why does my facelift hardly look any different? (photos)
Doctor Answers 13
Was a Necklift performed with the facelift?
In general, facelifts clean up the neck and jawline. In your before photo, your jawline has some squaring from the jowls. In the after photo, it appears more heart shaped. Your neck does not appear to be improved in the after photo. I feel that the necklift is the foundation for the facelift. If the neck is untouched, meaning no liposuction and no muscle tightening (platysmaplasty) then the neck will want to return to its original shape, since nothing was surgically changed. Usually the necklift portion of the facelift is the "dramatic" part of the result. Since the neck appears slimmer, and the sagging of the skin under the chin is smoothed out, usually the patients will get comments that they look good, or did they lose any weight, but really they don't really know what was done.
The problem with performing a facelift without a necklift, is that the facelift ends around the jawline area, and the under chin/neck area is not changed. This creates a "tug of war" effect, where the surgeon lifted up the sides, but the neck is trying to pull back down to it's original shape. The lifting of the jowls are being offset by the pulling down of the weight of the neck which will want to pull the jowls back down.
If a structurally sound necklift is performed, then the loose skin under the chin can freely slide upwards along the sides of the face and actually support the facelift/jowl lift, instead of fight against it.
At 7 weeks, you are still swollen. In your before photo, your lower eyelid area blends seamlessly to the cheek and on the after photo, your cheek area, appears swollen and puffier than the lower eyelid area. This should resolve and end up looking more like your pre-surgery photo, where it is seamless. Your upper eyelids appear puffier than your pre-surgery photos, but this may also be temporary swelling. Your upper eyelids most likely have not changed much in appearance since you were younger (Diane Lane type of eyelid).
If you are not happy with your results, you should keep the lines of communication open so that your surgeon knows how you feel. There is no reason to keep these feelings held in for 6 weeks, and I'm sure the surgeon would want to know sooner, than later, so he or she can reassure you or offer you some advice for swelling and perhaps some other treatments in the meantime.
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Not much improvement after a facelift...
Give It Some Time
There are a number of "mini lift" procedures that offer the promise of quick recovery, but they come with more subtle results. I am not sure what procedure you had, but I would give it more time. I also cannot see your neck from the photos, which is an important part of the overall result.
I would also suggest that you discuss your concerns with your surgeon, and ask for before-and-after pictures taken by the physician with standardized lighting and camera for an objective view of the amount of improvement you have gained. Best wishes.
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Seven weeks after a facelift is too early to pass judgment.
Why does my facelift hardly look any different?
Nothing can be said about the final result yet, just 7 weeks after a full facelift. There could still be some slight swelling present and this must first disappear completely. It would be good if you could wait at least 3 months or better 6 months, and then post new before and after photos.
All the best,
Arun Rao Plastic Surgeon Tucson, Arizona
Little Change after Facelift
Revisit the situation soon.
No Change After Facelift Surgery
There are numerous reasons why there may not be a substantative change in your facial appearance after a facelift including the facelift technique used, the degree of the original problem and your expectations of what you thought a facelift could achieve. Now is the time to go back and talk to your surgeon before you get too close to your wedding date.