I am 5 weeks post short scar lower face lift. I feel my jaw line is pulled too vertically and looks unnatural. I can actually see my lower jaw move when I talk. I also have noticeable pleats behind my ears. My surgeon says my jaw line looks great and the pleats will go away. Should I seek a revision and when?
March 4, 2016
Answer: Is jaw line pulled too vertically/sharply and are pleats behind ears normal after short scar lower face lift? Hi, I have performed many facelifts over the past 30 years. My goal with each and every facelift is to create a face that's more shapely, feminine (or masculine) and naturally beautiful or handsome. Over-pulled, with or without pleats IMHO does not accomplish that goal. From the attached photos, the cheeks are still flat anteriorly (in the front), the posterior jaw line (close to the ear) is concave and the chin is weak. The neck pleat can result from pulling excess neck skin through a small incision that creates tissue bunching or a pleat. 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. Jowls are sagging facial tissues and an indication for some form of a SMAS facelift. 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-opAt 5 weeks, post-op, it's probably best to see if the pleat relaxes over the next month or two and consider shaping the anterior cheeks and posterior jaw line, with a dermal filler, to soften and feminize the face. This will reduce the "over-pulled" appearance again, IMVHO.Hope this helps.
Helpful 1 person found this helpful
March 4, 2016
Answer: Is jaw line pulled too vertically/sharply and are pleats behind ears normal after short scar lower face lift? Hi, I have performed many facelifts over the past 30 years. My goal with each and every facelift is to create a face that's more shapely, feminine (or masculine) and naturally beautiful or handsome. Over-pulled, with or without pleats IMHO does not accomplish that goal. From the attached photos, the cheeks are still flat anteriorly (in the front), the posterior jaw line (close to the ear) is concave and the chin is weak. The neck pleat can result from pulling excess neck skin through a small incision that creates tissue bunching or a pleat. 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. Jowls are sagging facial tissues and an indication for some form of a SMAS facelift. 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-opAt 5 weeks, post-op, it's probably best to see if the pleat relaxes over the next month or two and consider shaping the anterior cheeks and posterior jaw line, with a dermal filler, to soften and feminize the face. This will reduce the "over-pulled" appearance again, IMVHO.Hope this helps.
Helpful 1 person found this helpful