Sweep marks after Mini lift?

I had marionette lines and loose skin in the jowl area. They were not fatty. I had a Mini lift that included lifting and trimming of the SMAS muscle. Now my jowls look like this. I am not happy with this. My doctor's only solution is to do either Lipodissolve or liposuction.

Updated 5/22/09:

I hope this isn't confusing. I added another photo (more photos are posted in my review). The doctor swears that he lifted my SMAS muscles. The left side of my face was aggressively pulled higher than the right side. Leaving the right lower side of my face sagging. And a horrible sweep mark on the left side. He will only do lipo to correct my lower face. But honestly he says he can't see anything wrong.

Sweep marks after Mini lift?

Read my review "unhappy with my lopsided Quicklift results"

Left side of face pulled too much. Right side of face still hanging
Lower right side of face is loose and fuller. Dr. only willing to lipo to reduce fullness
Later sweep on left side of face with head slightly tipped forward.
Right side with head tipped. Looser skin along the jawline
Neck bands do not look attached.
Here is a before picture taken with a window shining on the left side of my face. The nasial labia fold and marionette line on the right side are shadowed. So during surgery, the left side of my face was lifted. I woke up with a sagging right side.
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10 answers to “Sweep marks after Mini lift?”

A: When you paint a house you paint the whole house, not just a touch up.

Carl W. "Rick" Lentz III, MD

 When patients want to undergo a rejuvenation of their appearance it is critical that their surgeon make a complete analysis of the changes that have taken place and how each adds to their aging look. Recently many people are enticed by marketeers who pray on unsuspecting patients. The old saying that if... more

A: Appearance after your mini-lift.

Eric M. Joseph, MD

Dear Teresa, I read your question and your unhappy review.  I'm unable to comment on your outcome without seeing your pictures from before the face lift and brow lift. The pictures you provided do not demonstrate an "operated", asymmetrical, or disfigured appearance. I've never met the doc that... more

A: "mini" procedures are notoriously unpredictable

Shahram Salemy, MD

 While it's difficult to know exactly the issues based on these photos, in general we see a lot of patients who have had mini or "quick" facelifts elsewhere unhappy.  While some patients with limited signs of facial aging may be satisfied with these minimal procedures, the results are not... more

A: A Quicklift may only last a 'quick time'.

G. Gregory Gallico III, MD

There are a whole lot of 'face lift' procedures which are being heavily marketed at this time. If theycut less, and if they heal faster, and if they cost less, you can only expect lessof the result. There is no easier, better replacement for the real face lift. You only get what you pay for. Go get a real face... more

A: Sometimes complete facial rejuvenation makes more sense than a limited procedure.

Francisco Canales, MD

Quick lift, Mini lift, Lifestyle lift, One-stitch lift.... Patients always gravitate to these procedures because they like the cost, they like the marketing, but they don't ask what the long term results are.   The question to ask is not how good you look at 7 days (which is the marketing pitch),... more

A: You can't always get major results with a mini procedure.

Otto Joseph Placik, MD

Without reviewing how severe your jowls were before surgery, it is nearly impossible to judge the efffectiveness of your mini lift. If you had advanced jowling, I would consider this an acceptable result. a

A: Mini lift works well for most early signs of aging

Peter E. Johnson, MD

The mini lift which we also call a soft lift is a variation of traditional facelift with a short scar. Another term is a limited incision facelift. How the actual incision is made depends on what an individual surgeon has found to work best. We also will plan the incision according to individual patient needs.... more

A: I checked your pre op photo

Kenneth R. Francis, MD

Hello Teresa, I went back into your old question posting about SMAS and saw your pre op frontal photo.  I dare say that you look better now despite the fact that additional views would be more reflective of your results.  Your results may be subtle, but you opted for a less invasive... more

A: need before and after photos form different angles

W. Tracy Hankins, MD

You don't say how far out from surgery you are, and before phaotos from different angles would be helpful.  Also the terminology mini-lift can be confusing.  It depends on exactly what was done at the time of surgery as to what results you should reasonably expect.

A: Can you post a before photo also please

Richard P. Rand, MD

You have a heavy appearing face, one which a mini lift won't do much for.  It would be very helpful to see what you looked like before and therefore what changes you got and didn't get.  Avoid lipodissolve as it is NOT FDA approved and avoid liposuction to your face as it can cause grooves and lines... more

Comments

hellofromte
19 posts
21 May 2009

I added more pictures in another question. I don't know if the question will show all the pictures. I only see one picture.

hellofromte
19 posts
21 May 2009

Dr. Francis, I looked back at my previous questions and I believe the picture you are referring to is actually an after picture taken about 4 months post op. I have posted another question as to be able to send the real before picture. It has not been published yet. There was a window to my left, which exagerated the appearance of my jowl. In the after picture you saw.....I intentionally stood with the lighting to my left again. There is a difference...but not. I am 47 years old. I was heavy in my early 20's but lost the weight. After I hit 40 the skin began to fall off my face. My surgery involved a neck and lower lift with SMAS lifting and trimming. The neck bands were attached at the top of the neck. The incision starts at the top of the sides of my forehead and goes all the way down and around my ear and extends back about an inch. The left side of my face was pulled all the way up. Leaving pleats along the side of my forehead. That cheek is up by my sideburn and a lateral sweep running from the corner of my mouth to the top of my ear. The right side of my face was not lifted the same. Leaving the cheek lower and a hanging, loose lower face on that side. Once again. My doctor can't see what I am talking about.

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