SMAS facelift before & after photos
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SMAS Facelift Cost $10,600 average cost

Face Dimpling After SMAS Facelift for Jowls/hollowness

14 posts
Comments (11)
Updated 26 Oct 2009
Posted 25 Oct 2009
Not Sure
Spent: $8,000 in NY

At my age it was getting to be time to do something about the jowls and hollowness in my face. I chose a Board Certified Plastic Surgeon. I did not want to take any chances with my face.

I had a SMAS facelift about 1 1/2 week ago and I have 2 deep indentations on each side of my face. I've never heard of this happening before. The surgeon said that this was not caused by sutures, but will not directly answer as to what it is. I would like to know what would cause it and whether it will heal and disappear.

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

My Doctor: Name not provided

I cannot recommend doctor until I know the outcome of my procedure and whether the dimpling will resolve itself.
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Comments (11)

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Gosha Toronto (1 post) 29 Mar 2010
How are the results now? It takes time for the SMAS lift to heal before you see the actual results which are usually great if the SMAS was actually lifted.
Olena8359 (12 posts) 30 Nov 2010
You should tell us a name of this doctor so we would saty away his office. He is done a terrible job for your face!
SugarTime (14 posts) 1 Dec 2010
It has been a little over a year after my procedure and I'm sorry that it has taken so long to get back to this discussion. Although these indentations have totally gone away (they went away after about 3 months), I do have a very slight indentation on the upper part near my cheekbone. It is hardly noticeable, except to me. However, I do have raised scars in the back of both my ears and need scar revision surgery. I will comment further afterwards.
NHaven (136 posts) 19 Dec 2010
I had dimpling also on the upper part of my cheek. The surgeon released the suture in his office. See, it WAS suture related. Too bad for me, though, this caused that side of my jowls to look lower than the other side. Now I'm depressed and hoping for a revision.
SugarTime (14 posts) 19 Dec 2010
What kind of facelift did you have? Was it the threadlift? That's where only threads are used to lift the face.
NHaven (136 posts) 19 Dec 2010
No. It was a full fledged major muscle lift with incisions around the ears and under the chin. He was able to cut my cheek at the dimple and release the suture in the office and immediately the dimple was gone; but, the long term effect was less lift on that side.
SugarTime (14 posts) 29 Dec 2010
One thing that I find very frustrating is that some doctors now do not want to show pictures of procedures that they have performed. They use the excuse of patient privacy laws. The problem with that is that you don't know what kind of results to expect. For instance, I did not expect to have raised scars behind my ears. I have had surgeries in other parts of my body in the past and I never had raised scars. My sister did not have raised scars after her facelift. I was surprised and disappointed at the quality of the sutures!
NHaven (136 posts) 30 Dec 2010
I agree. And, my doctor made me sign a paper that is a gag order. I said I felt that violated my right to free speech and his nurse said they couldn't really do anything to me anyway. About scaring, my doctor did well with the suture lines around my ears, but the spot that he did in his office to release the pucker on my cheek is raised and itchy. It's been two months since he did that and I think bad sutures are just plain sloppy. Obviously he had the talent to do better, just rushed.
SugarTime (14 posts) 18 Jan 2011
Even if your doctor made you sign a gag order, I doubt that he could enforce it. About the area that is raised and itchy, it sounds to me like it is becoming scar tissue. I also got the impression that my doctor was rushed. The sutures were sloppy and looked very different on both sides!
linda556 (1 post) 22 Jun 2011
I went in for a mini facelift and I woke up with a facelift. I was told it was a SMAS lift. The surgeon left me with what another surgeon said was the worst possible thing that can happen to the face. I have been told the muscles were severed along with the 5 and 7 nerve. My face is going to end up with full muscle loss and complete nerve damage. I need help?
SugarTime (14 posts) 30 Jun 2011
Is there any way to correct the outcome? Was your original surgeon board certified in plastic surgery? I pray for your full recovery.

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