50 year old female, is there a risk of broken capillaries from lower facelift/neck lift?

Question

I am a 50 yr old female considering a lower facelift/necklift to address sagging/crepey skin/jowling. I am very prone to broken capillaries and have experienced increased incidence with waxing on my upper lip, fillers in nasolabial folds as well as around my nose and on my cheeks from heat from bathing etc. Is there a risk of an "explosion of broken capillaries" on my face with these surgical procedures?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Lucian Ion, FRCS · Answer

Thank you for your question.

When raising skin flaps there is inevitably a risk of the circulation changing and with these for increased visibility of red patches in the skin.

Although this is uncommon, in very fair skin the translucency shows the redness more readily.

More conservative changes with lateral tightening of the skin and underlying SMAS layer involving limited skin flap elevation may be preferable in your case.

Treatment for the redness with intense pulse light or laser following skin rejuvenation surgery represents another option.

Dilip D. Madnani, MD, FACS · Answer

It all really depends on what your skin looks like. There is increased 'vascularity' of the skin over the areas of the surgery for the facelift, so yes, this can happen, however, there are treatments such as IPL lasers that can help with this.

We routinely offer our patients aftercare with lasers to further improve their facelift results and this is one of the treatments that we perform.

Usually the capillaries are limited to the area that the surgery is performed, not other parts of the face

50 year old female, is there a risk of broken capillaries from lower facelift/neck lift?

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