Hello, I've asked for help with this problem before. My crows feet are far worse after a facelift and not natural looking. Particularly the left side which has distinct folds when I smile. As suggested on realself I had botox, 3 months ago and again 2 weeks ago. I also had deep laser performed 8 weeks ago (full field ablative Sciton erbium). However dispite this my crows feet are still significant, but what bothers me the most is the unnatural looking folds. Please help.
Answer: Crows feet after facelift. This happens occasionally after a facelift. As you can imagine, when you lift the mid and lower facial tissues superiorly and posteriorly, it can make the areas around the eyes worse. Botulinum toxin helps, but not completely. It is sometimes necessary to lift some of the temporal skin at or behind the hairline. This can make a tremendous difference and can be done under local anesthesia. I would consult with your original surgeon to go over options.
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Answer: Crows feet after facelift. This happens occasionally after a facelift. As you can imagine, when you lift the mid and lower facial tissues superiorly and posteriorly, it can make the areas around the eyes worse. Botulinum toxin helps, but not completely. It is sometimes necessary to lift some of the temporal skin at or behind the hairline. This can make a tremendous difference and can be done under local anesthesia. I would consult with your original surgeon to go over options.
Helpful 1 person found this helpful
September 29, 2017
Answer: Un-natural lines after facelift Dear Aussie,Thank you for your question. As mentioned, you have been abnormal and excessive rotation of the facial flap bilaterally, left greater than right. Correction, unfortunately, would require another surgical procedure. There are some challenges with a revision procedure as you appear to have had your incision placed in front of the ear tragus (the pointy part of the ear in front of the ear canal) on both sides. This makes a corrective procedure more possible, but it also makes any surgical result more visible. I hope this helps you as you find the best answer for you.My best,James M. Ridgway, M.D., FACS
Helpful 1 person found this helpful
September 29, 2017
Answer: Un-natural lines after facelift Dear Aussie,Thank you for your question. As mentioned, you have been abnormal and excessive rotation of the facial flap bilaterally, left greater than right. Correction, unfortunately, would require another surgical procedure. There are some challenges with a revision procedure as you appear to have had your incision placed in front of the ear tragus (the pointy part of the ear in front of the ear canal) on both sides. This makes a corrective procedure more possible, but it also makes any surgical result more visible. I hope this helps you as you find the best answer for you.My best,James M. Ridgway, M.D., FACS
Helpful 1 person found this helpful
July 23, 2017
Answer: Exaggerated Crow's Feet after Facelift. What to do? You have a well performed facelift. However, during animation you have exaggerated crow's feet and wrinkles on your cheeks. I would recommend two procedures to improve these problematic areas. First get treatment with Vivace, a radio-frequency and micro-needling device, to tighten the deep tissue. Then have volume added to the area using either temporary fillers or Fat Grafting with PRP for a permanent results. You certainly required to have volume replacement in the area.
Helpful
July 23, 2017
Answer: Exaggerated Crow's Feet after Facelift. What to do? You have a well performed facelift. However, during animation you have exaggerated crow's feet and wrinkles on your cheeks. I would recommend two procedures to improve these problematic areas. First get treatment with Vivace, a radio-frequency and micro-needling device, to tighten the deep tissue. Then have volume added to the area using either temporary fillers or Fat Grafting with PRP for a permanent results. You certainly required to have volume replacement in the area.
Helpful
July 21, 2017
Answer: Post facelift creases You have somewhat unusual problem, as you look quite good when not smiling. Since Botox and laser treatment did not provide any improvement, the next step would be Structural Fat Graft in the affected area. This treatment could possibly provide some tissue that would allow for better skin distribution when smiling.
Helpful
July 21, 2017
Answer: Post facelift creases You have somewhat unusual problem, as you look quite good when not smiling. Since Botox and laser treatment did not provide any improvement, the next step would be Structural Fat Graft in the affected area. This treatment could possibly provide some tissue that would allow for better skin distribution when smiling.
Helpful
Answer: Hope this helps! It appears that you've experienced an abnormal and excessive rotation of the facial flap, particularly on the left side. I'm sorry to hear about your experience. To address this issue, a corrective surgical procedure may be necessary. However, I'd like to highlight that there are unique challenges involved due to the initial incision placement in front of the ear tragus on both sides. While a revision procedure could potentially improve the situation, it's important to consider the visibility of any surgical outcomes due to this incision placement. If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.
Helpful
Answer: Hope this helps! It appears that you've experienced an abnormal and excessive rotation of the facial flap, particularly on the left side. I'm sorry to hear about your experience. To address this issue, a corrective surgical procedure may be necessary. However, I'd like to highlight that there are unique challenges involved due to the initial incision placement in front of the ear tragus on both sides. While a revision procedure could potentially improve the situation, it's important to consider the visibility of any surgical outcomes due to this incision placement. If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.
Helpful