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Would a revision correct sagging and indents or should I consider other options? 18 months post op (photos)

M
moon_skyMay 17, 2024

I had a lower face lift 18 months ago. Around my incision is still quite saggy and I have strange sort of indents have are very noticeable. I’m extremely self conscious about it. Do I need a revision, or can this be treated with a different procedure?

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Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
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Answered on Sep 11, 2024
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Dr. Connie Hiers, MD, FACS
Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
Answered on Jun 4, 2024
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Anil R. Shah, MD

Facelifts can be difficult. the question is when to revise. in your case there is still residual areas for improvement but sometimes its not where you ended up but where you started. That being said, a deep plane lift can often address many changes more powerfully, especially when done with...

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Tanveer Janjua, MD

A revision neck surgery like platysmaplasty, excision of sub platysmal fat and possible partial digastric muscle excision will help. It will help with the jawline definition as well. Regards Dr. J

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Gianfranco Frojo, MD

All of these are excellent reasons to undergo a revision facelift. The best way to treat the pixie ear deformity is to lift the deeper tissues and alleviate the tension on the ear lobule/face skin interface. I would also re-excise those scars behind the ear and re-close them without any tension....

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Gianfranco Frojo, MD

I would recommend a revision face/neck. There is a cobra neck deformity in the neck. The band in the left lower face is likely a contour deformity in the SMAS created from the pull or a rent/tear in the SMAS when attempting to suspend the face. At this level it would be platysma muscle (which...

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Gianfranco Frojo, MD

Pixie ear deformity is due to excessive tension on the skin at the time of closure. The best way to fix this is a revision facelift. This will permit recruitment of the extra skin/tissue laxity by lifting and tightening the deeper tissues while alleviating the tension on the skin closure.

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Gianfranco Frojo, MD

This is a classic presentation (Cobra neck deformity) after certain maneuvers/techniques performed in facelift/necklift. There was excessive removal of the midline fat in between the platysmal bands. The prominent bulges in the lateral part of the neck are the submandibular glands. It also...

+6 answers
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