Can I have a facelift at the same time as cheek implant removal?

Question

I had silicone cheeck implants placed 6 years ago and secured with screws. My surgeon retired. I'm having slight pain issues. My dentist thought she saw a loose screw on her 3d x ray and my ENT saw a pus pocket on my sinus cavity. I'm 10 days on augmentum I still get slight intermittent pain. My question is I'm almost 50 years old and I'm sure I'll need either a facelift due to sagging. Can I have a facelift at the same time as the removal ? If not how long do you wait?

Stephen Prendiville, MD · Answer

After reading your clinical history, I would recommend separating your procedures.  Cheek implant removal is a fairly simple procedure, but if there is a chance of infection, I would not recommend having a facelift at the same time.

Selcuk Inanli, MD · Answer

Hello ! Thank you for your question Without your face photos it is very hard to make an evaluation of your case. If you could provide photos and more information I would be able to evaluate your case in a more appropriate way. But from my experience as a preference, to separate each operation and to have the second operation after completely recovering from the first operation.
Thank you ! regards

Robert M. Tornambe, MD · Answer

Sorry you are having these issues. If there is no active infection, you certainly may have a facelift at the same time as your implant removal. However, if there is a pocket of pus, then the implants would have to be removed first and the area washed out. The facelift could be performed several weeks later. Come see me or another board-certified plastic surgeon in our area to explore the best options for you. Best of luck!

Jonathan A. Schwitzer, MD · Answer

Hello, removal of the implant is the most important priority. It should noted that when you have an infection there is inflammation, swelling, scar tissue...this can all impact the appearance of the face and can compromise the results of a face lift. It is certainly possible to perform a face lift at the same time as the implant removal (this saves time/cost as you will have fewer surgeries). However, it probably makes sense to have the implant removed, allow the infection/inflammation to subside/resolve, allow the area to heal and then perform the facelift so that the surgeon can be more sure of the expected results and so that the surgeon can see what the skin/tissue looks like without the inflammation present. In general, cosmetic surgery is better to be performed when infection is also not present.

William Portuese, MD · Answer

Yes, it is certainly possible to undergo cheek implant removal at the same time as a facelift. Facelift incisions are in front and behind the ears, while the cheek implant removal incisions are placed inside the mouth above the upper teeth. A full set of facial photographs from all angles are required to make a determination about whether or not you're a candidate for a lower face and neck lift procedure

Can I have a facelift at the same time as cheek implant removal?

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