Hi, I had a deep plane facelift 6 months ago and had hoped that the pulling effect across my cheekbones would disappear, but it continue to be present. When I smile, the pulling causes a downward direction ripple effect (ie the skin doesn't sit flat) and the apple of my cheeks seem to sit quite low. I've considered filler, but am not sure it would help because it feels quite taut across my cheekbones and I can't help feeling that it would flatten any filler anyway.
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Answers (2)
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November 18, 2024
Answer: Improvement in wrinkles through the expression of emotions
Yes, this appears to be "cobra neck," likely caused by excessive fat removal in the central neck during the first surgery, leading to hollowing and exaggerated lateral fullness. Corrective options include fat grafting, platysmaplasty, or skin tightening to restore balance.
MD Erman Ak
Dear Persistent,
Yes, you can still benefit from a deep plane facelift, but results may differ from those with heavier tissue. Thin skin and soft tissue provide less volume for redraping, which can lead to a more subtle lift and a higher risk of visible contours or irregularities. However, a...
This appears to be a hypertrophic scar. It can be improved with steroid injections. It can also be excised down the road once your healing is complete, typically in one year. This can happen from tension on the skin and some people are more prone to it. Using silicone gel helps and some lasers...