Permanent Filler Removal with Extended Deep Facelift and Reconstruction

The patient had experienced early signs of facial aging, which left him feeling frustrated and hopeless, as if he had lost his youth prematurely. Facial sagging due to loss of skin elasticity made him look older than his actual age. Additionally, fat accumulation and facial volume loss reduced his self-confidence, negatively affecting both his professional and social life.

More than 15 years ago, he decided to undergo cosmetic surgery to regain his youthful appearance. However, he was injected with permanent filler without being informed. This resulted in an unnatural appearance, prompting him to seek the services of a plastic surgeon to remove the permanent filler.

Two years ago, he underwent filler removal surgery, but it failed, leaving him with a deep smile line, fibrosis, and noticeable asymmetry in the cheeks that persisted even six months after the procedure.

The failure of his previous procedures was caused by several factors, including:

• Lack of surgeon's experience: Before deciding to undergo any cosmetic facial surgery, it's important to choose a skilled surgeon who specializes in facial surgery. The face is one of the most prominent areas of your appearance, defining a person's identity and how others perceive them. Therefore, paying attention to the fine details of the face is one of the most important skills that distinguishes a surgeon's experience, along with the ability to eliminate signs of aging and achieve a more youthful appearance without altering its natural features.

• Failure of selecting the right technique: Facial procedures feature different techniques, which play a significant role in shaping the final results. Choosing the appropriate technique depends on the surgeon's experience, especially when performing facial modifications on men, as the appearance and shape of a man's face differs from that of a woman's, requiring exceptional expertise and skill in male facelifts.

• Technical errors: Technical errors often leave patients dissatisfied with the results of facial surgical interventions and lead to numerous complications. Common technical errors include excessive skin tightening, failure to properly position the surgical incision, removing too much skin, or removing facial fat while attempting to remove permanent filler.

After previous procedures failed, this patient searched for a surgeon specializing in facial lifting procedures. He found numerous recommendations for Dr. Tarek Zahra, Consultant Plastic Surgeon, which encouraged him to book an immediate consultation.

Initially, the patient was hesitant and fearful due to his previous negative experiences. However, Dr. Tarek Zahra assured him that it was possible to restore a youthful appearance through an extended deep facelift combined with facial reconstruction after removing any remaining permanent fillers.

Dr. Tarek Zahra emphasized the importance of maintaining masculine facial features and avoiding an unnatural or feminine appearance. This reassurance gave the patient confidence, and he decided to proceed with surgery under Dr. Tarek Zahra’s care.

Dr. Tarek Zahra performed the advanced 5D facelift, removing excess sagging skin from the face and tightening the deep muscle layer, ligaments, and tissues of the face and neck, along with redistributing fat. This resulted in a more natural appearance that complements the patient's natural facial features. In addition to performing facial reconstruction, Dr. Tarek Zahra also removed permanent fillers and fibrosis, correcting problems caused by previous facial surgery.

Thanks to Dr. Tarek Zahra's expertise and skill, the patient achieved symmetrical cheeks without visible dimples, corrected his sunken smile line, and eliminated wrinkles and facial sagging within six months. The patient was delighted with the rejuvenation of his face, appearing younger than ever before, which boosted his self-confidence.