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The risks of flap loss in a smoker are significantly greater than in a nonsmoker. The rate is so much higher that most plastic surgeons will not operate on smokers who want a facelift. There are technical aspects of dissection that can limit the risk of flap loss but this will always be a possibility. If you are still smoking, you need to make sure that your surgeon knows this. Kenneth Hughes, MD Los Angeles, CA
Smoking causes immediate constriction of blood vessels. These are the same blood vessels that nourish the skin that is lifted and tightened with a facelift. Therefore, facelift surgery in a smoker can potentially result in full thickness skin loss and resultant scarring. Most plastic surgeons, myself included, will not perform facelift surgery on people who are currently smoking for this reason. This is a totally elective surgery and you would be well served to delay the procedure until you can curtail smoking.Stephen Weber MD, FACS
Facelift in a smoker can cause skin to die, and major scarring. There are techniques that will inimize this risk but you will always have that risk regardless of hoe carefull and what technique is used. If you can not stop smoking do not do the surgery
Thank you for asking about your face lift recovery.What you describe is entirely normal.Personally I don't use staples because of the pain they cause. You will be much more comfortable when they are removed. Hope this helps. Best wishes. Elizabeth Morgan MD PHD FACS Board Certified Plastic ...
Hi, thank you for the question. Absolutely, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS. The reality is, there are many different ways to perform a facelift from incision length, incision placement, level of tissue dissec...
The swollen ear/ears are not the norm, PLEASE seek immediate care from your chosen surgeon or urgent care/emergency room. Could be infection/bleed/edema. Keep us in the loop as the the issue.
Hi, This is virtually impossible. It's the equivalent of having a breast lift and injury to the eustacian tube or middle ear. See a specialist and explore other sources for you problem. Best, Dr.S.
I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...
It is a good idea to contact an ENT to ensure their isn't a blood clot around the ear area. Contact your surgeon for a referral to an ear, nose and throat doctor. Good luck!
