01/02/2026
12 days. Second stage. Profound facial recalibration.
This patient is just 12 days after the second stage of a total facial alignment, where the goal was not “change,” but correction of ratios—balancing the thirds of the face, harmonizing anterior–posterior projection, and refining convexities, concavities, and angles in both the frontal and lateral views.
What made this case particularly complex is that she was not starting from a blank slate. She had already undergone:
• Prior bony forehead reduction
• Prior rhinoplasty
• Pony genioplasty
• Malar augmentation with screw-fixed silicone cheek implants
Stage 1
– Secondary forehead remodeling (burring + bone cement to restore central convexity)
– Brow lift
– Removal of cheek implants (including a free-floating screw)
– Endoscopic midface lift with internal canthoplasty
– My 3-D Upper Lip Lift
– Medialized corner lip lift
– Lower V-Y plasty
(Interim stage results will be shown separately.)
Stage 2 (shown here, 12 days post-op)
– Facial fat transfer
– Revision septorhinoplasty with auricular graft
– Revision bony chin + mandibular remodeling for elegant jaw tapering
– Small button silicone chin implant to restore lateral convexity
—all performed through a small submental incision
This patient happens to be a very fast healer. Others heal at an average pace. Some heal slowly.
Despite decades of experience, we still cannot reliably predict this.
Certain procedures predictably swell more than others—particularly the endoscopic midface lift and deep support lip lifts.
Recently, a post of mine drew misguided criticism when viewers mistook early postoperative swelling for a final result. This comparison exists for one reason only: education.
Same surgeon. Same philosophy.
Very different healing trajectories.
Early swelling is not failure.
Time is not optional. Results evolve. Precision endures.
🌐www.DrHaworth.com
📞: +1 310-273-3000
