Initial face & neck lift done in '09. Researching for revision. High smas to address indentation over cheek bone? (Photos)
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Doctor Answers 9
Treatment Options for the Lower Face
During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.
If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic may also be a candidate for a Lite Lift™.
It is also possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result.
As far as a high SMAS lift goes, if you had a smas lift in 09 I would not do it again! There are other techniques that will be safer for you at this point.
A revision facelift would help the lower face and neck areas. The cheek indentation (midcheek furrow) would likely not improve greatly with a lift alone but may improve with filling that area directly and carefully with fat or synthetic fillers such as Restylane. The swelling in the cheek area above the indentation might be improved with conservative laser resurfacing to tighten the skin, but know that it is a challenging thing to get perfect.
I hope that is helpful and best wishes,
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Candidacy for revision facelift
Facelifting #woundhealing #cosmeticsurgery #BOTOX
Thank you for your question! The indentations appear to be from the Malar lymphatic outflow- I am not sure that they will be improved with surgery.
With Warm Regards
Trevor M Born MD
Malar Bags are the Problem
As far as a facelift is concerned, a traditional SMAS Lift will improve your jowls - a high SMAS Lift is not required for jowl improvement.
Revision facelift and indention over cheek bone
Face lift and fat grafts
You should consult an experienced board certified plastic surgeon in your area and discuss your options. 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.