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Ripples After a Facelift - Is This Normal?

Had Facelift 3 Month Ago, and Still Have Ripples Around my Jaw Line and Mouth, is This Normal?

Doctor Answers (34)

Rippling after facelift - how to avoid

+4

Rippling after a facelift is more likely to occur if the "high on the side" vector was used to tighten skin.  In that case, the lateral lines of tension sweep upward on the side of the face.  Often loss of the sideburn and temporal hair go hand in hand with this approach.

The problem is worse in patients with sun damage creases, as the creases are altered in their destination and may be somewhat obvious.  Fractional laser resurfacing helps these as well.

A facelift can also be done with the deep tissue being restructured upward, while the skin is pulled in a more backward direction.  This avoids the high lateral sweep effect you may be referring to.

Another factor contributing to an upward sweep is if the midface is not elevated at the time the side the face is elevated; therefore cheeklifts can reduce the "Nike swoop" effect.

It is also possible that you are very early after your surgery.  Hopefully this is the case.


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 100 reviews

Ripples After Facelift are Not Normal

+2

Absolutely not normal. After 25 years and 3000 facelifts I would be appalled to see ripples with one of my results. Any problems related to surgical swelling should easily have passed after 3-4 weeks.

Richard Galitz, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Ripples aroud the mouth after facelift

+2

Ripples around the mouth at three months are uncommon.  You may want to consider some filler or fat grafting to those areas.

Best,

Tal Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 8 reviews

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Ripples

+2

Rippling after a facelift is not an acceptable condition. There may be many causes. Some are minor and may resolve with time. Others may not. It is impossible to say without an examination what the cause is and whether this will resolve or not. I would recommend returning to your surgeon and asking for their help.

Marc Schneider, MD
Fort Myers Plastic Surgeon
4.5 out of 5 stars 10 reviews

Ripples after a Facelift

+2

Ripples  after a facelift are not normal, but hopefully yours are  temporary. There are many possible causes, including underlying sutures, deep contouring after liposuction, or vectors of pull on the facial skin. Massage and ultrasound therapy are beneficial.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

RIPPLES AFTER A FACELIFT. ARE THEY NORMAL

+2

Ripples can be normal and will go away.  Massage, faciasl, time will help.  Remember the whole healing process takes 12 months.  I bet you will look great at 6 months.  Go discuss this with you surgeon, follow up is an important part of plastic surgery. There is much anxiety after plastic surgery and reassurrance from your surgeon help a lot.  Good Luck.

George Commons, MD
Palo Alto Plastic Surgeon
5.0 out of 5 stars 29 reviews

Ripples in the face after facelift.

+2

These may resolve with more time. Is it "normal"? That depends on many factors but in 35 years of facelifting I have never had this problem, but I am usually doing a forehead lift at the same time which changes the "pull" vectors.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

What are ripples after a facelift

+2

The only thing I can think was that you had superficial liposuction of the jawline at the time of the facelift.  Unfortunately these lines can be permanent.  All you can do is massage and see what happens.  I personally do not use liposuction on the face because of this risk going too superficial and making contour irregularities.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 51 reviews

Ripples After a Facelift

+1

Although it is hard to tell without seeing your pictures what you are referring to is possibly deep wrinkles and skin creases which are typically not corrected with a face lift

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 147 reviews

Ripples after a Facelift are not normal

+1

The facial skin should appear smooth and normal after a Facelift. Several factors can cause ripples to appear in the facial skin after a Facelift:

  • The direction of pull (Vector) of the skin during Facelift was too high toward the top of the head
  • The Facelift Scissors were passes too close to the underside of the skin injuring the fat immediately beneath the skin
  • Inappropriate fat was surgically removed beneath the skin during Facelift
  • Liposuction was performed on the face during the Facelift

Correction of an incorrect vector or pull requires surgical revision of the Facelift. Problems with lack of fat can be addressed with fillers or Fat Transfer or Injection

 

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 37 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.