Facelift: Q&A
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No Improvement in Jowls After S Lift? (photo)
Hi,I'm a 37 y/o woman. 2 years ago I was starting to develop jowls. Thermage/Ulthera were just a waste of money. June 2012 I had a thread face lift,it gave me hardly noticeable improvement(if any) and left huge lumps on my cheeks. End of November 2012 I went to another doctor who removed the threads and performed S Lift(skin and muscle).The lumps disappeared perfectly,but I still have a very noticeable jowls,it looks like my cheeks 'fell down'.Doctor says it's swelling,it will go away. Help!Thx
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11 Doctor Answers |
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Januar1
+3
Swelling after S lift
The swelling may still be figuring into the picture at this time point. If you are still unhappy, the lift can be modified with a more extensive facelift later. I perform a shortscar facelift, but the level of suspension and undermining is the same as a full facelift.
+2
Jawline indentation can't be addressed with a facelift, but it can be helped with other procedures
Having issues with jowls at the age of 37 is a little bit unusual, but in my practice, the youngest patient I performed a facelift on is actually the same age. As a surgeon, I’m not going to disagree with you that Thermage and Ulthera are not worth the money. Unfortunately, a lot of people go for non-surgical treatments that are often oversold as the equivalent to surgical procedures. Ironically, a lot of surgeons will include these types of procedures in their practice to help people who...
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+2
Dissatisfied after an S Lift
Sorry to hear about your disappointment following an S-Lift. When I hear the term S-Lift I think of a minimally invasive lift procedure that lifts the skin and does not deal adequately with the underlying muscle. If the muscle layer was not adequately suspended you may benefit from a revision with more attention paid to the SMAS layer. I would consult with a couple of experienced and qualified facial plastic surgeons.
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Jowl problem
There is no shortcut to good face work....especially if there is a jowl problem. Thermage, thread lifts, simple s-lifts etc. etc. etc. will not accomplish much except put wasted dollars in someones hand. You need a facelift with SMAS work and elevation to the muscles and facia. This need not be an ordeal. In my office we do all this work in 3 hours under simple and safe oral sedation and local anesthesia.
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Jowls after face lift
Usually a face lift that involves lifting of the deeper tissues addresses the jowls, and it is true that there is some swelling to be expected after the lift. If the surgeon only did an S lift that involved excision around your ear, the vertical pull will not be there to correct your jowls. If the surgeon properly dealt with the deeper tissue to lift things vertically as well as toward your ear, then this does likely represent swelling and should improve.
+2
S-lift
An S-lift is a mini lift which gives mini-results. A full SMAS or High SMAS procedure will give a more predictable result. Look for someone with extensive facelift experience
+2
Jowls after face lift
Thank you for your question about your face lift. I am sorry your efforts have been so disappointing.
Alas, my experience is that Thermage/Ulthera only work on thin skins.
Thread lifts - all the rage 10 years ago - don't work.
S lifts can work - but again, in thin faces. However your swelling looks better at 2 months. You may see more improvement. Wait six months.
But you may find that the short cuts don't work for you and that the result you want...
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+2
Elevation of SMAS and liposuction would correct jowls.
To get the most definitive correction of your jowls, cheeks and jaw line, the tissue needs to be elevated and firmly held in place. This is best accomplished by a High SMAS facelift. This would require a standard facelift incision which is very well camouflaged in the natural creases of the ear and along the hairline. As you noted, you have tried Thermage/Ulthera, a threadlift and an S lift, all heavily marketed procedures which many feel do not deliver on their promises....
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+2
S Lift??
An S lift is traditionally a very minor face lift. To correct your concerns I believe you most likely will require a much more major procedure. A combination of liposuction, fat grafting to the face and a more definitive facelift is most likely in order. You could even require removal of some of the buccal fat pad. I have some examples in my photo section.
It would be very useful to pictures of you when you where younger and to examine you. My suspicion is...
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Jowels after facelift
Liposuction of the jowels should be considered if not done or maybe repeated.
the type of muscle tightening can also affect the improvement here.
+2
You will get additional improvement with more time - but you need
At 8 weeks after a major facelift which is what you had if the surgeon did muscle as well as skin, you still have a way to go. Typically there is swelling that remains longer in the lower portions of the face and upper neck longer that the other areas. From your facial appearance, you could also help the outcome by some weight reduction. You have a soft, round face which typically tends to develop jowls earlier than lean faces.
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