I had a modified macs facelift 3months ago but still have bruising on my cheeks and bunching under the skin.. Will it go? Also when I speak my mouth pulls down to the side and it makes me look sad. It looks like the muscles haven't been lifted upwards. I had fat transfer to the face at the same time, also have pouches at the corners of my mouth which look strange. I'm really embarrassed and am aware of my family staring at me.
MACS Facelift Problem?
Doctor Answers 10
MACs facelift issues at 3 Months
MACS facelift utilizes pursestring sutures and a shorter scar. The vertical pull and nature of the pursestrings has to be done in a very precise manner to avoid distortion. Ask your surgoen what can be done. If you are looking for a revision after about 6 months or so, find a plastic surgeon with ELITE credentials who understands the complexities of many facelift techniques and can move between them. Kenneth Hughes, MD Los Angeles, CA
Thank you for your MACS Facelift question. I am sorry you have this problem.
- Your 'bruises' may be post-inflammatory hyperpigmentation - skin darkening from irritation. Glycolic peels and 4% hydroquinone may help.
- Bunching under the skin is from the deep suture - 6-12 months to subside.
- Bunched skin usually needs to be re-draped, surgically.
- Mouth pull-down may be from surgery, fat transfers or nerve weakness. Consider a second opinion from a Board Certified Plastic Surgeon to figure out the best way to approach this. Hope this helps!
You may need a revision concerning the bunching of skin. The bruising should have resolved. You will need to see your surgeon concerning that issue. Sounds like the fat transfers are not distributed well. Again your surgeon will need to develop a plan for you.
MACS facelifts like any other procedure have certain indications which it would be useful. It is not a facelift for all.
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Macs facelift issues
I am personally not a fan of the macs facelift as I don't like the vertical pull on the skin or the heavy duty plication sutures in the SMAS substituting for a SMAS flap. I'd suggest you go back to your doctor for an exam and if you have lost confidence, seek another opinion. You should have been mostly healed by now.
Macs facelift complications.
Only your surgeon can answer your questions without me examining you directly to see what I think is going on. Get a second opinion if u r still not happy after u see your surgeon.
Bruising 3 Mos Post MACS Facelift
The healing process in general can take up to one month for the majority of swelling to subside, incisions to close, sutures to come out, and for bruising to completely go away. #Recovery time from a #facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift can easily hidden with “camouflage” make-up which you can learn how to apply.
The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. However, if you have certain concerns about the procedures and #healing process, it is best to call your board-certified surgeon or their medical staff and discuss those #concerns.
MACS facelift problems
Close Follow Up Required Following Facelift
Short incision facelifts are indicated in only a small subset of patients.
While admirable, miniaturized operations have to be properly applied. The more skin removed the longer the incisions have to be – end of story. When trying to remove a large amount of skin through small incision gathering up of the remaining skin is inevitable. The only solution is to lengthen the incision and remove the surplus. Your other issues could be addressed the same time.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.