Would scar tissue be an issue for me? (Photos)

Thank you for your question and pictures.  You would be an amazing candidate for neck liposuction to remove any fat under the chin area, this could be combined with a local anaesthetist facelift and necklift which will remove any excess skin.  This would help achieve a contoured L shaped neck and remove any jowls, giving a nice sharp jawline.  In terms of scar tissue, it wouldn't cause a problem or affect the overall results. It would just cause the surgery to last slightly longer.
Most of my patients want a facelift however do not want the downtime associated.  The Concept Facelift is the procedure I perform, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. 
If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.
What are the benefits of a local anaesthetic facelift?
Minimally invasive as it is a short scar facelift, although has the same effects as the Traditional Facelift as the SMAS muscle is tightened along with the skin.There is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsPlease 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 

Thank you for your question.  Yes, it appears she would be an excellent candidate for a facelift.  I'm sorry you had some facial nerve paralysis after your parotidectomy.  You can certainly have a revision facelift, however it is very important that you find an experienced surgeon in facelifting.  Be sure to tell him/her about your previous parotid surgery and the facial nerve paralysis you had afterwards.  There we'll be scar tissue, and the facial nerve on the right side  will be in a more exposed to position now than it was before your parotid surgery.Again, be sure to consult with a board certified facial plastic surgeon or plastic surgeon who has experience with face lifts.  Here you will have a full evaluation and be able to discuss her goals for surgery.I hope that this helps!–David Gilpin

HI,  Scar tissue definitely could be a problem, but a very skilled plastic surgeon who does a lot of facelifts should be able to help you achieve a younger look to your face. Check out several Board certified plastic surgeons in your area and see what they have to say after they examine you in personBest,Dr. Christine Rodgers

Your facial nerve will be more exposed after your parotid surgery and I would suggest going to a very experienced Board Certified Plastic Surgeon before undergoing the procedure.  

Thanks for sharing.  In general a previous parotidectomy would exclude someone from having a standard facelift.  The Facial Nerve is now more exposed and at risk of being injured during the facelift surgery.  You would have to find a highly qualified facial plastic surgeon that would be able and want to perform the facelift.  There are newer non surgical technologies out there that can get some improvement without the risk of nerve injury.  Best of luck!

Thank you for your pictures and questions. Secondary (re-do) facelifts can be tricky, so you need to make sure you are seeing a local board certified plastic surgeon for a consultation. Your case also have several other complicating factors in play and so you need to have a detailed examination and discussion, but there are likely surgical options available to you.Best of luck!

Everyone forms scar differently.  If you have cuts / scars on other parts of your body you can get a sense of what the scar may look like – though the face typically scars better than other part of the body.  I think a facelift could definitely help you to achieve your goals of looking more rejuvenated.

Sorry to hear about your parotid tumor. However, it has been 12 years since your last facelift, and judging from your photos, you are an excellent candidate for a secondary facelift. The fat in your neck can be remove with excision or liposuction at the same time, Your platysma bands can be addressed at that time as well. As a matter of interest, secondary facelifts are more durable than the first ones.This should give you a tight neck as well as a more youthful, tighter face.Thank you for your question and good luck.

Performing a secondary facelift after both a primary facelift and a parotidectomy can be rather challenging, so it is important to seek  out an experienced facial plastic surgeon who has dealt with this issue in the past.   Also important to document which branches of the facial nerve have the Paralysis, and make sure that the parotid tumor has not reoccurred.

Hello and thank you for your excellent question. Based on your photos and description, you are likely still a candidate for a face lift. You have had procedures in the past, but these do not prevent you from having a procedure in the future. It is essential that you have an in-person consultation to develop a treatment plan that specifically addresses your personal surgical goals, and your body’s anatomy. Preoperative visualization and surgical simulation with the Crisalix system may help refine this plan. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!
Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc”