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Will Radiesse Solve Slight Folds Along Jaw Line Resulting from Lower Facelift?

asked 1 year ago by Houston3202 in Houston, TX
Latest answer by Sam Naficy, MD
Question viewed 950 times
Tags: jaw line, lines, female

I had a lower (Lifestyle lift) facelift last year and most of the results were great. However, I have ended up with a "draping" effect right above jaw line. If I "plump up" my cheeks with Radiesse, will that solve or help solve this problem? I would hate to have a mid-face lift and end up moving the "drapes" up my face.

23 answers to Will Radiesse Solve Slight Folds Along Jaw Line Resulting from Lower Facelift?

+2

Folds along Jawline after Facelift

Assuming the pictures show your appearance before and after surgery, the folds were present before the surgery, not caused by the operation. The best approach is to have a revision facelift. The fold can be temporarily improved with Radiesse injection or more permanently with fat liposculpture in the depression immediately above the jawline.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+2

You have several options

This is a classic example of the limitations of a minilift, or "Lifestyle lift". I'm sure that if I had examined you prior to your procedure, I would have recommended a more sophisticated technique than the one that was performed. It would have been obvious that you would have ended up with these lines of tension with this limited technique. The answer to your current problem is 1) consider a revision facelift with a more advanced techique such as a deep plane facelift... more
Andrew Campbell, MD

Milwaukee Facial Plastic Surgeon

www.campbellplastics.com

+2

Jowl Folds after Facelift (Nike Swoosh)

Judging from your photos, you have classic sweep appearance ("Nike Swoosh") after your facelift. Options for improvement include filling of the depression (fillers such as Radiesse or facial fat grafting) although this will not help the remaining jowl. Alternatively, a second facelift needs to truly treat the jowl. Presently, it has been pulled to the side but, in your situation, the jowl tissues need to be moved vertically.
Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

www.drfechner.com

+2

Fillers to soften redraping issues

It looks like your facelift may not have achieved what you want because you still have jowls and skin redraping issues.  Fillers can soften some of the depressions but you may want more of a formal facelift.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Radiesse to smooth jawline

I'm in agreement with most other responding surgeons, but see the "lateral sweep" in your before picture also.  If you want the problem improved without further surgery, Radiesse (and possibly skin tightening or CO2 laser treatment) may be useful.  The residual jowl problem is likely a result of the limited (Lifestyle Lift) approach.
Steve Laverson, MD

San Diego Plastic Surgeon

feelbeautiful.com

+2

Bad result from a life style lift

The Life style lift is a poor mans facelift and from your photograph  it illustrates  a  result showing that it was poorly performed.  Your skin was never disconnected from the underlying musculature and just pulled up and back.  The muscles that should have been disconnected have been left attached to the corners of your mouth and the overlying skin has been pulled back  while the  underlying  muscles are pulling foward and down.  By not... more
Gary H. Manchester, MD

San Diego Plastic Surgeon

www.manchesterclinic.com

+2

Lifestyle lift and the lateral sweep

The reason you have the pulled up drape or fold of skin (looks like a Nike swoosh sign) is because the LS lift is just a marketed old fashioned mini lift done usually by non-plastic surgeons.  You can't fix this with Radiesse because it isn't a problem with deficient volume.  It needs a proper full facelift done to correct it.  This is one of the many problems with the mini lifts that are marketed and sound so attractive to unsuspecting patients.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Draping Effect Above the Jawline After Lifestyle Lift

It is difficult to give a full opinion based on the photos.  However, the finding you have is what is described as a "lateral sweep", which looks similar to a Nike "swoosh" logo.  As Dr. Campanelli noted, this is not atypical after  quickly performed, and incomplete procedures.  This finding will not be improved significantly with Radiesse. The best option is to have a well executed Facelift which can improve your current situation, but may not... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

www.drprendiville.com

+2

Fixing a Lifestyle Lift

One of the problems that I have with highly marketed procedures is the tendency of practitioners to fit everyone into the procedure whether they are appropriate or not.   Your photos are an example of this.  You should have been told that a limited procedure was not a good choice for you because it would leave an unnatural division between the treated area and untreated area.  I am sorry to say that filler is not a good choice.  What you need is a full face lift. more
Joseph Campanelli, MD

Minneapolis Facial Plastic Surgeon
+1

Result of inadequate lift

The condition you have is called the 'lateral sweep' and is an unfortunate consequence of a having a mini lift when you should have had a more comprehensive lift. One of the major issue I see with unhappy Lifestyle lift patients is that they were not good candidates for the limited procedure they received i.e. they would have, as you would have, benefited much more from a deep plane face lift.
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Mid Facelift required to correct jowl folds after Lifestyle Lift

The problem causing your jowl folds and cheek folds after your Lifestyle Lift is that the mid face and cheeks were not tightened adequately during your Lifestyle Lift. Filer injections such as Perlane and Radiesse can nicely plump your cheek and cause mild improvement in the Nasal Labial Fold line. However I do not believe that Radiesse and Perlane can adequately lift the lower cheek folds and jowl folds caused by inadequate tightening of the mid face by the Lifestyle Lift. A... more
Brooke R. Seckel, MD

Boston Plastic Surgeon

www.drseckel.com

+1

Radiesse to the rescue?

