Premiere Facelift Specialist David Santos, MD, FACS
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Terrified After Midface Lift – Now I Have a “Moon Face”

Gatorgirl29 in Rockingham NC Asks:

I recently had about 4-5 procedures performed seven weeks ago. One of the procedures was a midface lift.I am 29 years old and i had chubby cheeks even before surgery.Unfortunately i also had fat pads (i guess the malar fat pad )on each side of my nose that kind of hung and dragged down my midface area. The doctor suggested I do a midfacelift along with the other procedures i was doing. Now my whole cheek upper mid and lower is full.I look like i am on steroids with a moon face.Can this be fixed?

Reversal of lift procedures is uncommon but does occur.  Forehead lifting, as an example, when performed too high, can be reversed to a moderate degree.  Less invasive procedures could be tried in a conservative fashion first; these would include small canula liposuction or laser lipolysis in a very conservative manner.  If this does not achieve the desired benefit, then surgical treatment could provide reduction of the asymmetry component, as well as the high cheek component.  Of course this depends on the specific anatomy and a direct examination is required before coming up with a good game plan.  Nonetheless, this is an uncommon request but not one that could not be improved upon one way or the other.

David Q. Santos, MD

Seattle Facial Plastic Surgeon

How Do You Correct Too Much Fat Removed During Neck Lift

TJR in Savannah, GA asks:

“If you had too much fat removed from submental liposuction and it caused your muscle bands to show and indentations how would you go about correcting this problem? If you are a PS what would you recommend to fix something like this and what sort of reasonable expectations should a person have in terms of having a normal looking neck again? I am scared and upset so any insight would be appreciated.”

Correction of the described problem can be addressed in several different ways.  Specifically it is important to really get an anatomical evaluation and overall sense of what the underlying issues are.  It is not an uncommon problem/complication to have “too much fat removed in the neck area” as liposuction is a component of facelift surgery commonly.  But also residual band laxity is also not too uncommon.  Bands are the platysmal muscle bands that can remain lax after surgery.

A number of treatments are available including repeat platysmal band tightening.  This will often times resolve the problem by itself.  Other supplemental treatments include fat injections as needed if there is significant contour deformity.  This procedure is less common than a simple platysmal muscle repeat tightening.  Nonetheless this area can be addressed commonly and long term permanent problems is something not seen too often.

David Q. Santos, MD

Seattle Facial Plastic Surgeon
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