Lower facelift in March 2023 - do I need a facelift revision? (Photos)

Question

I had a lower facelift in march 2023 it looks like i never had anything done will another facelift help the strange sagging around my mouth ?

Anil R. Shah, MD · Answer

Hi,

I'm sorry to hear about your experience. From the photos, it appears that a revision facelift could potentially help, but it's crucial to understand what areas were addressed in the initial procedure. Since your head is down in the photos, it's challenging to assess your skin's condition accurately. It would be wise to consult with a surgeon who can evaluate your skin and determine the best course of action. Additionally, taking care of your skin is essential to maintain its laxity for any future procedures.

Gianfranco Frojo, MD · Answer

I would perform a secondary facelift and necklift. This is just my personal opinion. I would like to address the neck laxity more and the corners of the mouth.

Jeffrey Lisiecki, MD · Answer

Yes, this irregularity is likely related both to your initial aging and to how your facelift was performed.  Revision facelift would release and redrape this area, and I would couple it with fat transfer to the oral commissures at the same time to help smooth the area and improve the skin quality and texture.

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for submitting your photos and question! We have a limited view of your face and neck from these angles, but from what I can see there appears to be room for improvement around the neck and jawline that could warrant revision surgery. You may also consider a lip lift to help correct the downturned appearance at the corners of the mouth. With an in-person consultation and/or a standard set of photos, further guidance can be provided.
Best,Dr. Tower

Ronald J. Edelson, MD · Answer

The photos are limited in what they show. I do see you have some laxity in your neck but your neck is twisted in the photo. You’re going to need to be seen in person to get a good second opinion

Stephen Prendiville, MD · Answer

The photos do suggest laxity ad a revision may be worthwhile at the 1 year mark.  However, an examination, a review of your preop photos and history is necessary to make this determination.  It is important to remember that a facelift should not be utilized to correct the area around the mouth, which leads to a "wide mouth" strange look.

John Michael Thomassen, MD · Answer

The can be some relapse after a facelift in the area of the jowl/marionette lines.  In these cases a revision under local can help correct this for more longevity of the results.

Andrew Kornstein, MD, FACS · Answer

Oftentimes even when a deep layer facelift technique is done properly the quality of the deep facelift layer is poor so there is a recurrence of "sagging"
My suggestion is a deep facelift layer non surgical lift technique that tightens, lifts and rejuvenates removing/reducing the laxity causing your issue 
Hope this helps

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial photographs from all angles to make a determination about how best to proceed. A Copy of the operative report would also be helpful to find out what type of facelift you've had in the past. Also best to wait at least one year to allow for full healing before embarking on another procedure. It's also important to understand that a facelift will not remove wrinkles around the mouth.

Darryl J. Blinski, MD · Answer

Based on your 2 posted photos you needed mini face and neck lift with SMAS Plication. Now you need redo. Fee $8,000+/-. Best to virtual with ….

Lower facelift in March 2023 - do I need a facelift revision? (Photos)

Answers (10)

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