How Long to Wait for Lower Face and Neck Lift Revision Surgery?

I am 4 months post op from lower face and neck lift. When I look forward with my head raised my jawline looks perfectly smooth. If I smile, turn or lower my head I have terrible creasing and folds in my left jawline and lower cheek (see photo). My right side looks perfectly fine. My PS thinks this may be scar tissue and wants to undermine this area and under my chin again.

If this is scar tissue, why does this happen? What's to prevent this from reoccuring with a revision? How long should I wait for revision surgery?

Doctor Answers 26

Facelift revision

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In a case like yours where you need the lift revised extensively, it is usually safest to wait about a year from the original surgery.  The reason is that there is scar tissue under the skin that takes time to soften up.  Minor revisions can be done sooner, but in your case, wait a year.

San Diego Plastic Surgeon
5.0 out of 5 stars 28 reviews

Irregular creasing of jawline skin after lower face and necklift

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This creasing likely will not improve over time without followup surgery. Your surgeon is right and the skin needs to be released. This can likely be done under local anesthesia, possibly with some Valium. Anytime would be the right time after 4 months. 

Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 57 reviews

Timing for Lower Face and Neck Lift Revision Surgery

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You may be a candidate for a revision, but should wait between 6 months and a year. Communicate your concerns clearly but calmly to your surgeon so he/she can continue to monitor, and respond appropriately at the correct time. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 55 reviews

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Revision surgery of any kind should not be performed before six months have elapsed.  Ideally one year is even more prudent.

If the area in question was not treated  at all at the time of the initial surgery, then revision surgery may be carried out sooner rather than later.


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Carlos Cordoba, MD
Montreal Plastic Surgeon

How Long to Wait for Lower Face and Neck Lift Revision Surgery

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Typically, it's best to wait 6 to 12 months depending on the reason for #revision. As with all #cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical #procedure and #revision, there are some risks of unhappy outcome or other complications which your surgeon should discuss with you during your consultation. Your procedure should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for another revision surgery.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Revision Facelift Surgery using a Deep Plane Approach

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This is somewhat of an open-ended question. I do a lot of revision facelift surgery so when a patient comes for a second opinion and has a less than optimal result; I will often offer a revision facelift. I do facelift surgery using the deep plane approach which I feel is much more effective in elevating, releasing, and lifting the tissue back in a more natural location. We would prefer to wait a full year or more since there will be changes over the first year and to be most effective we should wait until all of these changes have occurred before attempting a revision procedure. Sometimes it is difficult for the patients to wait but it really is in their best interest for long term healing.

Edwin F. Williams, III, MD
Latham Facial Plastic Surgeon

Let your surgeon decide that

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There is no magical timetable for revisions such as yours. Your own surgeon is your best guide.  Once surgeon determines that swelling has subsided and stabilized the surgery can be done. Often 6-12 months are required to reach that state.

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 24 reviews

Non surgical facelift in Los Angeles

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Our office specializes in facelift surgery and revision facelift surgery. One of the best options for revision surgery in some cases is the Ultherapy non surgical lift. 

Raffy Karamanoukian MD FACS

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Facelift revision - How long to wait ?

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The general rule of thumb is to wait at least for a year for edema to resolve and suppleness to return. In some cases if the skin and underlying tissue is supple and your surgeon thinks it might resolve a few months less would be considered.

Neck Lift Revision?

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After reviewing your photos, I would suggest that you wait at least 6 months before revisional surgery. Your result may improve with the passage of time. If it doesn't, then waiting will allow the soft tissues to soften. This will increase your likelyhood for a better result. Good luck.

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4.8 out of 5 stars 178 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.