Fix a endotine cheek lift?

Question

I had a endotine cheek "lift" 3 years ago with neck lipo. Unfortunately, all it did was give me big cheeks and sagging jowls, and numbness on my upper lip and also there is still a lump on one side of my head. I am planning a facelift this summer and hope that this will help to give me back my natural small heart shaped face. Do you think this is the correct thing to do?

Ali Sajjadian, MD, FACS · Answer

Hello and thanks for your question.Endotine may need to be removed, re-fixed in position or sutures be used to correct the lift.An exam would be needed to give specific answer. you may need fat transfer, filler or face lift depending on what bothers you.Best wishes,Dr sajjadian

Vincent N. Zubowicz, MD · Answer

Since you're planning a facelift in the future this will be a good time to remove the endotine Which probably should not have been placed in the first place.

Konstantin Vasyukevich, MD · Answer

Facelift is definitely the right procedure to achieve the results you are looking for.  Endotines would likely need to be removed during the facelift, which might reverse some of their side effects.Best of luck!Dr. Konstantin

N. Bill Aydin, MD · Answer

Unfortunately, the minimally invasive procedures sometimes do not result in complementing outcome and can be the wrong fix.  It sounds like the facelift is what you need but one cannot say that without good pictures or consultation.  You should get couple of consultations to hear some perspectives.

Christopher R. Hove, MD · Answer

The endotine mid face lift device usually gives good reliable results, so I'm sorry to hear about your problem.  The mid face can be a tricky area.  I agree that a traditional facelift (rhytidectomy) would be a wise direction in which to proceed, but I would have to examine your face to be completely confident with that answer.  Be sure to tell your consulting surgeon about your prior experience so that they know exactly what was done- this will allow them to adequately plan and prepare for your surgery and eliminate any surprises during the procedure.  Any remaining portion of the endotine would likely need to be removed so that it is not affecting the ultimate results.

Jose Barrera, MD · Answer

The midface lift works well to lift the malar fat pad. The malar fat pad is conformational and preserved throughout aging (see our publications on preserving the malar fat pad in aging face). Endotine implants are used to elevate the midface, but if not placed properly, they can cause asymmetry and do little for the melolabial folds (smile lines). A facelift may be an option but is usually designed for the neck and lower face. I would also consider dermal fillers like juvederm or restylane or more lasting fillers like volume and sculptra.

Robert H. Hunsaker, MD · Answer

Without an evaualtion in person and full discussion with you, there is no way to advise you. Just because a procedure CAN be dome or MAY help, does not mean it will. Your expectations are the most critical piece of information that need to be clear. Only then can we start to evaluate if and what method there may be to reach your goal.

Robert Singer, MD · Answer

Following advice from a
surgeon on this or any other website who proposes to tell you exactly what to do without seeing photos and without examining you, physically feeling your
tissue, assessing your desired outcome, taking a full medical history and
discussing the pros and cons of the operative procedure would not be in your
best interest. Natural appearing results need to be individualized and what is
appropriate for one patient is not necessarily the best for someone else. I
would suggest that you find a surgeon with extensive rhinoplasty experience
certified by the American Board of Plastic Surgery and one who is ideally a
member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person. Robert Singer, M.D., FACSLa Jolla, California

Barry L. Eppley, MD, DMD · Answer

A facelift will certainly improve your neck and jawline. The cheeks may or may not be improved based on what your cheek problem/anatomy is now. This may require some form of a cheek lift as part of the overall facelift plan. Pictures would be needed to provide a more informed answer.

Richard O. Gregory, MD · Answer

No photograph is submitted.  It sounds as though you realize that you should have had a facelift in the first instance.  Now you have to deal with scars as well as aging and distorted anatomy.  Sometimes it is difficult to return to a relatively normal appearance in dealing with these minimally invasive procedures which frequently fall short of the goal.  I agree with the other surgeon in that you need at least two opinions from respectable plastic surgeons.

Fix a endotine cheek lift?

Answers (10)

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