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3 Months Post-Facelift and Still Have Jowls

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.

Doctor Answers 19

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 revision of your Facelift if jowls have recurred soon after a Facelift. Finding a good surgeon is very important especially for revision work. Word of mouth and seeking testimonials of patients is a good start

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 get the job done.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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 forward.

Dr. ES

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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 during surgery.  If not, then find a board certified plastic surgeon in your area and go for a second opinion.  I hope this helps.

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
4.5 out of 5 stars 9 reviews

Jowls 3 Months after facelift


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.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 231 reviews

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
5.0 out of 5 stars 23 reviews

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
5.0 out of 5 stars 171 reviews

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
4.5 out of 5 stars 76 reviews

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
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.