS DISAPPOINTING TO YOU AS IT IS TO MANY. I AM SORRY THIS HAPPENED TO YOU. The second surgeon did a complete job and your eye and eyelid will be fine. It takes time to heal. Visit your surgeon weekly until this resolves and get the help. Surgeons realize post operative support is a huge part of their job. If you worry, go see an opthalmologist. The eye doctors...
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+2
Eye Itching and Pain 2 weeks post facelift
It sounds as though your surgery successfully corrected the shortcomings of your previous facelift. Itching and soreness is not uncommon after revision eyelid surgery, especially at 2 weeks. I would recommend close followup with your plastic surgeon, as this should resolve over the ensuing 2-4 weeks. If there is any concern, your board certified plastic surgeon will most likely recommend evaluation by an opthalmologist to ruleout other issues.
Paul S. Gill, MD
Houston Plastic Surgeon
Houston Plastic Surgeon
+2
Facelift recovery
Undermining is necessary to get a great result and this is why minilifts don't work very well or for very long.As far as your eyes are concerned, stick close to your doctor and he will get you through.
+2
Swelling and Itching 2 Weeks after Eyelid Repair
You have an honest, caring surgeon who will continue to manage your post-op course. Follow his advice. The bulging is probably normal, the itching will pass.
+2
I Had my Face Lift Repeated Because the Undermining the First Time Was Inadequate.
My guess you will need more extensive repair. Sorry to tell you this. Best to discuss with the surgeon or get a second opinion. From MIAMI Dr. Darryl J. Blinski
+2
Leavator msucel and eye itching
Eye itching is probably unrelated to the levator repair. Follow closely with your doctor and follwo his post-op instructions.
+2
Eyelid changes after blepharoplasty
Since it is only two weeks after surgery the itching could be from healing or the nerves regenerating. Fortunately these sensations usually resolve. At two weeks incisions are quite firm and there may some reaction to the suture used to reattach the levator which could explain the ache and bulging. Fortunately these symptoms should also pass. Ask him what suture was used and whether a steroid injection might be appropriate at some point. He sounds very honest...
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Mark Loury, MD
Fort Collins Facial Plastic Surgeon
Fort Collins Facial Plastic Surgeon
+2
I'm hopeful
I'm glad that your facelift revision was a success. Regarding your eyelid, It depends on how far out from surgery you are as to whether this is normal or not. Itching, aches, and swelling or bulging are not uncommon in the first few months after eyelid surgery. I wouldn't say that it is expected, but it's not uncommon. I would discuss your concerns with your surgeon. More than likely, these issues will resolve.
Andrew C. Campbell, M.D.
Board Certified Facial Plastic...
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+1
Post-operative issues
It is very difficult to answer your question without seeing you in person and examining you - although 2 weeks is still very early after surgery
+1
Too early to tell
It is too early to tell, but I suggest you speak to your surgeon about your concerns and he/she can help make sure you are healing as expected.
see video
+1
Itching after Revision Face Lift
Itching is often a normal sensation during the heasling phase as long as the skin color isn't red, this is most likely normal. As far as the muscle transection and re-suture...follow up with your Face Lift surgeon.
+1
Facelift Post-OP
In the early post operative period, it is not unusual to have swelling and asymmetry. It is important for you to follow closely with your surgeon to make sure that the healing is progressing as expected.
Michael Sullivan, MD
Columbus Facial Plastic Surgeon
Columbus Facial Plastic Surgeon
+1
Facelift
There are many reasons that the result of a facelift could be inadequate and a lack of undermining is one. Other possiblities could include inadequate treatment of the smas( muscle layer) or poor skin quality. Each can have different options for correcting the problem.
David L. Abramson, MD
New York Plastic Surgeon
New York Plastic Surgeon
+1
Thorough undermining is absolutely necessary to get a good result from a facelift.
The face is anchored along the cheek and jawline. These attachments have to be divided to properly elevate the structures for a successful facelift. I'm not sure your statement about the levator is correct, but being only 2 weeks out from an operation is too early to draw conclusions. You need to report these issues to your surgeon.
+1
Repeat facelift better; now have eyelid issue.
First of all, it sounds as if you have an honest and ethical surgeon; there was no requirement to explain an intraoperative issue that was properly dealt with, but he was forthright about this and now you have symptoms that may or may not be related to this specific issue. Even without any levator issue, most patients will note asymmetric swelling itching, dryness, and swelling as tissues heal. Even slight differences in eyelid position, scar location, and all of the other...
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