6 weeks post op Face/Neck Lift. All good except I am really sad that my jaw line and areas below the corner of my mouth. (photo)
Doctor Answers 14
The jowl region generally leads a very pleasing result after a facelift.
It is still early in the healing process, but adding volume to the jawline and mouth area will help you achieve the 10-year goal
Just a bit about my background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I think I can certainly give you some guidance as facial aging is something I’ve written books and articles about, and have been an information resource on for the media.
In my practice, I always begin my consultations with an explanation of what changes over a timeframe of 10 years when it comes to facial aging. There is certainly a big difference between 40 and 50, compared to 20 and 30, and this has something to do with volume loss. Facial aging is a combination of volume loss and sagging and descent, where volume loss has to do with diminishing bone, muscle, fat, and soft tissue.
There’s also the question of how much structure there is to lift up against. People with weaker bone structure or diminished volume, even if you try to pull, lift and tighten, you won’t get the same look. I think that’s what you're dealing with, though you have addressed the descent by having a face and neck lift.
Now, six weeks is still early in the healing process. The process of wound healing consists of the following phases: (1) the homeostatic phase, where there is a lot of bleeding; (2) the inflammatory phase, which is the first week or so after surgery when we’re removing a lot of the debris from the area; (3) the proliferative phase, which is about a month; and (4) the remodeling phase, which goes on for about a year. It is important to understand that at this point, there is still some healing taking place.
With regard to looking like you did 10 years ago, there’s no need to abandon all hope. We’ve done variations on how to approach this to come up with the best solution for our patients. Some people will combine a chin implant, and a cheek implant at the time of face lifting surgery. It’s important to keep in mind that you can’t always address everything with one surgery, since facial aging has multiple levels.
What we do for our patients in our practice is something called the Y Lift™. The Y Lift™ is a non-surgical facelift that is performed in a very specific way with the help of cosmetic fillers. It makes use of a long-lasting injectable filler such as Juvederm Ultra Plus at the deeper levels to almost mimic facial implants, but at the same time restore contour and volume that are missing. The Y Lift™ works very well on the cheekbones, chin and jawline.
Some people will rationalize that if the surgeon just pulls a bit tighter, things will look better. Keep in mind though that a youthful face doesn’t look pulled - it’s more about balance and volume. Volume placed strategically will probably get you closer to that 10-year point that you want, along with adding the benefit of skin quality improvement with the help of platelet-rich plasma and other modalities.
Remember that with facial aging, the reality is there are certain things that can’t be fully restored to how they were when you were younger, but a lot can be done so you’ll look good at your age. A term I love to use is the “indeterminate age”, and it’s through the achievement of good balance and definition that sometimes people are unable to tell how old you actually are, they just see you as a dynamic individual.
Don’t lose hope yet. Try to get through this healing process first, then discuss what else can be done with your surgeon. I'm sure your surgeon has ideas about how to help you and will, of course, also guide you through this healing process.
I hope that was helpful and I wish you the best of luck!
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Unhappy with results
Discuss your concerns with your surgeon. You may need to address other facets of facial aging including volume replenishment and skin resurfacing. Good luck!
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Disappointed after facelift
I recommend consulting with a facial plastic surgeon to further discuss your concerns and options.
"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
6 weeks post op
At 6 weeks post op, it is too soon to evaluate. You may want to discuss revision options or non-surgical adjustments such as the use of fillers, but I suggest that you wait until 6 months post op to truly assess your results.
All the best
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