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3 Months Post-Facelift and Still Have Jowls

asked 1 year ago by simplysharon in tampa, fl
Latest answer by Sam Naficy, MD
Question viewed 995 times
Tags: jowls, revision

My jowls have decended. The Dr. agree's he would need to re-do my surgery. I'm still numb and sore, I worry if he's qualfied since it didn't turn out right the first time. My face still feels tight. Should I go to another Dr. who does smart lipo and have my jowls done or do you think I need to go thru it all again? I would also like to add I had ten days of severe pain and couldn't open my jaw wide enough to eat solid foods for about three weeks. Another Dr. I saw said that wasn't normal.

19 answers to 3 Months Post-Facelift and Still Have Jowls

Jowls after facelift.

Liposuction is not the answer. The jowl fat needs to be repositioned at a higher level. You need that fat to keep the "balloon" inflated, otherwise your skin will sag. See your original surgeon about the proposed surgery and get another second opinion before deciding who should do it.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Smartlipo of jowls can damage nerves-Seek a second opinion on jowls after Facelift

While Laser Assisted Liposuction techniques like Smartlipo and SlimLipo can do an excellent job on the neck, one must be VERY CAREFUL trying to correct jowls with these laser techniques. The Marginal Mandibular Nerve which controls the mouth run very superficial near the jowl and can be injured by the laser and or suction cannula. I have seen reported cases of paralysis of the lip following Smartlipo done elsewhere by other surgeons. Seek a second opinion. Most likely you will need a... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Issues with jowls 3 months after face lift

You may just want to get a couple of other opinions before proceeding with any other procedure, treatment or revision face lift. Since there are no pictures, of your face, it's difficult to judge whether there are jowls, loose skin, excess fat..all of which contribute to and determine the best course of action. I do believe that it's always in the best interest of the patient to return to their original surgeon as long as they still have faith in their ability to... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

3 Months Post-Facelift

It is very difficult to answer your question without seeing you in person and examining you. What you perceive as jowls may not be correctable with additional surgery.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Jowls Post-Operatively May Indicate Need for a Touch Up

I’m not sure how a second doctor can say that this is “not normal”, for depending on the thickness and elasticity of the skin, there can sometimes be the need for a more aggressive touch up.

Jeffrey Epstein MD, FACS
Miami Facial Plastic Surgeon

Facelift and jowls

Doing a good facelift usually successfully treats tthe jowls. Now that being said, some people have early relapse or very prominent jowls that sometimes require further treatment.

Steven Wallach, MD
Manhattan Plastic Surgeon

Jowls after a fecelift

A nicely done facelift should eliminate or at least minimize jowls. Lipo usually isn't the answer as much as re-doing the surgery but it depends on your skin. Seek some other opinions from Board Certified Plastic Surgeons about your options.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Too soon for a revision, wait!!!!

Dear Sharon, You’re are still healing and it would be premature to have another procedure right away. I recommend waiting for another 6 months then seeking a revision. Talk to you surgeon first and ask him if he is comfortable with a revision. If so, a repositioning of the muscle (SMAS) would be recommended.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

Jowls 3 Months after Facelift

An experienced surgeon needs to examine you and determine if you have jowl fullness or a pre-jowl depression. Others have made recommendations to treat persistent jowls such as elevation of the underlying tissue; fillers, fat, or a prejowl implant would be beneficial if augmentation of a depression is necessary,.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Face lift

I agree with some of the answers of my colleges, the elevation of the SMAS with the fat tissues and the fixation in the new locations is the best way to achieve the improvement of the jowl's. I wonder if that was perform and if not consider a revision

Alejandro J. Quiroz, M.D.
Mexico Plastic Surgeon

Redo Facelift 3 month later!

The goal of facelift surgery is to correct jowling. This best done by correction of the underlying lax musculature (SMAS). Using a SMAS technique helps improve the longevity of the procedure. If you have had under correction or recurrence 3 months after surgery I would not recommend revisiting this anytime soon. I would wait a year. Your postoperative course is not the norm. I would seek consultation with other board certified plastic surgeons before moving... more

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Revision Facelift

If it has been three months since your facelift, then all the changes that are going to occur should be done by now. If you are still having some jowling, then that may need some tightening of the muscle system (SMAS), or some focused liposuction. Without seeing you in person, it is hard to give you an accurate idea. If you trust your surgeon, and have a good rapport with he/she, then they are usually best to perform the revision since they know exactly what went on... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

JOWLS AFTER FACELIFT

There are a variety of techniques utilized in face lifting to achieve the desired result.. In most cases, SMAS is used to support and elevate and reposition sagging structures. It is not uncommon to have persistent jowls after a skin only facelift. Dicuss the techniques used by your surgeon. It is not generally adviseabel to go after the jowls with the SMART LIPO

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Jowls 3 Months After Facelfit

It is not normal to have jowls three months after a facelift. There is no role for liposuction in your situation. You wonder if you should return to the physician who did not perform the operation correctly in the first place. Listen to yourself

Richard Sadove, MD
Gainesville Plastic Surgeon

www.sadovecosmeticsurgery.com

Jowls still there after facelift

Sounds like you first need to be patient, then talk with your current surgeon before doing anything else. I would recommend waiting until you are at least 6 month out before considering another procedure. Smartlipo works well for some situations but not likely to be helpful in your case. Seeing your before and after photos at this point would be helpful. It is reasonable to consider another surgeon's opinion, but don't jump to that right away. more

Carey Nease, MD
Chattanooga Facial Plastic Surgeon

You should see improvement in your jowls 3 months after facelift surgery.

At this stage you should look at your before and after photos and see what changes are present. If you have no appreciable change in your jowls, you may want to ask your surgeon what he would do differently during a "re-do". In my view, 3 months after facelift surgery is too soon to do further surgery. You may benefir from a second opinion from another reputable facelift specialist before proceeding with more surgery. All the best form NJ.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Jowls 3 Months after facelift

Hi, Sounds a bit peculiar to still have jowls after a facelift procedure. You may want to consult with 2 or 3 other surgeons prior to committing to another surgery. I would wait at least 6 months before considering a revision. Best, Dr.S,

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Smart Lipo for jowls is not smart

Very few faces need to have fat removed from the face itself. Long term it is likely to create a deflated look and short term can be done better by either suspending the jowls or building up the tissue about the jowls. You did not include pictures of your pre and post status, but there are several reasons for jowls which require different solutions: an inadequate chin so the jowl cannot be corrected without doing chin-jowl implant or bony repositioning inadequate tissue... more

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

A Facelift Should Treat Jowls

If your surgery was 3 months ago, your only option right now is to wait at least a year despite your disappointment. A Facelift is generally an excellent procedure for jowls. However, results can vary based on who was doing it and what technique was used. If you had one of the quickie "branded lifts", 3 months is about all you were going to get out of it anyway.