u/EasySwing8293

I am sharing my facelift and neck lift experience with Dr. Israel Espino in Mexico because I believe future patients deserve to understand what can happen after surgery — not just during the procedure, but afterward, when concerns are raised.

My neck result has been devastating. I have a visible indentation in my chin/neck area that was not there before surgery, and my neck lift result appears drooping, uneven, and not smooth. This is not a minor concern to me. This has significantly affected how I feel about my appearance and my decision to have this procedure.

What has made this even worse is the aftercare. When I reached out about my concerns, I felt communication became difficult and frustrating. I had to keep pushing for responses, and when I finally received answers, I did not feel helped, supported, or taken seriously. I was told to get ultrasound therapy. His email response to me was AI generated.

Instead of offering a meaningful plan to evaluate the indentation or the drooping, uneven neck result, Dr. Espino attributed the issue to my anatomy. From my perspective, that felt like he was blaming my body rather than taking accountability for the surgical outcome or showing a willingness to seriously explore a correction.

Since sharing my experience, other patients have reached out to me privately describing similar concerns with results and aftercare. I am not speaking for them, but I do think it is important that future patients know my experience is not the only one I have heard about.

My experience has left me feeling that once the surgery was done, I was no longer a priority. I feel like he is “one and done”: once he finishes the procedure, you are left to deal with the results on your own.

I want future patients to ask very direct questions before choosing him or any surgeon:

What happens if the neck lift result is drooping, uneven, or not smooth?

What happens if a visible indentation appears after surgery?

Will the surgeon personally evaluate the concern and offer a real plan?

Is there a clear revision policy?

What kind of aftercare should a patient realistically expect after returning home?

I understand that no surgery is guaranteed and that healing varies. But in my opinion, patients deserve more than being told it is their anatomy when the result is visibly concerning. They deserve communication, accountability, and a surgeon who remains involved after the operation is over.

I’m sharing my facelift experience because one year later, I am still very upset with both my result and the after-care I received.

I had a facelift with Dr. Israel Espino about one year ago. Since surgery, I have developed a visible indentation/irregularity in my chin area that was not present before the procedure. I also feel my neck lift is not smooth. This has been extremely upsetting because it changed the contour of my face in a way I did not expect, and it has affected how I feel about my result.

I fully understand that no surgical result is perfect and that healing, anatomy, and scar tissue can all play a role. However, when a visible indentation appears after surgery and was not there before, I believe it deserves a serious, thoughtful follow-up — not a quick dismissal.

After I began asking questions by email, I felt that it was very difficult to get a clear answer. I followed up multiple times and felt repeatedly put off instead of directly addressed. When I was finally able to get a response, my concern felt dismissed. I was told the issue was related to my anatomy and that nothing could really be done surgically. I was also told I would need Botox and ultrasound therapy to address the indentation.

Meanwhile, several other plastic surgeons have told me that the indentation and unsightly neck lift could be addressed and solved with a revision.

What has frustrated me most is the after-care. In my experience, it felt dismissive and unresponsive. I did not feel that my concern was treated as something worth carefully examining, documenting, or exploring further. Instead of feeling like there was a willingness to look more closely, discuss possible causes, or consider whether any remedy or revision might be appropriate, I felt the explanation was shifted back onto my anatomy and the door was closed.

I am sharing this because I think patients should know that after-care matters just as much as the surgery itself. Before choosing a plastic surgeon, I would strongly encourage people to ask very direct questions: What happens if a contour irregularity appears after surgery? What is the revision policy? How are post-op concerns handled? Will the surgeon personally evaluate the concern, or will the patient be told to pursue outside treatments?

Dr Espino does not have a Real Self profile, nor does he have a Google reviews account. That is why this type of post will be very important to help educate future patients.