Facelift Q&A
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Can a Facelift Be Tweaked Afterwards if One Side of my Face is Saggier?
asked 8 months ago by Susie in MD in Bethesda, MD
Latest answer by Sam Naficy, MD
Question viewed 298 times
Tags: sagging, 5 months post-op, revision, uneven
I had a facelift in April, and looked great for several months, but now I see that the right side of my face looks old again -- it has more sag that the left, which is fuller. It is barely noticeable, but it is to me! I have a dimple on that side that was black and blue forever. Can this be tweaked at all? I find myself pulling my face up a tiny bit up by the cheekbone area toward the hairline, and that fixes it. also seem to have bags under eyes not present before, near top of cheek bone.
13 answers to Can a Facelift Be Tweaked Afterwards if One Side of my Face is Saggier?
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One Side of my Face is Saggier
Although it is hard to tell without seeing your pictures what you are describing is possibly due to having less volume (fat0 on one side of your face. You should consider fat grafting as an option.
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Can a Facelift be 'Tweaked' Afterward?
Remember, perfect symmetry is not a goal. However, a minor revision can be done if there is more laxity on one side of the face after a facelift. Discuss this with your surgeon.
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Facelift - Can a Facelift Be Tweaked Afterwards if One Side of my Face is Saggier?
Yes, depending on (1) what you mean by "tweak," and (2) how extensive a procedure you're willing to undergo. My general recommendation is to wait at least 6 months after a procedure such as then, and then to reassess. Even though you see some asymmetry and can "correct" that by pulling up a bit on that side, that doesn't mean that the same thing can be accomplished that easily. Most likely, an appropriate amount of tension was set at the first...
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Can a Facelift Be Tweaked Afterwards if One Side of my Face is Saggier?
Yes, but not until at least 6 months have passed since the last Face Lift and it might be nothing more than a minor touch up. You should have this discussion with your plastic and cosmetic surgeon.
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Revision for sagging after facelift
Your question is a good one. The important thing to remember during the post-operative healing process is that asymmetries inevitably occur but will typically resolve on their own after a period of six to twelve months. Minor adjustments are sometimes necessary after this period, and you should make an appointment to see your surgeon to discuss your concerns.
Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
San Francisco Facial Plastic Surgeon
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Revision Facelift Sagging More on One Side
Hi Susie,
Yes, facelift surgery is typically tailored to the needs of each patient. A various amount of tightening or skin/tissue modification is performed, which is different for each patient, and possibly each side. Keep in mind that everyone's face is asymmetric to a certain degree, which is normal. Slight asymmetries after surgery typically resolve with time, largely due to swelling.
Revision face lift surgery is generally not considered for at least several months, if...
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Facelift assymetries
Absolutely! The ideal recommendation would be to wait between 6 and 12 months, however. The swelling and asymmetries may change greatly during that time period. Occasionally the right side of a facelift ,ay be pulled slightly tighter than the left side. Perhaps the attention would be directed more to the looser side with the next surgery. Remember, however, that none of us are symmetric in any way, so don't expect perfection in the facial area any more than...
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Discuss this with your surgeon.
It is absolutely normal and reasonable to have a touch up procedure to help you achieve everything you were looking for from your surgery. Your timing for a revision is about right also. Contact your surgery and schedule a visit to discuss this option. Offices have differing policies regarding revisional surgery, but most charge a discounted surgeon's fee for this type of work but require that you bare the expense of the operating room and anesthesia.
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Touch Up After Facelift
5 months after your primary procedure, it is still possible to have slight asymmetries which could resolve spontaneously. I would recommend waiting a full year prior to considering any type of revision work.
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Sagging after a facelift
You could always have a touch up after your facelift surgery. Discuss your concerns with your surgeon. I wold wait at least 6 months to let things settle out though. Don't forget also that everyone's face is a little different from side to side.
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Facelift corrections
I would wait 9-12 months for both sides to settle before doing adjustments.
yes, uneveness can be corrected, usually with minor surgery under local
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Enhancing Facelift Results
Yes. Small changes can be made to the final result after a Facelift. They can often be made in the office with little down time. It may be, however, that other procedures can help even out asymmetries and enhance the Facelift results. Fat grafting or fillers are examples of such procedures. Talk to your surgeon and let them help guide you to your best outcome and be open to other ideas. Good luck!
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Facelift touch ups
Small touch ups are at times needed after a facelift as duirng the original procedure, we are always trying to get the best result but also the best quality scars. Excessive tension on an incision will make the risk of the scar spreading higher, so intra-operatively we are making judgement decisions. A small tweak can often be done in the office under local anesthesia with less down time than the original facelift procedure. Best of luck.
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