Revision Facelift to Lift Above Tragus? One Side Is Drooping Down 1 Year Post Op.

asked 5 months ago by Lilacs in Kansas City, MO, USA
Latest answer by Sam Naficy, MD
Question viewed 193 times
Tags: sagging, 1 year post-op, expectation, revision, uneven

After a facelift 1 year ago, I feel that the right side needs more lifting to match the left. That side seems to be falling and not supporting my mouth as much, and as the FL falls, my teeth are hitting together too much. If I lift at the top of the tragus, it feels normal and matches the left side. Can a revision facelift lift from this area only? Would this be a minor or major revision? Is this unusual to have this difference in upward pull at that location? Thank you.

11 answers to Revision Facelift to Lift Above Tragus? One Side Is Drooping Down 1 Year Post Op.

Revision face lift

It is very difficult to answer your question without seeing you in person and examining you– you should at least consider posting images showing your areas of concern

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Facelift - Revision Facelift to Lift Above Tragus?

It's unusual to have your bite changed by a facelift...so you should, first of all, be assessed by your dentist. Whatever that issue is needs to be resolved before considering any additional surgery. Once that is settled you can consider having something done to tighten/adjust the right side. It may or may not be that simple; sometimes a little skin can be excised and the area tightened. But if you need more than a small amount done then it can, paradoxically, be a... more

Alan Engler, MD
New York Plastic Surgeon

Revision Facelift to Lift Above Tragus? One Side Is Drooping Down 1 Year Post Op.

Without more information about the type of Face Lift performed and what you look like at this point, there's no way to tell what would be required. It could be as simple as a minimally invasive Face Lift although it's very rare to have anything done just on one side in my 20 plus years experience performing Face Lifts.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Revision for Facelift

If your bite has truly changed, you need to be evaluated by a dentist. This is not the result of your facelift or relaxation of one side. The laxity in the face can be revised easily, but it will have no effect on your teeth.

Donald Griffin, MD
Nashville Plastic Surgeon

Touch up facelift

What you describe sounds achievable in terms of the soft tissues. Touchups at one year for areas that loosen up are sometimes needed. You should be talking to your original surgeon about your concerns and make a plan together.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Facelift Revision For Rebound Relaxation

It is not unsual to have rebound relaxation after a facelift that affects the two sides of the face differently. Regardless of the degree of rebound relaxation, this is not the source of any changes in your bite. Revisional or tuck-up facelifts can be done in any number of ways to match the problem...in your case a unilateral approach that only opens up the preauricular-temporal scar of the original facelift. This would be a minor procedure compared to the original facelift. more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

I think discussing this with your original plastic surgeon is appropriate.

No one will be more motivated than your original plastic surgeon to assess what is going on. Facial lifts do not ordinarily change the bite. It may be that something else is going on that will require assessment by a dentist unless your plastic surgeon happens to also be trained as a dentist.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Begin by seeing your dentist

A change in your bite can certainly make your face appear uneven. Rather than consider a revision, it would be better to establish a normal bite and then have evaluation by your plastic surgeon. Dr. Mayl Fort Lauderdale

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Revision Facelift

Without a detailed picture, specific recommendations are hard to give. You should discuss a revision with your surgeon. The appearance may be improved but the tooth problem is not likely to be related to your facelift.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Drooping one year after facelift

The area you seem to be concerned with is often called the midface, or the upper cheek, and it can be lifted on one side only, though you might do better to do both. We can't know just what the cause is without a careful exam. To even things out a secondary lift with more focus on the midface might give the result you are after. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Facelift Issues

You really need to be evaluated before answering this question. The problem can be manyfold. Your underlying structure is usually asymmetric to start with and sometimes lifting the same amount results in external asymmeties. Secondly, a fat pad out by your ear natural gets smaller as you age and most people need filler in that area anyway. Often, the face lift will exacerbate that process. Filling or volumizing out by the ear is common after a... more