7 Months After Necklift/Lower Facelift the Right Side of Face is Drooping, Stinging and Pain, What Do You Recommend?

had necklift and lower facelift 7 months ago. developed lumps under jawline also droopy right side of face still have numbness and some stinging. My surgeon said plastic surgery does not stop the aging process. I was really upset with this response. She dismissed my concerns! What do you recommend?

Doctor Answers 13

Drooping after Facelift and Necklift

First and foremost no surgeon should dismiss their patients concerns so I would suggest going in for a second opinion by another surgeon. Bring your preoperative photographs with you so the surgeon will know what you started with. It is hard to determine if you are having laxity already from your facelift procedure or if you are possibly dealing with some nerve damage. A thorough examination by a good Facial Plastic Surgeon should help answer your questions and concerns. Best regards!

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Drooping after a facelift

A photo in a case like this would be very helpful.  Judging by your description the issue could be due to nerve injury or to recurrent laxity which is a possibility in someone with very poor skin elasticity to begin with.  There may also be a difference with how the procedure was done and the deep fixation may have loosened for one reason or another.

In any case, you should return to your surgeon.  If you have done that and you are not happy with the result of that visit you should get a second opinion by a plastic surgeon who is certified by the American Board of Plastic Surgery.

Thank you for your question and best of luck.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 59 reviews

Drooping after facelift

Unfortunately one of the complications after a facelift is nerve injury.  Most injuries are temporary, but they can be permanent depending on the degree of nerve injury.  I would recommend discussing this with your surgeon since he or she has the best knowledge of any technical difficulties encountered during your surgery.  A second opinion may be helpful but any corrective surgery is best handled by the person who initially performed the surgery.

Tito Vasquez, MD, FACS
Southport Plastic Surgeon
4.7 out of 5 stars 17 reviews

Drooping after facelift

It is possible to have a drooping face from nerve damage or from recurrent sagging of the tissue. If it is nerve damage you likely would have noticed symptoms immediately or within 1-2 days of the procedure. Bells Palsey is another possible cause of asymmetric facial drooping that can occur randomly and result is complete paralysis of one side of the face creating drooping.

It is also possible that the drooping that you are referring to could be recurrent soft tissue drooping. If this is the case you may need revision surgery. Without pictures and a more detailed history it is difficult to determine exactly what treatment plan is best for you. If you are not satisfied with the explanation given by your surgeon I would seek a second opinion from a qualified and experience facial plastic or plastic surgeon. Good Luck!

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Those before and afters are always very helpful.

Unfortunately the way our brains are organized, we never quite remember where we start from.  Instead it is natural to look at ourselves even after a very successful surgery and ask how can it be better.  It is true that surgery does not stop the aging process or the thinking of how to make things even better.  Occasionally people do sag early from a facelift and that may require revisional surgery to address.  It is important to have a surgeon who does not dismiss you concerns.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Revision facelift for droopy face.

I would need to see your face to tell you whether or not you need a revision facelift. Some patients may require a secondary procedure.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Drooping face after Facelift...

I'm sorry to hear about your experience.  It seems like you are describing drooping of the face caused by facial paralysis.  Facelifts need to be done by specialists to avoid any potential damage to any nerves in the area and to achieve natural appearing results.   Facial paralysis following a facelift can be temporary with full return of facial function and loss of droopiness.  However, if this does not return, this can be surgically improved.  Please consult with a board certified specialist who can assist you in achieving the results you desire.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Drooping face, stinging and pain, 7 months after facelift / necklift

This is a difficult question to answer without a thorough history and physical. A second opinion would be best. These issues maybe related, and they many not be related at all. In regards to the numbness: it is normal to have numbness in the areas around the ears and below the chin for many months after surgery. The sensation nerves to the skin usually grow back in time and it is not uncommon for patients to get a "zinging" or "little electrical shock" sensation in the areas of numbness. We attribute these sensations to the nerves growing back.

Paul Stanislaw, MD
Avon Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Right Side of Face is Drooping

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern.  Pre-op photos would show any pre-existing asymmetry.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Drooping after facelift

It's really impossible to say without photos. I would recommend reviewing your before and after photos with your surgeon. Hopefully you will see some nice improvement and maybe some clues as to why it didn't come out as you hoped.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 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.