Need a Redo After MACS Face Lift Jowls Not Lifted? (photo)

   There are so many varieties of facelift, and MACS facelift can lift the jowls as readily as any other variety.  Perhaps the dissection was not extensive to get the appropriate pull or the sutures were not tight enough.   In general, you should be able to accomplish your goal with the MACS lift.  Kenneth Hughes, MD Los Angeles, CA

You have persistent heavy jowling after a facelift - MACs lift or other technique - this indicated that the zone of adhesion creating the jowling was not adequately addressed, nor was the SMAS layer of the face sufficiently resuspended. 

After studying your photographs, I do understand why you wish to further improve your facelift result. For you revision surgery, I would recommend a somewhat more assertive jowl and neck lifting procedure. I would recommend a deep-plane or high-SMAS lift which should provide significant benefit with excellent longevity, especially when combined with conservative fat grafting.

In the search for less invasive operations miniaturized procedure seven introduced. Unfortunately, they often times lead to disappointing results is a restrict the options for the surgeon.

If you are not happy with the results following your facelift, then either the expectations were not properly agreed upon prior to surgery, and/or the incorrect procedure was performed, and/or the correct procedure was performed incorrectly.  I would recommend discussing the details with your surgeon and possibly seeking additional opinions to determine what your options are at this point. 

Mario J. Imola, MD, DDS, FRCSC.