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Facelift Concerns One Year Post-op?

Diamond shape area under my chin below incision that is thick and noticeable, feels like fatty tissue. PS. has no answer but I never had this before.Is it fat or muscle and should it be there? Also, notice areas of old sun damage on cheeks (small patches of darker pigmentation) getting much larger.Are they more visible because of the skin being stretched during the facelift or did something from the surgery caused them to grow.Fat transfers are almost gone, should more be done & w/what method?

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14 Doctor Answers | Asked by western girl

Doctor Answers (14)
Community Comments (0)

Concerned about my facelift results

Sorry to hear that you are having difficulties with your facelift results. Without pictures it is difficult to determine exactly what the issue could be. It's possible that you have a fat pocket under your chin or residual scar tissue. If scar tissue you may benefit from steroid injections to try and decrease the inflammation. If residual fat, you may benefit from revision lipocontouring in the neck. The regions of hyperpigmented regions can be addressed with laser resurfacing. Make sure... more

Todd C. Miller, MD

10 reviews

Orange County Facial Plastic Surgeon

www.toddmillermd.com

Swelling and dark spots a year after Facelift or Mini-Facelift

Without seeing your before and after pictures or examining your face in person, it is difficult to say exactly what is happening. However, fullness or swelling, particularly in the area under the chin, can happen after certain facelifting techniques. If an incision was made under the chin to access and tighten the platysma muscles, this could be scarring in the skin or an inflammatory reaction to sutures (seroma or granuloma). Also, if the platysma muscles were pulled... more

Issues After Facelift

Facial photos would be very helpful to answer your question concerning your area beneath the chin. If you have pigmented areas of skin then a good program of a moisturizer, sunscreen (SPF 30) and Retinol would be good. Additionally IPL treatment may be beneficial. Dr. ES

Face lift concerns

Swelling under the chin may be from sutures used to correct banding from your neck muscles, but these should be improving after a year. Your skin concerns certainly could be from stretching, but at a year out you should be using a good skin care program to help with these spots to protect your face lift investment. Fat transfers are quite variable in their survival, but can be repeated if necessary. Discuss these issues with your plastic surgeon, and get another opinion if... more

Facelift Concerns After 1 Year - Thick Tissue Under Chin

The results at one year are the results, and a thick area under the chin may be fat, thickened scar, or both. Weight gain and loss can affect this fat pad as well. The age spots may have stretched with the stretch placed on the skin from the facelift. It would be hard to recommend a course of action with the neck without an examination. Please find the board certified plastic surgeon with the best credentials... more

Problems after facelift, litelift, quicklift, lifestylelift

Most irregularites settle in the first year, a small revision may be needed to correct the fullness in this area. change in skin color can be due to shifted skin, healing post op. consider lightners, retin a, skin peel, photofacial

Facelift concerns

Hello and thank you for your question. Irregularities in the chin/submental area are fairly common in the early post-operative period following facelift surgery but should have essentially resolved at the 1 year mark. It is possible that there is a fatty deposit present, but it's difficult to know without physical examination. As for the dark areas, they may just be enlarging as a result of sun exposure over the years or may have been stretched to some degree. Again,... more

Facelift Concerns One Year Post-op

Your concerns about pigmentation and contour irregularities will not improve now that you're one year after the facelift. I need to see pictures to make recommendations regarding possible revisions.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Facelift Healing

I am sorry you have these concerns. My thoughts - the thick area under the chin may be scar, fat or excess skin. If you were my patient and the tissue is hard, I would try a steroid injection to soften it, sun damage getting worse a year after the face lift is most likely is from sun exposure of the operated skin. Be sure to wear a titanium/zinc oxide sun block. Topical tretinoin and hydroquinone and a TCA peel may help, about 80-90% of a fat... more

Facelift Healing

To answer this question you would either need to be seen in person or post good pre and post op photographs. If there is residual fat under the chin, you may be able to have some liposuction. However, if you are recent post-op, it may just be swelling. Also, you may be palpating your submandibular glands. It is best to ask your plastic surgeon. Good Luck.

Abnormal scar/contour after face liftr

I don't see a picture so can only visualize in my mind's eye your concern. I am not sure about the pigmentation issue, so I will answer the below the chin concern. I don't know what the problem is. It may be fat, abnormal scar, bunching of muscle, or other thing. It should not be a problem to surgically revise it under local anesthesia in the office. This will also give the answers. Shouldn't be a big recovery or painful recovery either. sek more

Facelift changes can occur after one year post op

Without a set of photos, its difficult to comment with precision. Face and neck lift results do evolve over time. The expectation is that the neck and jaw line contour should be relatively stable for several years post op. I would check in with your surgeon and see what he/she thinks about the issues along your neck that you have described.

Facelift Concerns

Without pictures and a physical examination, it is impossible to accurately say what is happening under you chin. However, it is probably related to the work performed on the platysma muscles during your facelift. A Facelift will not cause areas of old sun damage to expand. This is coincidental and unrelated. A good result from fat transfer is 40% retention of fat. Some Surgeons love fat transfer which can yield very nice results. I am more of a fan of fillers... more

Lumps After a Facelift

I will try to answer your questions as best I can without seeing you or seeing pictures. I hope this helps. The lumps under your chin can be caused by suturing together the muscles (platysma plication). It can be the muscle, fat or even the suture material used for the procedure. I have never seen age spots on your cheeks enlargen after a facelift and they tend to get larger with time. It is common for the fat after a fat transfer to shrink. ... more