8/12 months post Face Lift.New flaws: cheeks and eyes.My dr's solution differs from 3 others. New face lift is necessary?(photo)

Please advise, My DR. differs frm 3 other DR'S I saw,81/2 mths pst op. NEW drapes around mouth, Post Op asymmetrical mouth I side up the other down. Is it fixable? "S"welt from temple to chin. Dr.# 2 advises hidden sutures be removed. My doctor does not. Flaws under 2 eyes.Knot on throat is painful if touched -still hurts -Should I worry? My doctor doesn't call bck. 2 new doctors say I need 2nd Face Lift my doctor will only add filler to cheek dent,improve thick neck scars result of surgery.

Doctor Answers 8

Undesirable results

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I recommend you continue to consult with multiple Board Certified Plastic Surgeons until you find the one you feel comfortable with and can indeed improve your previous results. Look at their before and afters, in addition, most surgeons will have "revision of facelift" photos you can view that may help you decide who to choose.

Houston Plastic Surgeon
4.4 out of 5 stars 36 reviews

Revision Facelft

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Based on these pictures, a revision facelift is what you may need to help with the irregularities.  It appears you have extra skin in the cheeks and I don't feel any amount of filler will help this get better. Hope this helps!Dr. Sajan

Javad Sajan, MD
Seattle Facial Plastic Surgeon

Issues after facelift

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I hate to hear that this happened to you.  To be honest, at this point, you are doing exactly the right thing - keep asking questions of your doctor and their staff and seek for solutions to your concerns, while at the same time seek the opinion of other doctors and how things can best be handled.  Seeing the pictures, I can see that your recovery course required more care than others - I hope that your doc helped you through this time and made sure that you were headed in the right direction.  At this point, without a physical examination, it is hard to say what can and can't be done to help fix the problems that you now face - that is one huge advantage that the doctors with whom you've spoken with have over us.  If it was me, I would take the information that the doctors have given me, and go with the plan of the doctor whom I have a better relationship/understanding with.  I really do hope you get the results you want soon.  Best of luck.  

Miguel Mascaro, MD
Delray Beach Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Redo Facelift

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Thank you for your question.  I'm sorry this happened to you.
You have done the right thing by continuing to approach your doctor for answers and solutions, and understandably for going to other doctors to ask their opinions.  All of the doctors who have seen you have the benefit of an in-person examination.  At this point, it probably best to pick which doctor you feel can best take care of you (probably the one with the most experience with secondary/redo facelifts), and whom you trust the most, and go with their plan.

Best of luck,
Dr. Michael Epstein
MAE Plastic Surgery
Northbrook, IL

Facelift issues

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I'm concerned about your wound along your lower neckline.  You need to let these heal in before doing anything else regarding your facial contour.  I'm sure you're wanting things fixed, and I can't say much about what I see based on your pics, but if your original PS is no longer taking your calls, that's not good, and you should seek a 2nd opinion with a reputable PS who will take care of you

Cain R. Linville, MD
Houston Plastic Surgeon
5.0 out of 5 stars 39 reviews

Facelift revision

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Sorry you have to go through this post operatively.  If appears you are still in the healing phase which lasts up to 18 months.  You may be able to get a revision sooner, however your tissues nee to relax first.  The good news is there is hope.  Not many surgeons may feel comfortable doing a revision in your case.  However, after the tissues heal, it may be possible.  The face must be treated differently than the neck.  Your photos demonstrate extra skin on the face which means the tissues need to be re draped surgically and the excess removed.  This can easily be accomplished in the right hands, 

Your neck area is more complicated.  It appears you some problem areas based on the photographs.  After your healing is complete,, this will settle down and feel much better.  the tissues will be supple and soft.  At this time the revision may be done.  The neck has to be treated separately and the detail has to be focused in this area for a good result.  The anatomy of the neck is completely different than the face.  The surgeon must know how to achieve a good result.  I do many neck lifts alone due to this problem.  The neck sometimes is just not as good as the face and needs a revision to look as good as the face.  So, you can have this area improved.  However, you need to heal from your previous surgery before any more surgery can be performed.  I hope this helps.

Walton Montegut, MD
Newport Beach Physician
4.9 out of 5 stars 47 reviews

Facelift patient unhappy - Is a re-do facelift needed?

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Hello and thank you for your questions and pictures.

First and foremost, not all facelifts are the same. Not all surgeons are the same. You bring up good questions. However,the pictures you provided do not provide a parallel comparison in terms of before and after pictures. It's hard to imagine that your have more skin next to the corner of your mouth after surgery as your pictures show. I'm surprised that your doctor does not want to speak with you. I suggest that you reach out to your doctor again. Communication requires two people that want the best for you. You selected this doctor based on your "homework." Do your best to keep the communication pathway open in a constructive manner. 

I have performed re-do facelifts for patients that had your concerns. If you look at the link provided and go to the gallery section, you will see patients with follow up pictures at 3, 5 and 8 years after surgery. The best patient to look at is case # 0035. She was very young when she received her first SMAS facelift. After her revision she was happy. 

For a lasting improvement, I agree with you that fillers are not the answer. 


Dr K

Michael Kulick, MD, DDS
San Francisco Plastic Surgeon
4.3 out of 5 stars 12 reviews

Face to face

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Thanks for your question. Its difficult to tell exactly what is going on as I suspect the pictures you have posted are from different stages in your facelift recovery period. 

It sounds like you are certainly doing the right thing by asking for a range of opinions before picking the surgeon and the treatment for you. 

Personally I fell that if you had a facelift only 8 months ago then revising that would be of less benefit potentially than trying some other modality. I personally feel that mid facial volumisation might get you the effect that you want without a full facelift repeat. At least, next time you seek a consummation, ask the doctor what they think about that as an idea. 

Hope that helps. 

Adam Goodwin

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.