Revisional surgery is often much more expensive

Kenneth D. Steinsapir, MD answers: Asymmetry and lump after mini facelift and eyelid surgeries

I had a mini facelift 6 years ago (the procedure was performed twice at that time). I also had 2 procedures performed on my eyes - upper and lower eyelid surgery (lower were performed twice). After the 2nd procedures, I was told by my doctor that the asymmetrical profile of my jaw would correct itself in time and the lump below the scar on the left eye would also disappear (he did inject the lump with steroids but nothing happened then). Although other people say they do not notice until I point them out, all I have seen in the mirror and in photos are these issues for all these years.

I have been too afraid and unable to afford to consult anyone, but just found this site and had to ask if there is anything I can do to correct this or how I should proceed. Any advice would be appreciated. I loved my doctor but felt too scared to go back to him after everything that had happened. I live in the Ft. Worth, TX area.

Kenneth D. Steinsapir, MD
9 months ago

Dear Amber1

Fixing cosmetic surgery that has gone awry is often complex business. For that reason, it is much more expensive than having the surgery done correctly the first time.

There are a lot of different types of procedures that fall into the "mini-face lift" title. There is nothing wrong with making the smallest incision to get the job done because it reduces scaring and translates into faster healing. However, the real problem with the so-called "mini-face lift" is that they are often taught in weekend courses to surgeon with no significant formal training in facelifting as an efficient way to providing facelifts for their potential patients. This is also true for many of the heavily advertised facelifts with catchy names that make it sound like you can recover over the weekend.

Consequently, one sees all sorts of troubling results from these type of procedures including tissue bunching, irregular facial contours, poorly tailored facial closure, unacceptable scars and in many cases, almost no facelift result. These results do not reflect poorly against the concepts of the surgery but rather its execution. All facelift surgeries require aesthetic judgement and the ability to individually tailor the procedure to the individual patient. This is the difference between a great facelift and an awful facelift.

To answer your particular questions, I recommend you up load before and after photographs and perhaps we can comment more concretely on your particular concerns.

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A: Complications after Eyelid and Facelift Surgery

Richard W. Fleming, MD
9 months ago

If you're not comfortable seeing you original surgeon, get consultations with other physicians. After 6 years, the irregularities you observe will not improve.

A mini facelift is not a specific operation. The term is generic, including multiple different procedures. There are also many eyelid techniques. Get a copy of the operative report and if possible pre-operative pictures before seeing another surgeon.

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