My SMAS Facelift and Revision Work Both Failed What Can I Do?

Question

Got a smas facelift it made no difference PS agreed revision by doing a one stitch lift on the smas layer he said that would take the jowls out but it still didnt work .hes now saying he wont operate again .what can i do ?he wont give me a refund he said my scars need correction work but hes now changed his mind and wont do anything about it .

Larry S. Nichter, MD, MS, FACS · Answer

First of all, for the vast  majority of plastic surgeons the money that is paid for surgery is for their best effort, cumulative experience and talent to obtain results. As plastic surgery is an art and inexact science no result guarantees are made.

	Second - a "one Stitch" procedure does not make a facelift and I doubt it would be corrective.

	Your best advice is to find a different Qualified Plastic Surgeon in Your Area
	Best bet is to find a board certified Plastic Surgeon who is a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or the American Society for Plastic Surgery (ASPS) near you home. I have provided links below to make it easy for you to find a well qualified plastic surgeon near your home that is familiar with secondary facelift procedures.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question and pictures.  A single stitch on the SMAS muscle would not correct sagging jowls and create a scooter jawline.  To give a smooth and contoured jawline the SMAS muscle and skin would both need to be addressed.  I would advise that you would need a whole facelift again which actually targets the muscle, therefore giving you the longevity of a traditional facelift 7-10 years. This can be performed under local anaesthetic, therefore significantly reducing the downtime due to no drains and bandages.  Overall getting little bruising and swelling, so returning to your daily activities as soon as possible. This would allow for your scars to be adjusted and improved, making you more confident with your appearance.  Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best

Thomas A. Lamperti, MD · Answer

It sounds like your best bet at this point is to seek a second opinion from a different plastic surgeon. The scars can be addressed in addition to your jowl area. You should chose your next surgeon carefully, and make sure they are very experienced with facial plastic surgery.

Karan Chopra, MD · Answer

I understand your disappointment with the outcomes of both your SMAS facelift and the subsequent revision. I'm here to provide guidance and explore potential solutions. If your current surgeon is unable to proceed with further work, I recommend seeking a second opinion from a skilled and experienced facial aesthetic specialist. Every individual's situation is unique, and a fresh perspective can offer valuable insights.

As a board-certified plastic surgeon with expertise in facial procedures, I would be honored to offer my insight and collaborate with you to determine the best course of action. Your comfort and satisfaction are of paramount importance, and I'm committed to assisting you in achieving the results you desire.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.

Michael Sundine, MD, FACS · Answer

It is highly unlikely that a single suture in the SMAS would correct your jowls.  At this point you will need a tertiary facelift.  This procedure should allow for improvement of your jowls and also improvement of the scars.  Make sure that you find a surgeon with experience in secondary facelifting.

My SMAS Facelift and Revision Work Both Failed What Can I Do?

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Answer: Failed SMAS Facelift and Revision

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My SMAS Facelift and Revision Work Both Failed What Can I Do?

Answers (6)

Answer: Hope this helps!

Answer: Hope this helps!

Answer: Failed SMAS Facelift and Revision

Answer: Failed SMAS Facelift and Revision

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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.