SMAS Facelift: Q&A

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Are Severe Lines Beginning at Temple Normal? Also Does This Picture Show Skin Necrosis? (photo)

I am 10 days post op SMAS, corrigator resection and fat transfer to frown lines and above lip. I now have severe backwards crows feet at each temple area since my face lift. This is a sure sign I have had something done. This looks abnormal to me and I need a professional to give their opinion. What can be done above this now. Also you can see redness, purple area near ear that has an small area of dry patchy skin that almost looks shiny and blistered. Is this skin necrosis?

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7 Doctor Answers | Asked by seekinginformation in Louisville Kentucky

Doctor Answers (7)
Community Comments (3)

Face lift

Although very early but extremely bad results. The vector of pull is not right, Limited ameteurish dissection caused the lines at the temple, lines at the jaw line and cheeck are improper. The most important I think you are right you have an area of skin necrosis and around it, the red area is areas of vascular compromise. You need to see a QUALIFIED Plastic surgeon today, May need to open few sutures on the right to releasr tension and decrease the chances of skin necrosis. Use a... more

Are Severe Lines Beginning at Temple Normal? Also Does This Picture Show Skin Necrosis?

Most importantly, it does appear that you have some compromise of the skin in front of your left ear. I recommend that you return to your facelift surgeon immediately for evaluation. There is also some swelling in front and below your left ear that might represent a hematoma/ seroma. Again, I recommend that you have this evaluated now. With regard to the lines that concern you around your temple this appears to be bunching of the skin resulting from the lift. This will likely improve with... more

10 Days after SMAS facelift and Concerns for Necrosis

There may be a poorly healing area as you suggest. In addition, there is some gathering of the skin, which will probably improve with time. The plastic surgeon should always look at an area of possible skin necrosis. Kenneth Hughes, MD facelift Los Angeles, CA

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You may be experiencing some skin that is not healing well. It is best to be followed by your surgeon. As for the skin by your earlobe, it looks like you may have had a short scar procedure and the skin was not adequately re-draped.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Severe Lines After Facelift

It looks like you may be experiencing a small patch of skin necrosis. You need to see your plastic surgeon and start basic wound care on the area - it should heal fine. Ask about the possiblity of hyperbaric oxygen as well. As far as the crow's feet region, wait until the healing process has been completed.

Babak Azizzadeh, MD

4 reviews

Beverly Hills Facial Plastic Surgeon

www.facialplastics.info

Skin healing problems and necrosis after Facelift

You clearly have skin compromise in the temple region. It is unclear from your photo and without an exam this is a full thickness injury (generally referred to as "necrosis" , or superficial which will resolve without scarring (superficial epidermolysis). Both of these are far more common in patients who smoke or use nicotine products. Most important is close and often follow up with your surgeon.

Severe Lines After SMAS Facelift

It is generally uncommon to be experiencing these early complications. You should check-in with your surgeon as soon as possible.

Carlo Honrado, MD

5 reviews

Los Angeles Facial Plastic Surgeon

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Comments (3)

seekinginformation
8 months ago

Day 16 post SMAS. Doing much better. I did go back to my surgeon. He determined that this was not necrosis and just needed to continue daily cleaning and Bactrim. He was right. This has almost completely cleared up now except for a small area on inner ear. Face is relaxing more so the pulled area from earlobe to jaw has also relaxed some. Found out that wrinkling at temple area is not uncommon with having only had a SMAS which addresses lower face and neck only. It does not address skin below eyes or cheek area. Also found out that extending excision and tightening this temple skin should help tremendously as well possibly keeping me from having a brow lift which is not necessary. Thanks for your concern and for sharing your knowledge. Its really appreciated.

seekinginformation
8 months ago

My procedure WAS performed by a Board Certified Plastic Surgeon as well as Board Certified Otolaryngolist. He has suggested making small incision at the hairline above each temple and pulling this skin upward to decrease wrinkling or bunched up skin, but this solution scares me. I am concerned about the outcome...if it will look even more upward swept. Worried 2 wrongs won't make a right. Any thoughts on that from a professional on here?

seekinginformation
8 months ago

This facelift was performed by a surgeon Board Certified by The American Board of Otolarynoscopy and American Board of Plastic Surgery. I can't even think about havng this redone at this point.

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SMAS Facelift: Q&A