SMAS Facelift: Q&A
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Raised Ridge Along Jaw Line 4 Mo Post-Op SMAS Lift, Is This Normal?
I am 4 mos post op after mini smas lift with absorbable sutures. There is a raised ridge along my jaw line about 1 inch in length just below ear. Could this be scar tissue below the skin where the skin was separated from the smas during the operation? Is this normal healing? Photo is attached. I have this only on one side of my face.
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6 Doctor Answers |
Asked by
CCTM
in CT
+3
Ridge under skin 4 months after Face Lift
I have performed Face Lifts for over 20 years and this type of ridge could be caused by several things.
Liposuction, under the skin flap that removed more fat below thus creating a ridge
Excess scar tissue, under the skin
Residual localised scar form using electrocautery to the undersurface of the skin flap
Tear in the SMAS layer
All but number one and four, should resolve with time and this could slowly disappear over the following 8 months...which is...
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Ridge by Jawline after SMAS Lift usually resolves
Everyone wants an immediate result - including surgeons! Unfortunately this just isn't how we heal. four months is just too early to tell and I would NOT do anything surgical at this point. Your specific area of fullness is typical for certain types of SMAS lifts such as the MACS lift or others that suture in this area.
There are many predictable portions of the healing process that ALL PATIENTS EXPERIENCE. Although both doctor and patients would like to not have this happen, it is part...
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Ridge Along Jaw Line after SMAS Lift
At four months following your surgery this ridge is not likely due to swelling. The ridge could be a collection of organized hematoma, some fatty tissue, or a piece of the SMAS tissue. I would start by doing some liposuction of the area with a very small cannula.
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Raised Ridge 4 Months after SMAS Facelift
The swelling is not normal. It may be the result of an irregularity in the underlying fat and muscle or scar tissue secondary to a small post-op hematoma. Massage and ultrasound treatment may be helpful or excision of the fullness under the skin with local anesthesia will eliminate the contour irregularity.
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Ridge after SMAS lift.
This is not normal and you should see the surgeon for an excision of the excess scar that is there. This can be done under local anesthesia.
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Face lift
The fold visible can be many things. A thorough examination by your surgeon is critical. This area of the neck cotains many structures and a precise diagnosis is important. it could be a remnant of a small hematoma and resulting scar, it also could be an enlarged lymph node. a skin fold , a fold of the lateral platysma muscle.
So have your surgeon examine it and work it up then you can decide on the appropriate course of action
Baltimore Plastic Surgeon
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