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A lady underwent a neck lift 4 months ago and doesn’t like the results so far. There is indiscreet swelling on the sides of her face and sagging of the platysmal bands. She was advised to wait 1 year before having revision surgery, but she doesn’t think she can wait that long. She wants to know if she can revise safely in 6-7 months.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains how it is not advisable to do revision surgery when significant swelling is still present, and talks about the possibility of improving the appearance of scars with PRP, steroid injections, and laser treatment, and the differences of neck lifts, facelifts, and a limited face lift:
2:18 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a face and neck rejuvenation specialist
3:20 - How there is no benefit to operating on tissue that is still swollen and healing
3:42 - How the healing process can take as long as a year to resolve
4:14 - Dr. Prasad shares a successful case wherein he performed upper and lower eyelid surgery and face and neck lift on a patient 10 days before a big event, but getting good looking results this quickly is generally not something to expect
4:53 - How a tingling sensation can be a sign that nerves and are beginning to heal and swelling is resolving
5:14 - Dr. Prasad explains why it can be beneficial to place incisions in front of the ears
5:50 - How steroid injections and specific lasers can address redness and scar thickening
6:16 - The role of PRP , and possibly PRP and extracellular matrix in improving scars
6:44 - When too much skin is removed during a facelift, revision surgery can be difficult.
7:14 - How bulging and sagging plastysmal bands could indicate that a limited facelift was performed, and not a face and neck lift
7:55 - The importance of understanding your surgeon’s expertise, and clarifying what type of procedure was performed
9:06 - How other lifestyle habits like smoking, medical issues like diabetes, and complications during or after surgery can affect healing
9:39 - Dr. Prasad’s recommendation
10:19 - How a certain amount of tissue relaxation occurs after any face or neck lift procedure
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21 окт 2024