3 Months Post-Facelift and Still Have Jowls

My jowls have decended. The Dr. agree's he would need to re-do my surgery. I'm still numb and sore, I worry if he's qualfied since it didn't turn out right the first time. My face still feels tight. Should I go to another Dr. who does smart lipo and have my jowls done or do you think I need to go thru it all again? I would also like to add I had ten days of severe pain and couldn't open my jaw wide enough to eat solid foods for about three weeks. Another Dr. I saw said that wasn't normal.

Doctor Answers 21

Smartlipo of jowls can damage nerves-Seek a second opinion on jowls after Facelift

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While Laser Assisted Liposuction techniques like Smartlipo and SlimLipo can do an excellent job on the neck, one must be VERY CAREFUL trying to correct jowls with these laser techniques. The Marginal Mandibular Nerve which controls the mouth run very superficial near the jowl and can be injured by the laser and or suction cannula. I have seen reported cases of paralysis of the lip following Smartlipo done elsewhere by other surgeons.

Seek a second opinion. Most likely you will need a revision of your Facelift if jowls have recurred soon after a Facelift. Finding a good surgeon is very important especially for revision work. Word of mouth and seeking testimonials of patients is a good start

Issues with jowls 3 months after face lift

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 You may just want to get a couple of other opinions before proceeding with any other procedure, treatment or revision face lift.  Since there are no pictures, of your face, it's difficult to judge whether there are jowls, loose skin, excess fat..all of which contribute to and determine the best course of action.  I do believe that it's always in the best interest of the patient to return to their original surgeon as long as they still have faith in their ability to get the job done.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Revision Facelift

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If it has been three months since your facelift, then all the changes that are going to occur should be done by now.  If you are still having some jowling, then that may need some tightening of the muscle system (SMAS), or some focused liposuction.  Without seeing you in person, it is hard to give you an accurate idea.  If you trust your surgeon, and have a good rapport with he/she, then they are usually best to perform the revision since they know exactly what went on during surgery.  If not, then find a board certified plastic surgeon in your area and go for a second opinion.  I hope this helps.

Jowls 3 Months After Facelfit

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It is not normal to have jowls three months after a facelift.

There is no role for liposuction in your situation.

You wonder if you should return to the physician who did not perform the operation correctly in the first place. 

Listen to yourself

Richard Sadove, MD
Gainesville Plastic Surgeon
4.9 out of 5 stars 32 reviews

Jowls 3 Months after facelift

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Sounds a bit peculiar to still have jowls after a facelift procedure. You may want to consult with 2 or 3 other surgeons prior to committing to another surgery. I would wait at least 6 months before considering a revision.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Jowls after facelift.

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Liposuction is not the answer. The jowl fat needs to be repositioned at a higher level. You need that fat to keep the "balloon" inflated, otherwise your skin will sag. See your original surgeon about the proposed surgery and get another second opinion before deciding who should do it.




Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Jowls after facelift

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Swelling from a facelift can take some time to resolve and this swelling could mimic jowling; However, at 3 months, it is odd that the jowling is still present.  Liposuction or smart lipo is not a good idea in this area.  Talk to your surgeon about your concerns and visit a couple of others to get different opinions and then decide.  Also, wait at least 9-12 months before having it revised.

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 50 reviews

Other opinions are needed

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Good morning!

It sounds like you would be best suited to get at least one more opinion from another surgeon as to what would be best for your  issues at hand.  Be sure to see a reputable well established board certified plastic surgeon.  This is your face, and spending a few hundred dollars on consulting fees are well worth it to be sure you are getting good non biased advice as to what would be best for you.

I hope this helps

Robert Steely, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 63 reviews

3 Months Post-Facelift

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It is very difficult to answer your question without seeing you in person and examining you.  What you perceive as jowls may not be correctable with additional surgery.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Jowls Post-Operatively May Indicate Need for a Touch Up

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I’m not sure how a second doctor can say that this is “not normal”, for depending on the thickness and elasticity of the skin, there can sometimes be the need for a more aggressive touch up.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 145 reviews

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.