Still Some Jowls After Face Lift and Neck Lift? (photo)

From a professional standpoint, I think that you have a rather good initial result at 3 months.  The slight depression on the right side is most likely the area where the SMAS was mobilized and should resolve soon. As other posters have noted, more time (at least 12 months) is required before a final analysis can be made.  Be careful: the stigmatic look of an overdone Facelift is best avoided and sometimes impossible to correct.

Thanks for the question. First 24-48 hours after the operation face will be swelling. After 48 hours swelling will be decreases. Scalp area stitches are taken from the day 10. Final results may take 1 month. Patients can return to work after 1 week. The effect of gravity varies according to the aging speed and lifestyle but it provides an average permanent effect of 10 years. I wish you all the best.

   You have an outstanding result, and ANY plastic surgeon would put you on the website.  I think you should thank your plastic surgeon.

In facelift sugery, natural improvement is the goal, not looking pulled.  Your early results look promising.  As your tissues continue to heal, you may notice some areas which may improve with further procedures which may include facial fillers.   

 

 

You have wonderful results!  I don't think any additional treatment is necessary at this point.  Plastic surgeons have been adjusting their techniques for decades to avoid the operated look to their results and a vertical approach has helped.  If your jowls do return to a more significant degree, I would agree with your plan of liposuction.  In my practice, we would offer the patient with jowl recurrence after facelift, laser liposuction treatment.    Congratulations!  You look fantastic!

If you've had a face lift recently and are anxious to see further results, then you might consider adding Ultherapy. Ultherapy is a non-surgical device that can be an excellent complement to those who choose surgery, helping to further lift, tone and tighten skin. We often combine both surgical face lift - the "gold standard" - with this non-surgical treatment to maximize lift. Our patients love their results.

I think you have a good result from the facelift.  I'm not sure what the contour abnormality of the right cheek is but your plastic surgeon will.  Save for that, things appear to have worked out quite well for you.

Lolita, I think you answered your own question when you opined that you may just be "too picky". At one month you look and seem to feel good about your result. In fact, your arrows do not indicate recurring jowls but you seem to have a little retained swelling in the area of your SMAS tightening. This would be totally normal and any treatment other than gentle massage would likely make it worse. You should smile and continue a good skin care regiment in some way based on the use of Retin A. Further liposuction could be a disaster and very difficult to repair.

Hello,

Thank you for the question and photo.  For some patients the jowls are the most difficult to fully correct.  When this occurs several options are available including Ulthera.  Ulthera is a non invasive ultrasound based deep tissue tightening treatment that can be used to tighten the jowls.  It will not produce results as powerful as a face lift but it can potentially give you the improvements you seek.

All the best,

Dr Remus Repta 

I would concur with the other opinions that you have a good result. Three months is far to early to consider any other supplemental procedures. I would wait for at least six more months as the final results of the facelift come into effect. At that point you can assess whether or not you would want supplemental treatments such as facial fillers, laser resurfacing etc.