Facial Surgery - Los Angeles California
eyelid repairs
facial repairs

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.

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