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What could be the cause of these hard/firm "ridges" after SMAS Facelift? (Photo)

DoubleShotVonSep 21, 2024
Some questions I would like to ask are: 1. Do you think these irregularities was caused from Cheekbone Reduction, and just didn't become apparent untill after facelift? 2. Are the ridges/bulges made up from fat, scar tissue, ligaments, scar tissue contracture, scar hyperplasia, etc? 3. Which surgeries/method could help correct these impressions? Deep plane facelift revision, Smas facelift revision, facial liposuction, etc. (More description in the photos)

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
Answered on May 22, 2025
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Connie Hiers, MD, FACS

No, the jaw surgery will have a fair amount of swelling which will affect the facelift lift results. Do the jaw surgery first. If insurance is being used for the jaw and nose, do them first. also, I would not do implants with a rhinoplasty nor oral surgery because of the risk of infection.

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Manish H. Shah, MD, FACS

Hello crash01997, It is clear from the pics you've posted that your incisions felt a tremendous amount of tension after your surgery. I am not sure what technique your surgeon used but this is clear evidence of a closure that was not tension free. What I am uncertain about is whether or not you...

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Jill Hessler, MD

Sorry this has been a challenging recovery for you. Hollowing under the check area can occur with buccal fat removal. I would check with your surgeon if this was performed as it is sometimes combined with facelift surgery.

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