Deep Plane Facelift and Necklift Failure - Necrosis and Right side Palsy. When can I have a revision? (Photos)

Question

I'm 66 F healthy patient had I first Deep Plane Facelift and Necklift 10 months ago - result necrosis and right-side palsy paresis of the right side of the face. I'm a non-smoker and don't drink alcohol, I'm not diabetic, I don't have chronic therapy or any medical condition that would cause this complication. I have bad scarring and sagging of the right side of the face. When I can do Facelift and Neck lift revision? (update to previous question)

Anil R. Shah, MD · Answer

Really depends on your tension of your tissues.  If your surgeon removed alot of skin and there is not enough to avoid tension, you may want to wait past a year.  if your surgeon only removed skin, often times a deep plane approach will lift up the deeper tissue and help with repositioning scars.  Make sure you see an experienced surgeon.

Dilip D. Madnani, MD, FACS · Answer

Waiting at least a year would be the best option and having and in person consultation where your surgeon can examine your skin and see how much of an improvement can be done if you were to consider another facelift. 
The scarring around the ears can be improved if you have enough looseness in your skin or you can try steroid injections or laser skin resurfacing. 
The palsy is a concern and would have to be discussed with your surgeon.

Ronald J. Edelson, MD · Answer

I would do a very conservative revision if the scars in front of the ears. I would not recommend doing the whole facelift over for fear of necrosis happening again

Jeffrey H. Spiegel, MD · Answer

I'm sorry you had a poor result. It looks like your surgery wasn't optimal. I'd say you can have a revision at any time. We will want to reduce the size of your scars, improve the banding on your neck, and more.

Connie Hiers, MD, FACS · Answer

It may not be safe to do any revision after necrosis and nerve damage. If your nerves are improving, I would avoid any surgery.

Deep Plane Facelift and Necklift Failure - Necrosis and Right side Palsy. When can I have a revision? (Photos)

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Answer: Now

Answer: Now

Answer: Face

Answer: Face

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Everything you need to know about Facelift Revision

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Deep Plane Facelift and Necklift Failure - Necrosis and Right side Palsy. When can I have a revision? (Photos)

Answers (5)

Answer: Now

Answer: Now

Answer: Face

Answer: Face

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Recommended reading

Everything you need to know about Facelift Revision

Our mission is to create a world where every investment in modern beauty is Worth It.