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Asymmetry and Lump After Mini Facelift and Eyelid Surgeries

I had a mini facelift 6 years ago (the procedure was performed twice at that time). I also had 2 procedures performed on my eyes - upper and lower eyelid surgery (lower were performed twice). After the 2nd procedures, I was told by my doctor that the asymmetrical profile of my jaw would correct itself in time and the lump below the scar on the left eye would also disappear (he did inject the lump with steroids but nothing happened then). Although other people say they do not notice until I point them out, all I have seen in the mirror and in photos are these issues for all these years.

I have been too afraid and unable to afford to consult anyone, but just found this site and had to ask if there is anything I can do to correct this or how I should proceed. Any advice would be appreciated. I loved my doctor but felt too scared to go back to him after everything that had happened. I live in the Ft. Worth, TX area.

Asked 32 months ago by cpruitt123@msn.com in Ft. Worth, Texas, USA

Read my review "Tried Two Mini Lifts Six Years Ago. Unhappy W/results."

Sort 10 expert answers by:
+1

Complications after Eyelid and Facelift Surgery

If you're not comfortable seeing you original surgeon, get consultations with other physicians. After 6 years, the irregularities you observe will not improve. A mini facelift is not a specific operation. The term is generic, including multiple different procedures. There are also many eyelid techniques. Get a copy of the operative report and if possible pre-operative pictures before seeing another surgeon.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+2

Be careful in the pursuit for a perfect result

It is my impression, that from your description, the irregularity is barely visible unitl pointed out, We are all asymmetrical to some degree and that is natural Although you may be inclined to correct the problem throught the additional surgery you bare the risk of making it worse or at least the possibilities of overcorrection or undercorrection. There is an expression in surgery that goes: "The enemy of good is better". In other words, in an effort to get a perfect result you... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Minifacelift & eyelid surgery issues

Amber1: All surgeons strive to achieve excellent results and satisfied (or better) patients. From your description I understand that you had a limited facelift operation and a second similar revision, and upper and lower blepharoplasty, with lower revision. Afterward you see some unevenness, which is more noticible to you than others. Your best option is to meet with a few experienced plastic surgeons who can discuss your course forward; based on your prior surgery records, your current... more
Sutton Graham II, MD
Greenville Plastic Surgeon
+1

What to do after mini facelift?

What to do after mini facelift? First of all, mini facelift is a general term, so it is difficult to know exactly what you had done. I have found that in most cases, doctors who offer "mini facelifts" are not trained to do full facelifts. It is impossible for a mini facelift to accomplish what a real facelift can do. However, what is done is done. If you post pictures, we may be able to give you more specific advice. If no one notices the issue except you, then it may be... more
David Shafer, MD
New York Plastic Surgeon
+1

Contour issues after mini-facelift

After 6 years, whatever your problem, it is unlikely that time will erase them. That means that you would have to have a procedure for correction. Are the problems significant enough to warrant an operation? If they are minor, unless the treatment is simple, I would encourage you to leave well enough alone. Without seeing the issues I certainly cannot diagnose them. If you want me to see the problems, take a good digital image and submit it here.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Asymmetry is a part of normal anatomy and surgery

Everybody has facial asymmetry. As a matter of fact, during the initial consult I take great care in pointing out these asymmetries to people. Then I explain how they will most probably still be asymmetrical after surgery. Still, some people are upset, and when you pull the original preoperative photos, some people still refuse to come to peace with this fact. Still, something might be done for you, whether it is a scar revision, or fat injections, or whatever, so long as you understand it... more
Ricardo Rodriguez, MD
Baltimore Plastic Surgeon
+1

You should see several specialists for an opinion

A minifacelift is a term that can represent many different procedures, but if has been six years, then some additional work may be done. Feeling comfortable with a surgeon you like is very important, but ultimately you need to be happy. So I advise seeking out 3 qualified surgeons for their opinion as to the significance of your concerns and go from there. There is no harm in just talking. Good luck.
Andrew Miller, MD
Edison Facial Plastic Surgeon
+1

This is a very difficult question to answer without an exam

Irregularities and poorly healing scars can occur from a number of causes. Some are preventable and even treatable, others are not. The situation you describe really requires a personal exam from a qualified surgeon to determine what can be corrected. It might also be helpful to bring before and after photos and an operative report with you. The term "mini-facelift" can describe a wide gamut of procedures.
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
+1

Facelift bumps?

Bumps or irregularities after a facelift sometimes occur. It would be hard to suggest something to you without examining you. If it is scar tissue at the skin closure than a scar revision may be beneficial. If is it int he subcutaneous tissue, it would be difficult to tell you what it is unless the flap is elevated. It could be scar tissue.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Revisional surgery is often much more expensive

Dear Amber1 Fixing cosmetic surgery that has gone awry is often complex business. For that reason, it is much more expensive than having the surgery done correctly the first time. There are a lot of different types of procedures that fall into the "mini-face lift" title. There is nothing wrong with making the smallest incision to get the job done because it reduces scaring and translates into faster healing. However, the real problem with the so-called "mini-face lift"... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
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