Procedure to Fix Jowl Area?

Dear Hannah I agree with the others. You need better doctor resources. The canthoplasty is general not up to the task of fixing the lower eyelid after over aggressive lower blephaoroplasty. The correct approach involves recruiting more cheek skin into the lower eyelid which is done with a vertical midface lift and then lengthening the lower eyelid with tissue from the roof of the mouth. Look at my website for information about these types of procedures: http://www.lidlift... more

Hannah3: Reviewing posts on the internet allows us to give general information to interested patients or potential patients. Apparently you have undergone 2 prior eyelid procedures and a limited facelift (MACS lift). From your description, your surgeon speculated on the cause of some of the issues you do not like. The best advice I can give you is to seek consultation with one or more experienced surgeons in your area. Plastic surgeons could examine you in-person and evaluate all the... more

Obviously, you should have less fullness in the jowl area after surgery, not more. It is concerning me that you have fullness in the jowls, a lump in your cheek, a string-like feeling inside your mouth, and on top of that, your eyelids are pulling down more. Since your concern is mainly the jowl, there are several ways to correct that depending on what the cause it. It could be an accumulation of fat which would be liposuctioned or perhaps the whole flap needs to be pulled and re-draped.... more

It's difficult to answer your questions without seeing you in person or having access to your operative record so I'm not quite sure how to address your jowl concern. Threadlift procedures have fallen out of favor as of late since they don't last. Facial fillers can sometimes be used for small touch ups. Most jowls require some sort of facelift procedure, but again a physical exam is necessary. With regard to your "lump", the explanation your surgeon gave you is perfectly... more

I am unclear of your question. Did you have some sort of a suture suspension lift of the face?  That would make sense if you feel a string in your cheek.

Jowls are a combination of the descent of soft tissue of the face, skin, and muscle coupled with the loss of bone in front of the jowl (prejowl sulcus).  Correction of jowls often involves reshaping the jowl, lifting the jowl, and augmenting the prejowl sulcus if necessary.  The video below explains the anatomy of jowls and the treatment. see video

A facelift or cheek and neck lift is the appropriate surgery to correct jowls.  Properly done you should have a smooth youthful jawline with no signs of surgery.

Jowling appears as sagging tissues along the jaw line about a 1-1.5in. lateral from the center of the chin. It is usually pronounced because of ligaments just in front of them on the jawline. These ligaments keep the tissues tight to the bone and thus you see a depression then the jowl. Jowls are due to the sagging of the deeper tissues layers in the face but primarily the SMAS (superficial muscular aponeurotic system). There are many ways to correct jowling. Each method depends on the... more

There are several options available to treat the “jowl” area of the face. Of course, it depends upon the severity of your physical findings. The options range from simple soft tissue injections to face and neck lifts procedures. A thorough examination is necessary to determine what modality may serve you the best, especially since you have had a previous face and neck lift procedure. The “lump” in your cheek can be assessed at that time to diagnose the problem and... more

What caused you to have a nicked salivary gland. What kind of stitch? What was your orginial surgery? It is difficult to ascertain what was done from your procedure. In any event, it sounds like you have a complicated medical history. This would be best to review with your surgeon. If you are dissatisfied with the answers, obtain a copy of your medical record and obtain a second opinion.