Mid 50s, 148lbs, 5'7, marionette lines returned, suggestions of a way forward other than fat transfer please? (Photos)

Question

I am mid 50's, 148lbs and 5 foot 7 tall. I had a combination of SMAS/Deep plane facelift early 2022. Within a few weeks of my lower facelift surgery my marionette lines returned. My surgeon has recommended a fat transfer to lift them. I asked of a revisit revision and was told the maximum was done first time. Are there any other possibilities that may help as none have been offered? Thank you in advance.

Ronald J. Edelson, MD · Answer

Your skin probably stretched out a bit over seven months. A secondary skin tightening would be more effective than fat transfer. A minor revision that can be done under local anesthesia. Not a full revision

Farhan Taghizadeh, MD · Answer

Dr. T definitely recommends using filler around the mouth area to address the volume loss, that usually won't get fixed by a Facelift. He also recommends following up with treatments like Radio Frequency, etc.

Darryl J. Blinski, MD · Answer

You are correct as seen in the posted photos a revision of a full skin face/neck lift needed. Fee $12,000. Best to virtual consult with....

Mid 50s, 148lbs, 5'7, marionette lines returned, suggestions of a way forward other than fat transfer please? (Photos)

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