Can a Facelift Be Tweaked Afterwards if One Side of my Face is Saggier?

Question

I had a facelift in April, and looked great for several months, but now I see that the right side of my face looks old again -- it has more sag that the left, which is fuller. It is barely noticeable, but it is to me! I have a dimple on that side that was black and blue forever. Can this be tweaked at all? I find myself pulling my face up a tiny bit up by the cheekbone area toward the hairline, and that fixes it. also seem to have bags under eyes not present before, near top of cheek bone.

Jerome Edelstein, MD · Answer

It is possible to have a revision surgery to correct any concerns you've developed, but please wait about 6 months after your initial surgery.

Sam Naficy, MD, FACS · Answer

Although it is hard to tell without seeing your pictures what you are describing is possibly due to having less volume (fat0 on one side of your face.  You should consider fat grafting as an option.

Corey S. Maas, MD · Answer

Your question is a good one. The important thing to remember during the post-operative healing process is that asymmetries inevitably occur but will typically resolve on their own after a period of six to twelve months. Minor adjustments are sometimes necessary after this period, and you should make an appointment to see your surgeon to discuss your concerns.

Houtan Chaboki, MD · Answer

Hi Susie,

	Yes, facelift surgery is typically tailored to the needs of each patient. A various amount of tightening or skin/tissue modification is performed, which is different for each patient, and possibly each side. Keep in mind that everyone's face is asymmetric to a certain degree, which is normal. Slight asymmetries after surgery typically resolve with time, largely due to swelling.

	Revision face lift surgery is generally not considered for at least several months, if not one year, after the originally surgery. If you haven't already, speak with your plastic surgeon. Only after a comprehensive evaluation can he/she help determine appropriate options for you. Best of luck.

	Dr. Chaboki

Kenneth D. Steinsapir, MD · Answer

It is absolutely normal and reasonable to have a touch up procedure to help you achieve everything you were looking for from your surgery. Your timing for a revision is about right also. Contact your surgery and schedule a visit to discuss this option. Offices have differing policies regarding revisional surgery, but most charge a discounted surgeon's fee for this type of work but require that you bare the expense of the operating room and anesthesia.

Stephen Prendiville, MD · Answer

5 months after your primary procedure, it is still possible to have slight asymmetries which could resolve spontaneously. I would recommend waiting a full year prior to considering any type of revision work.

Ronald Schuster, MD · Answer

You could always have a touch up after your facelift surgery. Discuss your concerns with your surgeon. I wold wait at least 6 months to let things settle out though. Don't forget also that everyone's face is a little different from side to side.

Jed H. Horowitz, MD, FACS · Answer

I would wait 9-12 months for both sides to settle before doing adjustments.

	yes, uneveness can be corrected, usually with minor surgery under local

Hannah Vargas, MD · Answer

Yes. Small changes can be made to the final result after a Facelift. They can often be made in the office with little down time. It may be, however, that other procedures can help even out asymmetries and enhance the Facelift results. Fat grafting or fillers are examples of such procedures. Talk to your surgeon and let them help guide you to your best outcome and be open to other ideas. Good luck!

David Finkle, MD · Answer

It is common to perform minor revisions after facelift procedures.  Wait at least 6 months and if you are not happy, sit down with your surgeon and review your options.

Can a Facelift Be Tweaked Afterwards if One Side of my Face is Saggier?

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