Horizontal ridges on cheeks after facelift. Can this be corrected with surgery?

Question

I had a facelift just over a year ago. After 6 months I began noticing some horizontal ridges on one cheek, as if the skin had been unevenly pulled. This has gotten a bit worse more recently. Can this be corrected with surgery, or is there some kind of laser or light pulse treatment that could fix this?

George Bitar, MD · Answer

Ridges or contour irregularities still present at one year should be addressed.  Fat transfer can be helpful.  Discuss with your surgeon.

Vincent N. Zubowicz, MD · Answer

It's unlikely to observe further changes one year after a facelift. It sounds as though there may be undo tension on the area in question although there is no photograph provided. Surgical release and re-draping of the skin will probably solve the problem.

Trevor M. Born, MD · Answer

Dear DforantThank you for your question!  As your swelling from your surgery resolves- you may see some changes that require attention.  There are several things that can be done- ultra sound, fillers, fat graft . Please consult with your surgeon.With Warm RegardsTrevor M Born MD

Afshin Parhiscar, MD · Answer

Dear dforantIn the early period following a facelift, there is significant skin and subcutaneous edema. Over time, as the swelling settles, fine lines and irregularities can become more noticeable.  As a  generality, facelift surgery does very little for the appearance and quality of the surface of your facial skin. It repositions and re-drapes fat pads and deep facial structures.Once you are examined, if the lines are a function of deeper asymmetric positioning of structures then a revision could be indicated. Very often, I find small asymmetries can be improved with less invasive techniques. A frank discussion with your surgeon would help you have a better understanding of relevant issues. If you are still not satisfied, a second opinion from an experienced surgeon certified by the American Board of Plastic Surgery would be beneficial.

Boris M. Ackerman, MD · Answer

It is difficult to give advise without seeing some photos.  Some contour irregularities can be improved with judicious use of structural fat graftins, or possibley limited revision surgery.  Only an in person evaluation can determine the proper approach to correct this deformity.

Rafael C. Cabrera, MD · Answer

Thank you for your question. Most unintended results can usually be improved with secondary revisions. Be sure to see your surgeon, so that he can address any concerns that you have. Good luck

Khashayar Mohebali, MD, FACS · Answer

Its hard to comment exactly without seeing your or looking at your before and after pictures.  However, things don't change much after a year.  You should just get seen and see what options you have.  Sometimes, revision surgery, skin care, or lasers can help what I believe you are describing.

Horizontal ridges on cheeks after facelift. Can this be corrected with surgery?

Answers (7)

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