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Facial Surgery Repairs
Although many surgeries are technically simple, the
results at times can be unpredictable. Dr.
Jonathan Hoenig, is an expert in repairing facial plastic
surgery mistakes and complications. The following conditions
are some of the more common undesirable outcomes of cosmetic facial
surgery, usually resulting from a facelift,
browlift, or eyelid
surgery.
Pulled Face / Lateral Sweep
Face lifting techniques have evolved throughout the years. Traditional
face lift surgery concentrated on sagging and wrinkles, and pulled
the skin to remove the wrinkles. This left patients with a swept
or pulled look that was quite unnatural.
Patients with the “pulled” look are characterized
by droopiness of the central portion of their face (midface) and
significant tension along the jawline, leading to what is known
as a lateral sweep. To correct this deformity, a midface
lift is performed to elevate the cheeks and reposition the cheek
muscle. Additionally, a fat
transfer can be used to fill the tissues along the jawline,
creating a cushion between the bone and the skin.
Current facelift
surgery focuses on repositioning the underlying muscles rather than
simply pulling the skin. This newer technique removes jowls and
restores the jawline without excessive skin tension. Wrinkles can
then be managed with a procedure such as laser
skin resurfacing.
Nerve Damage
Facial surgery involves some risk of damage to the nerves that are
responsible for movement of the face or the nerves that supply sensation
to the face and neck. Most nerve damage will recover spontaneously
but others may require surgical intervention. Nerve damage from
facial surgery may result in incomplete eyelid closure or droopiness
of the cheek, mouth or lips. Correction of these problems can be
as simple as a Botox injection to weaken the stronger muscle while
the nerve heals itself. More sophisticated surgery may be necessary
to improve the function and aesthetics, such as the use of any eyelid
weight (see eyelid repairs
page), a unilateral midface
lift, or a formation of a “sling” to support the cheek
and midface.
Earlobe Pull
Excessive weight or tugging on the earlobe from the tightened skin
after a facelift and/or necklift
may create an unattractive look that is one of the telltale signs
of having had cosmetic facial surgery. This undesirable result is
sometimes referred to as “pixie ears” or “devil’s
ear” due to the pointed appearance of the ears. Separating
the earlobe from the cheek and then recreating the natural, curved
appearance of the earlobe can successfully repair the pulled earlobe.
Thick or Hypertrophic Scarring
The tendency to form thick or hypertrophic (overgrown) scars is
often hereditary; however, any patient can develop scarring if excessive
tension is placed on a wound. Placement of deep, absorbable sutures
to reduce tension on the skin can reduce the chances of forming
thick scars. If hypertrophic scars do begin to develop, special
bandages, silicone sheeting, or injections of steroid solution can
help reduce the scar overgrowth. As a last resort, the scar may
need to be cut out (excised) and allowed to re-heal with careful
monitoring to prevent recurrence.
Dr Jonathan Hoenig practices in Santa Monica and Encino,
California, suburbs of Los Angeles, where he provides the most advanced
and innovative techniques in facial plastic surgery and facial rejuvenation
today. To learn more about plastic surgery
repairs or eyelid
repairs, please contact
us to schedule a consultation today.
dr. hoenig
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