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lisacsfo
Danbury, CT

 
extreme sagging facial skin, what can I do?
Facelift

I had a SMAS facelift in March 2005. It was a bit uneven, but the Dr. said I have very loose, non elastic skin (which is true) and it would even out in time. 5 years later, I have lost 20 lbs, my skin is sagging terribly, and I am embarrassed at how bad my skin is. Left side is worse than right. I spent so much on this procedure in CT, I need help/revision but am afraid I will get a loan for the repair, and I won't look any better. I am attaching pics so you can see the disaster of my facial skin. I am 56 years old!! I am not a smoker, tanned when I was younger, but genetically... bad skin.

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Doctor/Professional Answers (8)   

jhonnys


Plastic surgeon
Coral Gables, FL
United States
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  SMAS facelift
August 7, 2013 1:13 AM

That can be fixed with SMAS facelift where the muscles and connective tissues underneath the cheeks are tightened and repositioned.

for more information : (more)
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drredou


Plastic surgeon
vienna, VA
United States
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December 15, 2010 4:42 PM

You had a very conservative face lift. From your photos it looks like you need a good face lift with or without a laser or peel at a later date. Find an experienced and reputable plastic (more)
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cosmed


Plastic surgeon
Tijuana, Mexico
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  laser peel
December 15, 2010 10:50 AM

It is important to advice to the patients the importance of the skin resurfacing before a face lift to avoid unsatified results,yor problem is not about exess of skin is about skin (more)
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richardgalitz


Facial plastic surgeon
Miami, FL
United States
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  sagging
December 15, 2010 7:10 AM

Addendum to previous answer, Because of the surface skin problems in the pictures after the redo facelift for the sagging I would consider the new CO2 fraxel which gets excellent results, (more)
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richardgalitz


Facial plastic surgeon
Miami, FL
United States
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  sagging
December 15, 2010 7:04 AM

This is easy because there is only one solution. See a surgeon who specializeses in redo face work , has lots of experience in it, and can show you pictures of many great improvements. (more)
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drgrossman


Plastic surgeon
New York, NY
United States
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October 11, 2010 10:23 AM

AGREE WITH CHEMICAL OR LASER PEEL THAT CAN BE FOLLOWED BY A FACE LIFT ONLY IF STILL NEEDED. SIX MONTHS APART FOR BEST RESULTS. (more)
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docblinski


Plastic surgeon
Miami, FL
United States
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October 10, 2010 6:22 AM

Right on Miss J! I still love modified phenol peelings that I've been doing for 30 years. (more)
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DrAthre


Plastic surgeon
Webster, TX
United States
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  Severe facial rhytids
October 9, 2010 12:20 PM

There are two issues which are separate of each other. The first issue is the re-draping of the ski. This can be addressed by a mini face lift. I have looked at your pictures, and I (more)

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Severe facial rhytids

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Member Comments (1)

MissJ521@aol.com
Camb, MA
United States
 
October 9, 2010 9:32 PM

Your soft tissue envelope really does not look 'saggy' to me. It just looks like you have a lot of sun damage to the skin layer; the look of the collagen fibers cross linking which gives all those surface wrinkles.

I would suggest a skin program that includes: retin A, hydroquinone, alpha hydroxies, Vitamin C serum. First 2 are by script from doc. So first a skin protocol from a derm for about 6 months to a year. That would 'prep' you for a later down the line more aggressive skin resurfacing treatment as in a very deep chemical peel such as a phenol peel which is basically a 'controlled burn' that burns the wrinkles off the face and new collagen is formed afterwards. CO2 laser ablation is also something for what you have. But if you can find a doc who does a phenol peel, it's likely he's been doing those kinds of peels for a long time as they have been around longer than lasers where as lasers being 'new' each year or maybe even a doctor being new to lasers, I'd look for a doc conversant in phenol peels who has been doing them for a long time.

By the way, your skin problem is not limited to PSs. So, you could expand your search also for derms.



 



 

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