Is it possible to reverse a subperiosteal midface lift?

Thanks for the question. You should be able to go on vacation by 3-4 weeks after your surgery. But this is valid only with assuming postoperative recovery is uneventful. If any unexpected incident happens in your treatment process, this time can be extended or shortened. I wish you all the best.

One would have to know exactly how it was performed, with what approach and sutures.  The soft tissues would have to be elevated in the subperiosteal plane and repositioned.  

A true reversal is truly impossible; revisional surgery is always an option. consult with an experienced facelift specialist to discuss your concerns after an in-person examination. The procedures will likely be different from the first surgery. Wait a full year before your second surgery.

This approach to facial rejuvenation is fraught with many potential problems. The only way to fix these problems is to totally disassemble the facelift in reestablish the proper relationships. This should be done by someone who is very familiar with the procedure. I would also encourage you to get a second opinion before proceeding.

Thank you for your question and for sharing your experience with us.  It is hard to answer without knowing the type of mid-face lift, if any tissue was removed as part of the procedure (hard to reverse) and what your specific concerns are. If there is a suture anchoring some tissue that can be reversed (or loosened) then this may be feasible.  I would also recommend that you revisit your surgeon and discuss your concerns as they would be in the best position to answer your question.

Hello chi.girl1972,Sorry to hear about your result.  As far as truly reversing the lift, that is unlikely.  It is possible to soften the result by reelevating the tissue and removing the sutures used to help sustain the lift (if they were not absorbable).  This is not a simple process and the risks of having problems post operatively needs to be weighed against the possibilty of reversing some of the effects of the midface lift.  I'd recommend you follow up with your surgeon to see what options he or she has.  I would then recommend you consult with a facial plastic surgeon or plastic surgeon for a second opinion.  I hope this helps and good luck.  

It depends on the exact technique used. Some things can be improved and some things unfortunately cannot. This is quite complex and requires a formal consultation and physical exam; I recommend a consult with a board certified plastic surgeon to discuss this. Best wishes.

Hi, I have performed many facelifts over the past 30 years and sadly IMHO there's no way to reverse the aesthetic effects of the subperisoteal facelifts which is why I don't use that facelift technique.  The subperiosteal facelift is designed to pull all of the facial tissues up at a 45 degree angle that elevates the corners of the eyebrows and mouth while shifting lower face tissues up onto the outer cheeks thereby broadening the mid face.  Following the beauty principles outlined in my book on face and body
beauty, women look the most feminine, youthful and attractive with heart shaped
faces. Heart shaped faces have cheeks that are full and round in the
front. Cheek augmentation using a dermal filler (I prefer Restylane Lyft)
or with cheek implants for a permanent enhancement will create full, round
cheeks anteriorly that will feminize the entire face. If you do have
"jowls" on examination, this is sagging facial tissues and an
indication for some form of a facelift, not Cheek Augmentation. I have
performed many Cheek Augmentations over the past 30 years and the notion that Cheek
Implants or dermal fillers alone to the cheeks will lift tissues is an urban
myth. Filler to the cheeks or cheek implants will shape the cheeks but will not
lift up the jowls. The underlying SMAS layer, of the face, must be dissected,
lifted, trimmed and re-sutured. The excess skin is then removed and the
facelift incisions closed.



My most popular facelift is the minimally invasive, short
incision facelift that has all the benefits of more invasive facelifts
(traditional, mid-face, deep plane and subperiosteal facelifts) but with these
added benefits:



•very small incisions

•minimal tissue dissection = less bruising and swelling = rapid
recovery

•can be performed in 90 minutes or less, with or without
anesthesia

•no incisions within the hair = no hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be augmented with dermal fillers
(I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts all over the world in as
little as 3 days post-op



Hope
this helps.

Without pictures and personal exam it is hard to tell the underlying cause/s of your problem, which will determine the type of revisions you will need.  While improvements can be done, sometimes it would be limited since another aggressive approach could aggravate the distorted appearance and lead to more scarring.If too much skin has been removed or the appearance is overly tight, sometimes the best course of action is to wait for the skin to relax, which could take a couple of years. Make sure that you choose a facial plastic surgeon (board-certified, of course) who regularly performs revision facelifts or corrective surgeries for botched results.  You can assess his level of skills by looking at his before-and-after photos. I hope that helps and good luck.