63, trans woman, unexpected skin excess on chin post-facelift. What can be done? (Photos)

Question

I'm a 63-year-old trans woman who had a secondary facelift a year ago. Five months post-op, deep chin folds appeared. Pre-surgery, I had deep wrinkles on my chin due to aggressive electrolysis hair removal, but no excess skin. It's baffling how skin excess developed where none existed. Note that the skin excess is on the chin itself, not under the chin. Any potential solutions? Your insights are appreciated.

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy  is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy  is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Randal Haworth, MD, FACS · Answer

It's important to note that each individual's healing process and tissue response can vary after surgery. Although a facelift aims to address sagging skin and wrinkles, there can be instances where new skin laxity or folds develop postoperatively.

In your case, the development of skin excess specifically on the chin itself, rather than under the chin, could be influenced by multiple factors. It's possible that the previous aggressive electrolysis hair removal, along with the natural aging process, may have contributed to the development of skin excess in that area.

To address this concern, I recommend consulting with your plastic surgeon or a board-certified facial plastic surgeon. They will evaluate your specific situation, examine the extent of the skin excess, and discuss potential solutions based on your unique anatomy and goals.

Possible options for addressing skin excess on the chin may include  non-surgical treatments such as dermal fillers or injectables to restore volume and minimize the appearance of folds or revision surgery for a more comprehensive and definitive solution.

I hope this helps,
best of luck !

63, trans woman, unexpected skin excess on chin post-facelift. What can be done? (Photos)

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63, trans woman, unexpected skin excess on chin post-facelift. What can be done? (Photos)

Answers (2)

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Everything you need to know about Facelift Revision

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