Fat Transfer Vs Revision Facelift or Both? (Photos)

Facelift 6 week check seems to be a pocket or jowl on Left side by mouth that was quite loose once the swelling went down(I can fold it down). Right side has a lot of scar tissue from previous injury & Bell's palsy so is still swollen. Turkey neck also coming back. Skin very inelastic from weight loss and age (62). Cheek areas are very flat. Would fat transfer alone work or would a temporary product like Restylane be better to see how it would look before fat transfer/surg? PS is board cert.

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8 Doctor Answers | Asked by SO in Oregon in Gold Hill, OR

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Candidate for revision facelift or fat grafting?

It is a bit early to say what your best options are at this stage. You would really want all the swelling to go down before considering further surgery. In many ways the postoperative swelling improves the results temporarily as it gives the appearance of having improved facial volume. This is certainly something that facial fat grafting can address, especially the cheek flatness. Temporary fillers are good options to "test out" the look if you want as well.

More Plastic Surgery with Fat injections after Facelift

Hi SO, Thank you for your question. Generally, most plastic surgeons will wait at least 6 months or longer before considering any further facial surgery. While the skin and facial tissue heals relatively heals pretty quickly after a face or neck lift, swelling can normally last for long time. In addition, scar tissue from prior injury and history of Bell's facial paralysis also contribute to challenges with plastic surgery. Regarding fat transfer, some plastic surgeons will... more

Revision facelift with fat grafting

Fat transfer would definitely help you but a revision facelift looks like it is in order because it doesnt appear that you have SMAS support(keep in mind photos can be decieving and without a hands on consultation it is hard to say for certain). There is not a fullness at the zygoma and the corners of your mouth are downturning. you would also benefit from a canthopexy to adjust the angles of the corners of your eyes. Did you have a skin only lift? Stay far away... more

Revision facelift or fat?

It is too soon to say. I would need to see it in 6 months. Cheek implants may be a better choice. They are permanent and heal symmetrically.

Toby Mayer, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Face lift

for the deep naso labial fols perioral rhtides, fat transfer will soften these areas , You have one of the most difficult faces to achieve excellent results. Because od DEEP Wrinkles, Loss of skin laxity and other problems that interfer with the final result. You had also a forehead lift. Your right brow is still lower. You have Upper lid Prosis, which will interfer with the final results and I would recommend that you have a ptosis procedure, that and the brow lift... more

Revision Surgery?

The first aspect I notice in the pre- and postop photos shown is that you have a ptosis (drooping) of your upper eyelids, which is worse on the left than the right. When there are such signs of aging in the upper third of the face, it is hard to look rejuvenated, regardless of whether a facelift or fat transfer was performed. Regarding your Facelift: the recovery is not complete. Please defer judgment on further surgery for at least 9 months. Regarding facial volume: ... more

Facelift Revision with Fat Transfer is an excellent option for cheeks. In Lower Face and Neck Revision Surgery is better option.

I would wait 6 months to see final result. Generally speaking a Fat Transfer or Fat Grafting procedure can produce fullness in the cheeks that is superior to what I can achieve with a Facelift alone. However recurrent laxity in the lower face along the jaw line and neck usually reqiures Revision Facelift and Neck Lift Surgery to achieve the best result. Fillers can be successfully used especially to evaluate how a Fat Transfer or Fat Graft procedure would look. However Fillers... more

Fat transfer vs revision face lift

I work as an aesthetic facial plastics surgical tech and I have seen many procedures and many situations. I feel Fat Transfer is the best option to go with because the outcome can offer many results that the traditional incision procedures does not. For instance, as described on our web site volumizing will eliminate the extra skin and fill any unwanted wrinkles and lines. If you go with the traditional face lift all that is accomplished is tightening. When we age we experience muscle and... more