Lipo after facelift? (Photo)

Question

5'4" 120 lbs deep plane facelift (with fat grafting and chin implant) failure resulting in uneven surfaces, pull-marks, unnatural chin ledge. Original surgeon want to lipo around mouth and add fat to cover pull-marks and dented cheek. Seems like the deep plane FL was improperly executed. Please advise.

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show some lower-face contour irregularity and a visible step-off around the chin and jawline area, but it is not possible to judge from photos alone whether the facelift was technically done incorrectly. The timing after surgery is also very important, because swelling, scar firmness, and tethering can continue to change for many months.

I would be cautious about liposuction around the mouth as a first correction unless there is a very specific pocket of excess fat on examination. In a thin patient, removing more fat can sometimes make dents, tethering, or an unnatural ledge look more obvious. Fat grafting can help camouflage depressions in selected cases, but if there is scar tethering, implant malposition, or a structural contour problem, fat alone may not fully correct it.

Before doing another procedure, consider an in-person second opinion with a board-certified plastic surgeon or facial plastic surgeon who does revision facelift work. Ask them to evaluate the chin implant position, scar tethering, fat-graft areas, and whether any revision should wait until tissues are softer and more mature, often 6 to 12 months depending on when the original surgery was performed.

Connie Hiers, MD, FACS · Answer

I would advise against liposuction of your face because of the potential for nerve damage and the increased aging appearance when you are older. Removing fat now will make you look much older than you would be when you are older. Fat injections or Sculptra injections could be helpful for smoothness now. Sculptra would work well and could be done in many areas if needed. Find someone who does a fair amount of Sculptra injections to the face.

Mats Hagstrom, MD (license on probation) · Answer

Make an assessment on the outcome of a plastic surgery procedure we need to see proper before and after pictures. Having had that many procedures done and not having access to seeing all the before and after pictures limits or ability to make an accurate assessment. Seeing the outcome is something you can just add or remove fat like a body shop putting Bondo in a dented fender is a little simplistic.
To get comprehensive an accurate assessment you need to be in the hands of a face lift master. To find the right provider I suggest setting up multiple in person consultations until you have found the right provider to work with. Revision work is much more difficult than doing primary procedures so they need to find someone who is truly mastered. The art of the facelift is going to be very important. For a second opinion, consultations patient should come prepared, bringing with them copies of all before and after pictures and a copy of your operative report. These are all available from your current providers office upon request. I suggest beginning the process of finding the right provider, I having as many consultations as required to find a sufficiently talented provider to help you.
There are generally only two variables to determine quality cosmetic surgery outcomes. The first is patient candidacy, and the second is the skill of the provider.
For revisional work it’s extremely important to find somebody who has an appointment in their career and specializes exclusively on facelift procedures to have mastered this operation.
Best,
Mats Hagstrom, MD

Lipo after facelift? (Photo)

Answers (3)

More Liposuction Questions

Is a compression garment absolutely necessary for lipo, or optional?

Extra skin or bad Lipo? What are my options? (Photo)

Approx how many fat liters do I have on me? (Photo)

What is my best option for reducing lower face fat? (Photo)

Liposuction - is this a realistic goal? (photos)

Unhappy after tummy tuck - would liposuction alone fix my hips? (photos)

WE SEND PRETTY
EMAILS