Depressions still under cheekbones (both sides not even). Surgeon unhelpful. No suggestions 2 massage or to do anything (will that help?). It improved little each month but last 2 mo. don't see changes. Also have what looks like a pea near right side of my mouth. Still swollen, could this be the problem? Bought Negative Ion massager. Need to be ultrasound? Manual massage seems to help. Still swollen. Could this be why? When swelling goes down completely will it help smooth things out?
Answer: Swelling and Irregularity after SMAS Facelift
Some differences in the recovery and healing between sides of the face are common after facelift. However, after 10 months, it generally will be evening out. I tell all of my patients to do gentle massage and warm compresses. There are various hand-held devices (massagers, ultrasound, etc.) marketed for swelling reduction. Some of these will help, others will not. However, just using your hand and a little lotion is equally effective. Lastly, for persistent swelling or a small ball of scar tissue ("pea"), injections of a steroid can be helpful. For depressions, fillers or fat grafts are helpful -- though I would recommend waiting until 1 year.
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Answer: Swelling and Irregularity after SMAS Facelift
Some differences in the recovery and healing between sides of the face are common after facelift. However, after 10 months, it generally will be evening out. I tell all of my patients to do gentle massage and warm compresses. There are various hand-held devices (massagers, ultrasound, etc.) marketed for swelling reduction. Some of these will help, others will not. However, just using your hand and a little lotion is equally effective. Lastly, for persistent swelling or a small ball of scar tissue ("pea"), injections of a steroid can be helpful. For depressions, fillers or fat grafts are helpful -- though I would recommend waiting until 1 year.
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Answer: Healing after a facelift Generally speaking, it can take 6 to 12 months to completely heal after a facelift procedure. I would strongly recommend speaking with your surgeon or his/her clinical team to discuss your concerns further.
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Answer: Healing after a facelift Generally speaking, it can take 6 to 12 months to completely heal after a facelift procedure. I would strongly recommend speaking with your surgeon or his/her clinical team to discuss your concerns further.
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May 27, 2013
Answer: Contour irregularities following facelift surgery.
Contour irregularities following facelfit surgery are not uncommon. In the early postop period they are usually related to tissue edema and swelling and improve as the swelling works its way out. After 6 months or so, any additional improvement will be minimal. Permanent irregularities are the result of deep soft tissue bunching or overlap. These can be improved with measures such as steroid injections into the prominent areas, micro-liposuction or micro-fat grafting.
Mario J. Imola. MD, DDS, FRCSC, FACS.
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May 27, 2013
Answer: Contour irregularities following facelift surgery.
Contour irregularities following facelfit surgery are not uncommon. In the early postop period they are usually related to tissue edema and swelling and improve as the swelling works its way out. After 6 months or so, any additional improvement will be minimal. Permanent irregularities are the result of deep soft tissue bunching or overlap. These can be improved with measures such as steroid injections into the prominent areas, micro-liposuction or micro-fat grafting.
Mario J. Imola. MD, DDS, FRCSC, FACS.
Helpful
April 25, 2015
Answer: Irregularities after facelift The depressions that you see are a taught SMAS flap from the facelift that was performed. The odds of this improving over the next 2 months, when all scars are final, is very slim. The soft tissue redundancy near the right side of the mouth can be soft tissue laxity left from the surgery, but this is hard to tell without seeing you clinically. Swelling does not appear to be the main problem as the lions share of healing is complete in 6 months. Long-end-short, you could have fillers or fat grafting placed to correct the contour deformities. However, the best, natural and long lasting results would be achieved with a revision facelift. I am sorry that this is the answer I have to give you, but it is the most candid and accurate. Be healthy and be well, James M. Ridgway, MD, FACS
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April 25, 2015
Answer: Irregularities after facelift The depressions that you see are a taught SMAS flap from the facelift that was performed. The odds of this improving over the next 2 months, when all scars are final, is very slim. The soft tissue redundancy near the right side of the mouth can be soft tissue laxity left from the surgery, but this is hard to tell without seeing you clinically. Swelling does not appear to be the main problem as the lions share of healing is complete in 6 months. Long-end-short, you could have fillers or fat grafting placed to correct the contour deformities. However, the best, natural and long lasting results would be achieved with a revision facelift. I am sorry that this is the answer I have to give you, but it is the most candid and accurate. Be healthy and be well, James M. Ridgway, MD, FACS
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April 1, 2013
Answer: Facelift post op with depressions.
Facelift post op with depressions at 10 months will probably not resolve ane I need to feel this to recommend treatment .
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April 1, 2013
Answer: Facelift post op with depressions.
Facelift post op with depressions at 10 months will probably not resolve ane I need to feel this to recommend treatment .
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September 16, 2014
Answer: Swelling After SMAS Dissection The swelling you are experiencing can be seen after handiling of the SMAS. It can last for up to a year. At this point massage may help a little. You may require fat grafting to correct the contour irregularities. All the best.
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September 16, 2014
Answer: Swelling After SMAS Dissection The swelling you are experiencing can be seen after handiling of the SMAS. It can last for up to a year. At this point massage may help a little. You may require fat grafting to correct the contour irregularities. All the best.
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