Will I Need a Revision Facelift and when Can It Be Done? (photo)

Sorry to hear of your issues.  Looking at your photos that excess skin below your jawline is not just swelling- it is excess skin that needs to be addressed with another procedure.  I know it is difficult to be patient, but the longer you can wait (at least six months) the better your results will be.  Good luck and let us know how things go.

Many thanks for posting your question and photographs.At 6-weeks it appears you still have a fair amount of redundant skin below your chin, and I am doubtful whether this is going to improve significantly without a revision procedure.I would recommend discussing this with your plastic surgeon (or perhaps also getting a second opinion) for further assessment and in-person analysis. Further planning can then be made with you as required.Good luck with taking things forwards

Submental fullness is not unusual after a facelift depending on the technique used.  However, if there is significant skin excess, it is likely that this will need to be addressed with some technique, likely revision tuck up or skin contracture technique.

#Asymmetric #swelling is not uncommon following surgical procedures, including a #facelift. Do not be alarmed if one side of your face is slightly more swollen or numb than the other. This is common and usually disappears within a few weeks.Its best to remain patient because it is still early in to your recovery. The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. #Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. Nevertheless, if you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

This is an unfortunate situation. It can
take months for the true results to appear, but if you feel the results are
complete different from what you have in mind the best thing to do is speak
with your surgeon and discuss your concerns. If the surgeon is unresponsive,
consider getting a second opinion. Remember, it is important to keep your
expectations realistic. Be sure that your dissatisfaction is something that can
be realistically addressed.

Swelling after a facelift can take weeks to resolve.  The swelling that others can see usually resolves in 2-3 weeks but swelling that you see or feel will take several weeks.  Based on the photos however I believe some of the skin will still contract but I don't think all of it will.  At 4-6 months, if the results are significantly better, talk to your plastic surgeon about a revision at the 12 month mark.

It is common after surgery to have some swelling and bruising to the face and generally it takes around 3 months for this to subside and the final results to be seen. However looking at your photo's it is very unusual be left with such loose skin so soon after surgery. In fact, patients feel tighter after surgery especially when they have swelling on board. By 6 weeks the swelling would have subsided and the skin would have relaxed from being very tight. It is unlikely that the skin in your photo's is going to shrink back and it may suggest that not enough tightening was done in the first instance and your surgeon was very conservative.Most surgeons would wait 3 months before being able to assess your face fully but revision surgery can certainly be performed at this stage to tighten the skin and make you look symmetrical.You should discuss your concerns with your PS and a good one would be able to accommodate you and help you reach you desired goal.All the best and hope it works out. You can see some before an after photo's on our website for great results on face lifts

I really can't see of this problem is going to totally resolve. Give it six months however. The lower facelift may need to be redone and the skin redraped.

  I would wait at least 6 months and revise if necessary at that time.  Kenneth Hughes, MD Los Angeles, CA

6 weeks is still very soon after your procedure and you are still healing.  There are a few things to consider regarding your current condition:

 

1) Do the photos show improvement from your pre-operative status?
2) Was the area under your chin specifically addressed during your procedure, and did you communicate with your surgeon regarding this problem area?

Overall, it is difficult to predict how you will heal without having additional information about your procedure and knowing more about how your face looked prior to surgery.  I would recommend communicating these concerns to your surgeon, and he or she should be able to provide you with advice as to how your healing will progress and whether or not a touch up would be necessary. Thanks and good luck!