I have bruising and skin bunching 3 months after a MACS Facelift. Will it resolve?

Question

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.

Kenneth Hughes, MD · Answer

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

Kevin Sadati, DO · Answer

You need to make a consultation with a facelift specialist to evaluate your condition. You may need a revision facelift to reposition your SMAS in a correct way.  If you need help please contact our office

Jed H. Horowitz, MD, FACS · Answer

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.

Larry S. Nichter, MD, MS, FACS · Answer

Without photos and an exam as well as reviewing your surgical note details it is not possible to give accurate opinions or advice. I suggest that you return to your plastic surgeon with your concerns.

Vincent N. Zubowicz, MD · Answer

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.

I have bruising and skin bunching 3 months after a MACS Facelift. Will it resolve?

Answers (10)

Answer: Close Follow Up Required Following Facelift

Answer: Close Follow Up Required Following Facelift

Answer: Short incision facelifts are indicated in only a small subset of patients.

Answer: Short incision facelifts are indicated in only a small subset of patients.

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Everything you need to know about MACS Facelift

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I have bruising and skin bunching 3 months after a MACS Facelift. Will it resolve?

Answers (10)

Answer: Close Follow Up Required Following Facelift

Answer: Close Follow Up Required Following Facelift

Answer: Short incision facelifts are indicated in only a small subset of patients.

Answer: Short incision facelifts are indicated in only a small subset of patients.

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Recommended reading

Everything you need to know about MACS Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.