One side of face is not as tight as the other after facelift. What can be done to correct this? (Photo)

Question

I had a deep plane facelift done 8 month ago and one side of the face is more loose and not tight as the other one. I feel it with my fingers move the skin up and down more on that side. Especially in 3D it’s more visible, the droopiness. The surgeon said he tightened two sides the same and hesitant to do revision. What can be done to correct one side of the cheek?

Ronald J. Edelson, MD · Answer

Overall it looks like you have an excellent result. One side can always  be tightened s little more if you like and it’s typically not a big deal to do it. Often it can be done under local anesthesia

Gianfranco Frojo, MD · Answer

There are some options. You can do fat grafting to one side or a limited scar SMAS tightening (instead of a full blown revision). . I recommend seeing a board-eligible or board-certified ACTUAL plastic surgeon with at least 6 years of integrated plastic surgery training (ideally followed by an aesthetic fellowship accredited by The Aesthetic Society).

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing your questions and photos. There is clearly asymmetry of your face. However, your photos and hairstyle limit a complete assessment. It's possible there was some existing asymmetry prior to surgery. Take a good look at your preoperative photos and compare. This could be an issue where the problem is asymmetric volume. In that case the most appropriate treatment may be volume replacement (fillers, fat transfer, etc.). In any event, I'd recommend waiting at least one year prior to making any decisions.

Darryl J. Blinski, MD · Answer

Based on the nicely posted photos you need a unilateral revision of face doing mini facelift with SMAS plication and either 2 syringes HA fillers to naso labial fold and marionette lines or nano fat grafting to these areas. Fee $5,000. Best to virtual consult with....

One side of face is not as tight as the other after facelift. What can be done to correct this? (Photo)

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Answers (4)

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