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Fillers After Face Lift?
I had a Face Lift and Neck Lift 2 months ago. Fat injections were also part of the Face Lift. I had a complication where one cheek got swollen and the fluid had to be aspirated. I think some of the fat was aspirated as well, as it looked like liquid fat in the syringe.
Now, I have indents in that cheek. It's been six weeks since the aspiration and everything else looks great, but the indents seem here to stay. I had fillers (Restylane and Juvederm) before the Face Lift and they worked fine. Is it possible to fix this with fillers now? If not, how long do I have to wait? Are there any risks to having fillers after a Face Lift?
Asked 36 months ago by
afterfacelift in Los Angeles
+2
Fillers after facelift
Most of the fillers used now last quite a while. Swelling after a facelift, on the other hand, changes almost weekly. The risk is that you could use a hyaluronic acid filler and then the swelling might change. The hyaluronic acid filler will then be excessive in the area it was injected.
If there is one particular area that is really objectionable, it may be reasonable to put a shorter acting filler such as Prevelle in to minimize this risk but still deal with asymmetries or "dents".
Your...
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+2
Fillers after Face Lift
You should wait at least another month prior to considering fillers. The fluid that was aspirated was probably a seroma and there is still swelling and healing that will occur. Fillers can be used safely after a face lift, but you should note that if you use a filler now to correct the area of hollowness that this area may improve and the filler may actually make it look fuller instead. Consult with you plastic surgeon.
+2
It is best for you to wait
The face changes for at least 6 months after this procedure. Wait until the face has not changed in a month and then it would be ok. There are no special risks of having fillers after a facelift.
+1
Neck lift
It is not unusual to have this indentaton in your face after you have fluid collected under your skin. You can inyect restylene or juviderm if it is extremily uncanforable for you but most likely it will desapear with time.
+1
Fat Requires good Technique
In order for fat grafts to survive, good technique is essential. You also need to inject live tissue. A new study published in the PRS journal shows that Viafill system fat has 20.8 million cells per ml, other systems are reported to be 4.1 million cells per ml or less.
The defect you describe probably is from dead tissue and now you have a depression. The best way to correct this is with live tissue!
+1
Fillers After Facelift Are Fine
I wouldn't give up on the fat just yet. You may be experiencing swelling or you may be experiencing some of the fat dissipating as a certain percentage does not take after any injection. At this point, a shorter term filler is a good option, maybe one lasting only 3-6 months so that you can get a nice result and let the remainder of healing from your face lift occur. At about 6 months, I would consider additional fat injections or other procedures to more permanently fix your concerns....
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Dallas Facial Plastic Surgeon
+1
Correcting depressions after a facelift
It is entirely possible to correct deficiencies in the cheek and mid face with fillers. Some fillers can last a year and others can last several years but require multiple treatments. After several months, it should be safe to proceed.
Jacksonville Facial Plastic Surgeon
+1
Fillers after face and neck lift
It is possible that some of the fat injected at the time of your face and neck lift did not "take", and caused some depression in those areas. Hyaluronic acid fillers, such as Restylane, Perlane, and Juvederm may be of benefit to correct the indentations you observe. It is best to make sure that the areas are free of infection and healing well before undergoing additional injections.
+1
Healing after a face and neck lift
The healing process takes months after a face and neck lift. It is not uncommon for one side to be slightly delayed compared to the other. This is especially true when one side had a small fluid collection. Fluid collections typically are either seromas or small blood collections (hematomas). When aspirated, there is commonly a small depression which improves with time. As you are 2 months post-operatively, I would recommend conservative management with message. Most of these...
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+1
Fillers After Facelift
Healing can continue months after a Facelift. You can expect subtle contour changes, areas of swelling, redness along the incision lines, areas of numbness and peculiar sensations, firmness, and a feeling of tightness. I would encourage any patient to wait at least 6 months prior to considering adjuvant treatments to areas of depression that you have described.
+1
Contour depressions post facelift
I would give it a few more months to heal before thinking about haveing fillers injected to replace a presumed failed fat graft procedure.
+1
Be patient before using fillers in the cheek contour depressions
Facelift patients frequently need facial fillers after facelifts, as there are still some contour depressions (Marionette's lines, nasolabial lines/folds, prejowl sulcus, etc.). For most patients whose convalescence is uneventful, we tend to fill these areas at about 3 months. For patients who have experienced some fluid build up and possibly some loss of soft tissue, I would agree with the other consultants and wait until the edema has resolved, generally about 4-6 months. The choice of...
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+1
You're still healing
Since the face and neck lift was only done approximately two months ago, it is still in the healing phase. The aspiration of fluid was probably related to seroma and not the actual fat itself. The indentation that occurs in the cheek can be related to fat resorption, however the healing process has not been completed at this point. The fillers, both Restylane and Juvederm, can be done in areas of the face after approximately six months following a facelift and once full healing has been...
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