Internal Scar Tissue after Facelift - how can this be corrected?

Greetings from Washington DC!This is a great question and is one that I get asked frequently. There are many semantic issues in the realm of facelift surgery and when you add additional trademarked names, it gets even more confusing. There was a time that I was offering SMAS lifts as my...

The biggest questions to ask pertain to exactly what type of surgery will be performed. I have found that many surgeons say they perform deep plane facelift surgery and, in fact, are not. Few points below: 1. Is the proposed operation true deep plane facelift or extended deep plane facelift?...

Thank you for your question. This question highlights an important point. In general, during any facial rejuvenation procedure, the surgeon will try to preserve facial fat volume as much as possible. We avoid removing fat unless absolutely necessary. Small areas of fat, such as the area you...

The extent of your facelift incisions is largely determined by the amount of rejuvenation you need. Those are less aging can tolerate shorter incisions, and still get a good result. Typically, someone in their 60s needs incision around the sideburns, in front of the ears, around the earlobes,...

Thank you for sharing your question and photos. The irregularity is either fat in the lower eyelid (very likely) or poorly positioned fat graft (less likely). A transconjunctival lower eyelid blepharoplasty would likely address this issue. I would not recommend steroid injection into this area...