Can you have a Second Facelift?

I have some minor areas somewhere around the hairline and ears that I want to correct. How long do patients have to wait until getting a secondary facelift? Is it even possible to get another one? It’s been 5 years since I had my first facelift and it left me with these irregularities that still always bug me. Don’t get me wrong, I’m extremely happy with the results but still need to revise the above mentioned issues. Any information would be helpful.

B.

bernadete

F, 47, Massachusetts

Dear bernadete:

The short answer is yes, you can have a Second Facelift. The longer answer is a question; do you need a Secondary Facelift or are the current concerns you have better enhanced with other procedures? So many newer options have evolved in the last 5 years that you may be a better candidate for one of them. 

As the aging process progresses, patients of prior facelifts find that they need modifications of:

  1. scars,
  2. lift and tightening centrally around the nasolabial / lateral mouth / marionette areas,
  3. neck fullness and/or bands,
  4. brow lifting,
  5. generalized tightening,
  6. cheek volume, or other concerns.

Options include:

  1. scar revision only,
  2. mid-face lift (this is different than the upward contemporary facelift),
  3. Silhouette (suture) Instalift of the midface or brows
  4. Neck suspension or lift
  5. Fillers
  6. Tightening with Obagi ZO Skin Health stimulation or laser, IPL, ThermiTIGHT, ThermiSMOOTH  and others. 

Everyone needs one or more layered improvement and in personalized combinations to achieve their optimal result.  Please consider a Board Certified Plastic Surgeon  with the skills, variety of options and talent you need for a qualified evaluation and recommendations. 

For more information, please link to: http://drdeankane.com/any-advice-on-fullness-around-the-corners-of-my-mouth-jowls-some-thickness-under-my-neck-wrinkles-around-my-eyes/ 

Please link to:

I wish you the best!

Dr. Dean Kane has 3 Facelift, Necklift before & afters:

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Most people that have a secondary facelift wait usually 7-10 years because time does march on.

If you are wanting a revision procedure to correct something with your original facelift than I normally suggest you wait at least 6 months after your surgery. Discuss with your plastic surgeon to determine whether or not a revision facelift is actually the correct procedure for your desired results.

It is certainly possible to have a second facelift.  By your description it sounds as though you may need revision of the scars rather than a second facelift.

Repeat facelifts are done frequently, some in as little as 2 or 3 years. There are many factors affecting the longevity of a face lift. A key to a repeat facelift surgery is selecting a surgeon that has experience in secondary facelifts to avoid telltale signs that you have had facial surgery. No one should ask you "who did your facelift". 

Dr. Benjamin Rodriguez has 1 Facelift before & after:

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Hello Bernardete:

Yes is is certainly possible to have a secondary or even a terciary faclelift. It all depends how long the improvements from the previous surgery lasted. There is no definite time frame. If you do not looks as good as you feel consult a board certified plastic surgeon regarding your options.

Revisions are always possible and of course when they are fixed or corrected depends of the severity of the problem and how much it bother you. Most would prefer to wait at least 4-6 months after the procedure

Cordially yours,

Luis Picard Ami Jr, MD, FACS

It is certainly possible to have a second face lift. Most surgeons would prefer to wait at least one year before doing any revisions.

Many patients opt for a second facelift especially if they had their first one at an early age, i.e. late 40's-50. A well done facelift lats about 7 years, although variations exist. Consult with a Board Cerrified PS. Good luck

Hi-

    It is always possible to revise slight imperfections after a facelift. Secondary facelifts can be done and the timeframe for the next surgery is up to you and your plastic surgeon. Hope this was helpful. Good Luck!

Thank you for the question and I would bring your concerns to the attention of your surgeon or other expert in the area and have it corrected


Dr Corbin

www.drcorbin.com

For sure  you can.I had one patient that I did and this was  her 4th facelift . As long as the patient is  medically  sound.

Yes a secondary or revision  facelift is possible to address the scars and irregularities that you note after your primary facelift.   A secondary facelift sometimes can be more challenging because of the scar tissue in the sites of the irregularities. Just plan on a longer operative time and attention to detail.   I caution patients that volume is a must with secondary facelifts.  Build the foundation with fat transfer, malar or chin silicone implants;  then, pull the skin to the desired tightness while removing the scars and irregularities.  This will avoid the pulled plastic look of a secondary facelift. 

