A revision facelift or secondary facelift is a cosmetic facial surgical procedure that was designed to correct the mistakes or the unsatisfactory outcome of a previous surgery. Due to its complexity and difficulty, it is highly recommended that a revision facelift be done by a skillful facial plastic surgeon that has extensive training and experience.
Our doctor, a NYC based double board certified facial plastic surgeon said that there have been an increasing number of patients coming to him seeking a revision facelift each month. He suggests that the best way to prevent this problem initially is to find a highly qualified facial plastic surgeon with a good reputation by patients and does a follow up post surgery.
There are many reasons why patients are seeking a revision facelift procedure. One common reason is when a patient underwent a facelift or a facelift with necklift a while ago, and now the muscles and tissues are becoming loose and sagging again and they need to be freshened. Our doctor mentions that there are cases where patients have undergone a facelift, but choose not to have a necklift at the same time, then later on need to refresh the previous surgery, plus perform a necklift to enhance the total appearance, especially in older patients age 55 and over. With new and advanced technologies combined with Our doctor’s skillful techniques, patients are ensured with their most realistic expectations and effective results.
Our doctor combines the use of a 3D high definition telescope and various types of tissue glues to attain an accurate outcome with rapid recovery. Besides revision facelifts, other types of facial plastic surgical procedures such as a Necklift, Chin Implant, or Eyelift are often performed as a combination to the facelift.
Another common reason for a revision facelift procedure occurs when patients who underwent a facelift procedure feel dissatisfied with their appearance due to the previous surgery. This type of revision facelift case is more complicated since there were problems that failed to be corrected at the first site and now need to be revised. In these cases, patients need to seek a very skillful facial plastic surgeon that will understand the individual’s facial muscles and bone structures, as well as knowing the best way to deal with the existing problems and complications, since in many cases, patients have scar tissues and altered muscle positions due to the previous operation.
Other reasons patients are dissatisfied with their previous facelift is a facelift/necklift that was done where the face is over-tightened and the neck has not been defined enough. Very often the platysma muscle cords droop and are seen and jowls have not been adequately treated. In these cases, Our doctor does a minimally invasive revision with the 3d high definition telescopes from small incisions under the chin to bind the muscle cords together and small incisions behind the ears or in front of ears and visualize the muscles with the 3d telescope system and lift them accurately.
Another reason patients are dissatisfied with their facelifts is a visible white or raised scar in front or behind the ears or a pulled hairline giving a "wind-blown" look. Scars can be revised and placed hidden inside the ear, instead of in front of ear. Hiding the scar within the inside of the tragus cartilage (part of front of ear) can make it invisible and if there is enough facial laxity this can be done, allowing the patient to be able to put their hair up again, without scar visibility. If the hairline in front of ear (the sideburn) has been pulled up too much in a previous facelift, this hairline can be lowered down or hair plugs can be placed to rid the patient of this "tell-tale stigma" of a facelift.
If the patient is volume depleted and the patient's face is too thin where the face looks sunken from a previous facelift-this can give a skeletal, hollow look and a revision facelift involves volume placement with "the PRP fat grafting technology" where Our doctor harvests the patient's own fat with PRP and injects it with micro-needles to volumize and rejuvenate the face. This technique can have a dramatic improvement on facial rejuvenation, especially in thin faces.
Lastly, Our doctor may use fractionated co2 laser technology to improve your previous facelift scars and improve your skin texture and promote the production of the patient's own collagen to improve and rejuvenate the face and neck structures.
To summarize, there are many newer minimally invasive techniques, some pioneered by Our doctor, using newer technology like high definition telescopes systems to better visualize the facial structures through smaller incisions as well as newer laser technologies like the fractionated co2 lasers, to improve and rejuvenate the face and neck, in a natural way and rid the patients of some of the tell-tale stigma of facelifts. Newer volume replenishing techniques with PRP fat transfers add a complete new dimension to natural rejuvenation.