Sagging of the neck 11 months after SMAS facelift (includes the lateral face and jawline) (photo)
11 months after SMAS facelift (includes the lateral face and jawline) . Also had mid face suspension. Terrible sagging under my neck after surgery. Is this normal sagging of the neck 11 months after SMAS facelift (includes the lateral face and jawline) . Also had mid face suspension. Total cost $13k. sagging very noticeable right in the middle under my chin. Also marionette crease getting deeper on right side of face which was not there prior to surgery. Jowling is also concerning. Is this normal?
Doctor Answers (10)
Sagging neck after SMAS facelift
Evaluation of facelift results
To fairly evaluate and answer your questions I would nee a complete set of pre and post operative photos. The end result of a lift depends largely on what you looked like to start. This gives a real picture. The best step is for you and your surgeon to sit down side by side and compare one by one a set of pre and post operative photos. Every surgeon is willing to do this or should be at least. This sit down conference should benefit you greatly. A second little tuck may or may not be in order. For touch up surgery, generally the patient covers the anesthesia and operating facility and the surgeon does not issue a surgical fee. My Best Dr C
Sagging neck and jowls one year after full facelift.
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Sagging post face and neck lift
Thank you for your question. It is difficult to answer without an examination and going over your history as some medical conditions and medications can give more laxity postop then others. I would suggest you discuss this with your surgeon and possibly get a second opinion if you are uncomfortable with the discussion you have with your surgeon.
Neck issues after a facelift
Facelifts generally yield an excellent result to the neck.
Here are some pre-operative factors that may have caused regression in your facelift. Best to discuss with your original surgeon
The terminologies of a mid-face suspension and a superficial muscular aponeurotic system or SMAS lift can mean different things to different surgeons when they are implemented. Clearly, I would suspect that when you chose your doctor, you had done your research and you felt comfortable with your doctor’s ability to perform this procedure. It is understandable that you are concerned if you are not seeing the results.
Within the spectrum of facial cosmetic surgery, I will tell you from 20 years of that certain factors have an impact beyond the immediate post-operative period. If you noticed immediately after surgery that your face and jawline looked very good, sometimes it’s not just about the amount of lift, but also the degree of swelling that has a factor in this process. Sometimes, people look a lot better while there’s a little bit of swelling in the mid-facial area while they’re healing.
If the jawline looked good then it has descended, then we can probably conclude that there’s a certain degree of regression. That regression can be from skin elasticity or tissue elasticity that’s deeper or it can be from a variety of factors. I always explain to my patients that even though I can do a meticulous procedure and do some really good tightening, the human body can still change. If someone has a lot of volume and sagging under their chin then this degree of residual may still be expected. If someone didn’t have as much, then it would be unusual.
I think it is important that you maintain communication with your doctor and discuss these concerns. Most ethical cosmetic surgeons are willing to do any enhancements as indicated in the terms you agreed upon before surgery. Unfortunately, there are doctors who will tell people that they look fine even though they don’t look and feel fine. It is your call to decide whether or not you’re going to seek additional opinions. From my perspective, it is often best that you see the original doctor, who must be good and caring and technically skilled. They know your anatomy and they’re most likely comfortable with doing any revisional surgery. If you’re not satisfied for any reason, then get any additional opinions. I hope that was helpful, I wish you the best of luck, and thank you for your question.