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Facelift Revision for Asymmetry?

asked 1 year ago by Lilacs in Kansas City, MO, USA
Latest answer by Sam Naficy, MD
Question viewed 436 times
Tags: asymmetry, 5 months post-op, revision

I had a facelift 5 mos. ago. Surgeon did extra tightening toward mid-ear on Right side, to "lift mouth" more, but mouth is more downward on Right side + Right side doesn't feel "supported" upward as it does on the left. I'm afraid this is hard to describe -- it doesn't look like the Left side. Can this be revised after a year? (This is this surgeon's SECOND facelift on me, and then 2.5 months after 2nd surgery he "dismissed" me.)

17 answers to Facelift Revision for Asymmetry?

+1

Facelift revision after 2 facelifts.

The short answer is it can be revised at 1 year IF there is enough elasticity in the skin to make it worth your time and money.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+3

Facial Asymmetry, Facelift Revision

Many good comments to this post. Facial Asymmetry is very common. I ask my patients, "What percentage of people have asymmetry to their faces?" Most patients will answer 10-50%. The answer is 100%. What this means is that most people do not realize the facial asymmetries that we all have because it LOOKS NATURAL. There is no way to know if an asymmetry existed before a procedure unless you review the before and after pictures. The vast... more
Richard Castellano, MD

Tampa Facial Plastic Surgeon
+1

Facelift Revision for Asymmetry

It is very difficult to answer your question without seeing you in person and examining you. It is possible that your facial asymmetry would be improved with injections as opposed to another surgery
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Face Lift

I recommend you see a Board Certified Plastic Surgeon, and get another opinion. They can determine if you are a candidate for another procedure at this time, and when another procedure would be wise to perform.
Vivek Bansal, MD

Danville Plastic Surgeon
+1

Yes, a revision facelift can correct the asymmetry

Yes. Revision facelifts have increased in incidence because of the exact issues you are dealing with. It is a major part of my practice unfortunately. Feel free to contact me if you would like a 2nd opinion. see video
Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon
+1

Revision facelifts

Asymmetry is common with facial procedures. First, review of your preop structure may point out that you had more unrecognized asymmetry than you originally noticed, and therefore such differences continue to show after surgery. These are difficult to overcome, and therefore more surgery may still not get you there. Two, you have now had two surgeries with resultant/persistent asymmetry as well. That means your surgeon has had two shots to restore/maintain symmetry... more
Kevin Robertson, MD

Madison Facial Plastic Surgeon
+1

Facelift asymmetric with Right Side and mouth is downward

Facelift asymmetric with Right Side and mouth is downward. There are ways to lift just this side. It may be that you could use some other procedures to help you. Fat grafting being one. I would really need to see pictures of you to see if there is a significant difference and what to do with it. One thing to remember too is that everybody is asymmetric and that this is not something bad. Thanks for reading, Dr Young see video
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Asymmetry after facelifting

Mild asymmetry after face lifting surgery is fairly common in the first few weeks to months after the procedure. Pronounced asymmetry is not. Although it is difficult to assess your situation without photos, it is possible that the vectors of pull on the deep layer of tissue on your face may have been misdirected or excessive skin was removed on the "more pulled" side. Unless this is very severe, it should equalize over time as the skin and underlying tissues... more
Adam D. Stein, MD

Raleigh-Durham Facial Plastic Surgeon

www.facialdoc.com

+1

Facelift Revision for Asymmetry?

Revision can be done if the amount of improvement that can be achieved will make you happy. Communication with the surgeon is very important. I would write down your concerns and discuss these during your consultation.
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

Revision for Asymmetry 5 Months after Facelift

Asymmetry is not necessrily a fault - you may have been asymmetrical all your life. Wait another 6-8 months before considering a revision. You can then decide if the potential improvement is worth the time and money.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Limited times you can have Revision Face Lifts.

Without pictures, before and after, it's very difficult to picture what you are describing. This is a limited numbers of time that the SMAS layer can be dissected and lifted during any type of Face Lift and it might be a option for you to get a couple of second opinions on this particular issue before you proceed with a revision Face Lift. In any case, 0ne year, is the typical minimum limit of time between Face Lifts.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Facelift

It's difficult to determine your results without pre-and post-op photos-generally speaking any facial asymmetries are difficult to be compensated for and should be realistically addressed before surgery.
Edward J. Bednar, MD

Charlotte Plastic Surgeon

www.drbednar.com

+1

Tough to answer without a photograph or a consult.

It is likely that your current surgeon gave this his best shot. Generally, it is difficult to correct facial asymmetries with soft tissue surgery if the actual problem is the underlying facial skeleton. It might be reasonable to heal for a few more months and then seek some additional opinions. Sometimes it is very helpful to seek out expert care from other quarters. You might consider seeking second opinions from very experienced surgeons who practice in other... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Facelift Revision for Asymmetry?

Need to view photos but none were posted. Sounds like you need other opinions in person. Also be aware of your need for very realistic expectations to being able to achieve the result you desire. Other opinions can determine if further corrective surgery can help you achieve those results. Best of luck
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Assymetry after facelift

Your issue is complicated and uncommon. Go back and look at your pre-op pictures. Many people have natural assymetries that are not noticed before surgery. This happens with chin augmentation. If I were doing your revision, I would redo both sides. This would gove you the best chance of a better result.
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+1

Please send pictures

The result of the facelift will depend on the starting face asymmetry,tissue quality,facial bonnie structure, surgeon's skill and the procedure. please send picture for further evaluation.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Revision will only work if the problem asymmetry is "skin deep" and does not go to the bone.

Many pre-existing facial asymmetries are created by underlying bony or nerve issues such as: a cross bite prior dental work differences in the fullness of the underlying mandible or cheek bones. differences in the two halves of the facial skeleton. pre-existing imbalance in nerve function which can come from a prior palsy or injury. etc. Your surgeon should do an evaluation of the basis of the asymmetry. Many times I have to explain that the... more
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon

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