I am s/p midface lift. I am left with ridges under my temples, lateral to my eyes. And what I think are my buccal fat pads are very prominent. I had SMAS; it seems to be pulled mostly laterally. I previously had filler( 4 years ago) over my cheeks, 1/2 vial of Juvederm that varies in size. My face looks almost square-shaped. This was a year ago. Can anything not too invasive be safely done?
2 photos
Answers (1)
From board-certified doctors and trusted medical professionals
MOST RECENT
May 9, 2025
Answer: Perhaps
Jeffrey H. Spiegel, MDBoard Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
The redundancy that you see is secondary to platysmal muscle underneath your skin. One option for you to consider would be an incision just underneath your chin, suturing/partial resection of your platysma muscle in the midline to tighten it and remove the redundancy. Without this redundant...
As a general rule, in patients with a fuller or rounder face, the SMAS is trimmed so the overlapping of the SMAS doesn’t add additional fullness to an already full face. In patients with volume depletion of their face, the overlapping of the SMAS can accentuate the facial volume resulting in a...
All facelifts involve elevating the facial skin a certain distance, depending upon the patient’s needs. Where they vary is what is done with the next layer underneath the skin which is called the SMAS and is a strong fascia layer . Suturing the mobile SMAS upward to the fixed SMAS is a SMAS p...