Babak Azizzadeh, MD, FACS

Hi my name is Dr. Babak Azizzadeh and I am a deep plane facelift and neck lift expert. The use of drains after deep plane facelift and/or neck lift are truly dependent on your surgeon's preference. More and more surgeons are using netting sutures to reduce the need for drains; however drains are still crucial for some in the neck since many are modifying the submandibular glands as a precautionary approach for fluid accumulation. I always suggest picking your deep plane facelift or neck lift expert based on results, expertise, safety, experience, and communication skillset rather than whether they use drains or not. You also need to make sure your surgeon is skilled with revision facelift and neck lift surgery as well as facial nerve anatomy. Good luck

Hi - I’m a facial plastic surgeon who specializes in deep plane facelift. There are situations when we would recommend going back and performing a revision facelift even early on like your situation. What type of facelift did you have? Also more angles and better photos would help the Realself community guide you. Below is a useful link about revision facelifts. Best of luck

Thanks for your question. I recommend seeing your injecting physician so that they can best address your concerns in person. It's possible that using Botox in your crows feet may have created a more wrinkled appearance under your eyes. There are a variety of options to address this that you might be a candidate for including more Botox, fillers, laser, and even a skincare regimen to compliment your new results. Since there are so many different possibilities, it will be best for you to see a physician in person who can assess your concerns and make the best recommendation possible.

Thanks for your question. Laying down after having a Botox treatment should not have any negative consequences. Additionally, since this happened one year ago, the Botox that was injected at the time has completely worn off. With that being said, it is highly unlikely that the Botox treatment has contributed to an asymmetric smile. I highly recommend that you have a full evaluation by your primary care physician to get to the bottom of the facial asymmetry, especially if you are experiencing any type of facial paralysis. They will be able to review your medical history and run tests to help determine the cause of your concerns. Best of luck.

Thanks for your question and congratulations on your pregnancy! As others have noted below, we don't have much information about how Botox affects pregnancy as there hasn't been many studies to research this topic. With that being said, it is unlikely that your recent Botox injections will have a negative impact on your baby's development. It is not recommended that patients receive voluntary Botox treatments while they are pregnant, so after your most recent Botox has worn off (about 3 months after being injected), I would recommend waiting until after pregnancy before considering another treatment. If any concerns arise due to your recent injections, I suggest contacting your OBGYN. Best of luck!

Thanks so much for your question! I'm sorry to hear that you've been suffering with TMJ. Botox can be an effective treatment to help alleviate some of the symptoms that you are experiencing. The masseter muscle is usually responsible for the discomfort associated with TMJ, so by injecting Botox in this area, it helps the muscle relax and results will last for about 3 months. Every physician addresses pricing for Botox differently but it's commonly priced per unit. After a consultation with a board certified facial plastic surgeon or dermatologist, they will be able to determine how many units are needed for your specifically. Best of luck!

Thanks for your question. Unfortunately a facelift is not the proper procedure to address enlarged pores. I recommend scheduling a consultation with a facial plastic surgeon who can take a look and make a recommendation in person. I know that you said you are not interested in laser treatments, although these are often very beneficial for patients looking to improve skin quality and appearance and offer a tightening effect. 

Thanks for your question. It's hard to say without assessing your scars in person. It's possible that Kenalog injections would be beneficial to help even out the scar and make it less raised. You could also potentially be a good candidate for a laser treatment to help reduce the scars appearance. I recommend either having a conversation with your operating surgeon or scheduling a consultation with a facial plastic surgeon who can take a look at your scars in person to make the best recommendation possible.

Thanks for your question. Since your facelift was 11 weeks ago, it is unlikely that you are developing an infection, but I recommend scheduling an appointment with your surgeon who can take a look in person. It is likely that the "pins and needles' sensation that you are referring to is a normal part of the healing process. Your skin is still repairing itself at the incision sites and will go through changes as you heal. Ultimately, any concerns should be discussed in person with your surgeon to be 100% sure. Best of luck!

Thanks for your question. It's hard to say what procedure will be most beneficial for you without meeting you in person. My advice is to look for an expert facial plastic surgeon who will completely customize a surgical plan based on the specifics of your individual needs. I always speak with  my patients about their goals and their ideal outcome and we work together to create a plan moving forwards. This is hugely beneficial as opposed to offering "cookie cutter" procedures that might not be right for everyone. Best of luck!