This is 14 months posts facelift.
To me this looks like lateral sweep.
Am I right or wrong?
This pic was taken 14 months post facelift that looked perfect.
I have been This was taken 14 months post facelift.
Before this time it was smooth and perfect.
Was would cause this and what would be the solution?
Thanks.
Thank you for your question!
You submitted a photo which zeros in an area where there appears to be tension lines in
your face.
And in your question, you described that you had a facelift done 14 months prior and until
now, everything looked really good.
And you're asking if this is a lateral sweep and of course why did this happen and what
to do.
Well, to begin with, when evaluating a patient with any type of unusual appearance after
a facelift, it's more than a photo to guide you what to do.
First I would advice that you meet the original surgeon who did your facelift.
If everything looks very good until recently, then chances are that your surgeon will have
some kind of explanation as to what has happened.
Every surgeon who does face lifting surgery has their own signature style and has an understanding
of what their patient looks like during their procedure.
So you can always come up with many ideas as to why someone with a relative lateral
sweep, one, it has to do with the relaxing with every face and neck lift procedure.
It is our intention as surgeons to maximize the tone of the muscle under the skin called
the SMAS or the superficial Musculoaponeurotic system as well as to redrape and trim the
excess skin in a way so that it goes on very smoothly and looks nice and natural and does
not have vectors of tension.
So when you have a lateral sweep tension, it can sometimes be from descent of one area
of the face where it was higher and came down almost like a pleat action.
It could be the resolution of swelling that was present and made the area look better
and then as the swelling went down, and again, changes in tissue dynamics cause this pleating.
It could be the skin quality.
There are many different ways to look at this type of issue and in a physical exam, the
surgeon would actually vertically lift different area and feel for areas of tension and opportunity.
This may be something that is amenable to fillers.
It could also be amenable to minimal enhancement.
So, although you submitted a very good photo, I think physical exam has to be performed.
Now if you're comfortable with your original surgeon, then, by all means, that's probably
where you'll find your solution.
If for any reason you aren't comfortable, then getting additional opinion is of course
warranted.
So that being your choice, meeting with doctor and getting additional opinions, you'll get
a better handle as to what's going on at this 14 month point of your process.
So I hope that was helpful, I wish you the best of luck and thank you for your question!