Hi There. I am 44 years old, athletic, non smoker or drinker, healthy and have never had a problem healing. Six months ago I had a mid facelift, anterior neck lift and upper blepharoplasty to address facial sagging that no amount of exercise could cure. I did my research and communicated my expectations clearly with the surgeon. I healed well, the scars are almost invisble BUT I see no difference. I look almost exactly the same as before. Why didn't my surgery work? Why did it fail? I'm so upset.
Why Didn't My Facelift Work? (photo)
Doctor Answers 21
Unhappy Facelift Patient- Expectations vs Communication
It is almost universal that surgeons do not handle patient expectations very well. We all try to alleviate any concerns with our unbridled enthusiasm for what we do. Unfortunately this can muddle patient communication with the surgeon. In your particular case I see none of the usual signs of aging that warrent the procedure you had. Therefore, your expectations are unmet even though you communicated your desires directly to the surgeon.The first tenet of the Hippocratic oath is to do know harm. The first tenet of cosmetic surgery is to make the patient look better. I believe the more experienced surgeons are more likely to achieve both goals which have not been met in your instance.
Facial surgery didn't work--why?
Over the past 35 years of facelifting,etc. I go over pictures I take of the patient and make them show me what THEY want. I personally do not like mid facelifts in your age group or anterior neck lifts. I think a chin-prejowl implant =and a facelift would have given you more of what it sounds like you wanted. Hind sight is always 20-20. These things can be done to improve the situation but you will have to decide when and if to do that.
No difference after facelift
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I think that your aging changes are more subtle, which means your genetics are good and you take care of yourself. At this point, fat grafting to the tear troughs, cheeks, and marionette lines could improve and rejuvenate your face without having to undergo a major surgery again.
No results after a facelift
IUt is very imprortant to manage patiets expectation. Also, the plastic surgeon needs to sell the product he can deliver. Clearly, you are not happy. Looking at you photos i would not advised a midfacelift but possible a facelift which would have addressed both more aggressively. You would not have noted a major change because your facial aging is minimal.
Minimal changes after surgery
When reviewing your photos I agree that your improvments are sublte. In My practice young patients like yourself see real changes to their facial features that they would like to correct. Unfortunately such subtle changes are often not possible to improve enough that its worth having surgery for. I do see some improvements in your after photos but they are sublte and I can understand your dissapointment
Aging versus genetics
When I see a younger patient like yourself I am always cautius to take a step back and evaluate what it is the patient is really unhappy about. For the younger group it is either:
1) Real and early aging. Lifting procedures can help here
2) No real signs of aging - Counseling and clear demonstration of how a procedure cant help is the ethical thing to do
3) The third category is you - you work out and have volume loss in the face as well as some underlying facial skeletal deficiency or changes
The third category is so easy to miss. You really have to study a patients face to catch it. You can still achieve those results but it would mean additional procedures. At the very least make sure you consult with someone who can really see what your seeing and understands your desires.
Consider fat grafting and neck/jowl lift by an experienced plastic surgeon
Incomplete effect after lifting procedure
Unfortunately, many times minimally invasive procedures result in minimal improvement. These types of procedures especially midfacelifts in patients with minimal sagging only result in subtle degrees of improvement as may be your case. Perhaps some fillers and a pre-jowl implant may better suffice your needs. Good luck.
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.