I had a initial photo consultation regarding a deep plane facelift. The surgeon's office advised that the "Dr X was able to take a look at them and unfortunately does not think you would be a good candidate for this procedure. He personally does not recommend facelifts after parotidectomy surgeries, as the parotid gland protects the nerves that move the face. After parotidectomy, the nerves are more at risk for damage." Very devastating. Looking for others opinions. Please and thank you.
September 15, 2023
Answer: What type of parotid? Hi! Some of this depends on what kind of parotidectomy you had and why you had it (such as cancer). Based on your photos, it looks like you only had a partial/superficial parotidectomy (compared to a more extensive total parotidectomy). If that is the case, that varies how much of the nerves are exposed. Regardless, if you understand that the nerves are just at slightly higher risk, then it actually should not make a significant difference since usually the entry into "the deep plane" happens past where the parotid would exist anyway. I would absolutely make sure you go to a surgeon who thoroughly understands the facial anatomy, feels comfortable doing this to you given your history of the parotidectomy, because this definitely puts you at higher risk but you can get it done. I would strongly recommend you go to a facial plastic surgeon who had training in ENT/otolaryngology because they would be even more familiar with the nuances of the parotid portion of the surgery than most general plastic surgeons. Good luck!
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September 15, 2023
Answer: What type of parotid? Hi! Some of this depends on what kind of parotidectomy you had and why you had it (such as cancer). Based on your photos, it looks like you only had a partial/superficial parotidectomy (compared to a more extensive total parotidectomy). If that is the case, that varies how much of the nerves are exposed. Regardless, if you understand that the nerves are just at slightly higher risk, then it actually should not make a significant difference since usually the entry into "the deep plane" happens past where the parotid would exist anyway. I would absolutely make sure you go to a surgeon who thoroughly understands the facial anatomy, feels comfortable doing this to you given your history of the parotidectomy, because this definitely puts you at higher risk but you can get it done. I would strongly recommend you go to a facial plastic surgeon who had training in ENT/otolaryngology because they would be even more familiar with the nuances of the parotid portion of the surgery than most general plastic surgeons. Good luck!
Helpful 1 person found this helpful
August 30, 2023
Answer: Facelift After Parotidectomy A facelift can be performed. This usually requires a highly trained plastic surgeon with a predominantly facelift practice. I would recommend facial nerve monitoring intraoperatively at a minimum.
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August 30, 2023
Answer: Facelift After Parotidectomy A facelift can be performed. This usually requires a highly trained plastic surgeon with a predominantly facelift practice. I would recommend facial nerve monitoring intraoperatively at a minimum.
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