No Change After Mini-facelift (5mo Post)?

Question

I'm a 45yo female, wanting to resolve jowling. A preferred surgeon advised against fillers suggesting a mini facelift would be best. I proceeded with the mini. Now at 5 mo. post-op, I shared sided by side before/after photos with my friends and none of them can tell the difference between the photos. Nothing has changed following my facelift although my surgeon says otherwise, she is "now" suggesting "fillers" around my jowl area! Any advice on how I should proceed?

Kenneth Hughes, MD · Answer

Jowling, depending upon the degree preop, may be more optimally improved with a greater degree of undermining and SMAS suspension.  This is difficult to determine based upon your description. 

	      I make minimal scars but maximal undermining to create maximum skin removal and lift, while supporting the SMAS.  Everyone will have a different technique.  If you are dissatisfied, find the plastic surgeon who has the best credentials and who has performed hundreds of facelifts.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

You may consider an Ulthera to tighten the lower face in conjunction with some facial fillers. Raffy Karamanoukian Los Angeles

David Hansen, MD · Answer

The new mini face/neck lift make such a dramatic and natural improvement that it is not possible not to see a big difference unless you need liposuction of the jowls or a redoing of the facelift.  Be sure to get it done under local anesthesia and expect to pay roughly $6000 for the facelift or $2500 for the lipo. Sincerely,

	David Hansen,MD

Anthony Corrado, DO · Answer

It is difficult to assess the success of your procedure without pictures. Although, friends are very adept at evaluating your looks, they are sometimes not the best critics for evaluating before and after pics, for a number of personal/psychological reasons. I would suggest reviewing your results with your current surgeon, and if you do not receive satisfaction, then I suggest following up with a board certified surgeon who performs these procedures frequently with good experience in dealing with revisions. Good Luck

Evan Ransom, MD, FACS · Answer

After 5 months, you should be starting to see the real results of your mini-facelift. This procedure is great for some patients -- particularly those with mostly excess skin, a strong jawline, and minimal jowls. Without pictures and an exam in person, I can't comment on your particular situation. However, mini-facelift can be disappointing if your anatomy isn't appropriate for this technique.

Jonathan Pontell, MD, FACS · Answer

Hi. If you are a good candidate for a mini-facelift, you should see a significant improvement after surgery. It would be helpful to see before and after photos of you, but the vast majority of patients that I treat with mini-facelifts are very happy.

Robert F. Centeno, MD, FACS · Answer

It is difficult to comment on the effectiveness of a procedure without before and after photos. Your friends may not be the best people to discuss this matter with.  There are complex psychological factors that can go into a friends opinion that may not be objective.  I recommend you sit down with your surgeon and review your photos carefully.  Best wishes.

Steven Wallach, MD · Answer

WIthout seeing pre and post-op photos it is difficult to comment. However, I will often tell patients that fillers or fat injections may be needed to fill the deflated face and this may be a maintenance procedure especially when filler products like perlane/juvederm/ restylane are used.

Pablo Prichard, MD · Answer

Dear LTF,

	Thank you for your post. It sounds like you need a full facelift. there are definite limitations on what a mini facelift can do vs. a full. Consult with a board certified plastic surgeron.

	Best wishes,

	Pablo Prichard, MD

No Change After Mini-facelift (5mo Post)?

Answers (13)

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