I had a lower (Lifestyle lift) facelift last year and most of the results were great. However, I have ended up with a "draping" effect right above jaw line. If I "plump up" my cheeks with Radiesse, will that solve or help solve this problem? I would hate to have a mid-face lift and end up moving the "drapes" up my face. the main problem you are having is secondary to the wrong procedure being done. in a nutshell that is what's wrong with letting a... more
Rafael C. Cabrera, MD

Boca Raton Plastic Surgeon
+1

Face Lift, Mini Face Lift, The Palmer Celebrity Face Lift, Beverly Hills Face Lift

The skin draping issues can occur when there is excess skin that's not adequately undermined and pulled from a distance.  You can always shape the cheeks with fillers like Radiesse or Perlane that will draw attention away from the area but it will not raise or lift the skin responsible for the draping issue.  You can also place some filler into the area of the drape to soften its appearance.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Vertical Vector Facelift is the cure for facial draping.

Horizontal drapes after facelift can mean a couple of things.  Primarily, it indicates the vector of pull of the previous lift.  If you place your fingers above the drape and pull up vertically, you will see the defect disappear.  I don't think fillers are the way to go for this image.  Revision facelift by someone with vertical vector technique is the answer.
Ritu Chopra, MD

Beverly Hills Plastic Surgeon
+1

Radiesse would be one option for filling up pleating defects from a facelift

Radiesse would be one option for filling up pleating defects from a facelift. The other option includes carrying out a revision of the facelift to better drape the facial skin. This results from more pulling on the skin and is less likely to occur with more deeper plane lifts that pull up the muscle instead of skin.  Instead of Radiesse, fat injections are a great option to consider for pleating skin.
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Limitations of the Lifestyle Lift

As my colleagues has written, your results underscore some of the limitations of these "sexy" facial rejuvenation procedures such as the one you had.   What you need is a formal facelift with treatment of your SMAS.  Fillers such as radiesse should be reserved as adjunctive nonsurgical procedures to fine tune your surgical results.
C. Bob Basu, MD

Houston Plastic Surgeon
+1

Radiesse will only mask the problem

Radiesse will provide a temporary camouflage of your lateral sweep post lifestyle lift.  I would expect the results to last around 6 months. To correct the underlying problem, I believe you will need a revision facelift with wide undermining of the skin, retightening of the SMAS, and a carefully chosen vector of pull and tension to the underlying SMAS and skin.    This problem should be fairly straighforward to correct, but will unfortunately require another... more
Paul S. Gill, MD

Houston Plastic Surgeon
+1

Radiesee May or May Not Fix your Lower Facelift Line

Based on your photos, it appears as if you actually have a "lateral sweep", which is when the skin on the side of your face has not quite the correct amount of traction, direction, and pull.  This results in a long-term fold of skin that usually requires revision surgery to correct.   Radiesse or another facial filler will definitely help with any furrow or line on your face.  However, I don't think that filling in your current defect, based on your... more
Roy Kim, MD

San Francisco Plastic Surgeon
+1

****PHOTOS: Lifestyle Lift Left Lines! The lateral sweep.

These results show what happens when a limited approach (minimally invasive, non-surgical, no down time) are used for a more extensive problem such as overall facial aging. Although volume restoration could take up a portion of the skin and soft tissue redundancy, the volume you would require would likely result in facial distortion. In my opinion, you would benefit from some vertical lifting of the mid-facial soft tissues with either and extended facelift with SMAS elevation... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

You can try Radiesse or another filler, but the problem is how the skin has been pulled

Dear Houston3202, You may have an appearance known as a 'lateral sweep'. This occurs if the skin has be repdraped in a suboptimal manner during a facelift. Although it can happen with a regular facelift, it is more common with the Lifestyle Lift because there is only limited dissection of the skin flap. A filler may be able to camouflage the lateral sweep appearance, and may be worth a try as opposed to spending a lot more money for a regular facelift. ... more
Lawrence Tong, MD

Toronto Plastic Surgeon
+1

Role of Fillers in Facelifts

You would benefit from a formal facelifit with deep layer SMAS repositioning along with skin redraping to correct his post op deformity.   A filler will not correct this defomity.   Fillers like Radiesse and your own Fat  are excellent fillers to be  used for the Nasolabial Fat Compartment  with a Facelift and to fill in the lateral chin hollow as well as to restore the Malar(Cheek) fat compartments .  This will result in a natural looking... more
Rod J. Rohrich, MD

Dallas Plastic Surgeon
+1

A better photo with a side view (profile) would help BUT!

I suspect your profile view will show that you have a weak chin.  This means that the lift of any type is going to try to pull against collapse in that area so it drifts back creating the problem you are having. A little discussed element of aging is "under-fill of the chin" and lack of "forward thrust" in that area caused by loss of tissue and bone. The problem is best corrected by using a "chin-jowl implant" and a vertical lift as part of your facial... more
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+1

Fold on cheek after "lifestyle lift".

Radiesse will fill in the crease, but the problem needs a full facelift to correct this problem. You don't need a midface lift but rather the redistribution of skin with a full facelift. See an experienced facelift surgeon to fix your problem.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

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