Dr. James White has 1 Facelift before & after:

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Hi Bernadete,

Yes you can absolutely repeat a facelift.  At 5 years out, there are no issues.

Hope that helps,

Dr. Horowitz

Dr. Jeffrey Horowitz has 1 Facelift before & after:

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It is not uncommon for people to have an second and sometimes a third facelift. Typically results will last 10 years depending on the patient. I would select someone that is familiar with revision facelifts and does them frequently. A secondary facelift sometimes can be more challenging because of the scar tissue but the skin flaps tend to be robust because they have already been raised before and new, stronger blood vessels have developed. Good luck.

A facelift is in fact one of the most common plastic surgery procedures to be redone. A second facelift procedure can be performed to correct a faulty facelift, improve on the results achieved by the primary facelift surgery, or refresh the face once the signs of aging start to take their toll. Facelift results usually last between seven and fifteen years.

It’s understandable that you wish to address the irregularities that bother you; facial features are our most distinguishing and identifiable physical traits and also highlight the signs of aging more prominently than any other part of the body. Secondary facelifts often involve minor corrections or alterations of the hairline and ear area.

The good news is that under the care of a board-certified plastic surgeon who specializes in revision facelift procedures, you are very likely to achieve the aesthetic results you desire. Secondary facelift procedures are often easier for skilled surgeons to perform and come with a shorter recovery period than the initial facelift. Patients are able to heal faster and get back out into the world to resume their lives.

With respect to the wait between your primary facelift and the revision procedure, the answer varies. Most surgeons recommend waiting a year before undergoing a second facelift. That’s because it can take this long to be fully healed, once any lingering swelling has totally subsided and the facial tissue has had time to settle into its new contours.

In your case, five years have passed since your initial surgery, so assuming you’re of sound health you could definitely consider undergoing a second facelift surgery. Some patients commonly consider undergoing a second procedure around this time as the natural effects of aging begin to show again. To determine the best way to address the issues you’re concerned about, schedule an appointment with your original surgeon or another board-certified facial plastic surgeon to explore the possibilities.

It’s also possible other facial procedures like dermal fillers or fat transfer could correct your problem areas and refresh your facelift -- or simply complement your secondary facelift procedure.

Secondary facelifts are quite common and safe when performed on a healthy patient who has healed well from their initial facelift. The goal of many revision facelifts is to address irregularities that can arise from the primary facelift: correcting issues around the hairline and ear area as in your case, but also correcting previous scarring, bumps in front of the ear, eyelid shape and restoring facial volume where it’s needed. Correction of these irregularities is vital as they can often become exaggerated or exacerbate over time.

As five years have passed since your first facelift, you are most likely a good candidate for a second procedure as long as you have no underlying medical issues that may cause complications. Many facelift patients undergo a second facelift seven to ten years after the first procedure, as this is when the results of the first facelift begin to fade.

Many patients who undergo secondary procedures benefit from advances in the field that have been innovated since their previous surgery. Complementary procedures such as fat transfer to areas of the face that are lacking or have lost volume also help to enhance results, giving you an even more youthful look.

I recommend that you try and locate a board-certified facial plastic surgeon in your area who ideally specializes in revision facelifts, as the skill set required for secondary facelifts are different than the those required for original facelift surgery. A proper, board-certified surgeon will be able to examine your face, the work that was done and make recommendations about what would be suitable to correct the irregularities and refresh your facelift results.

Choosing the right surgeon to carry out your secondary facelift is the single most important factor that will determine the success of the procedure. When seeking a plastic surgeon, ask about prospective surgeons' medical training, expertise, board certification and knowledge of facelift surgery methods.

Average time to repeat facelift is 12-15 years. Scar revisions are possible any time after the first few months

No problem at all, this may, in fact, offer you an opportunity to really perfect the outcome!

Dr. Ludwig Allegra has 5 Facelift, Endoscopic Browlift before & afters:

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Minor revisions can be performed after a facelift early on (first few minths) and a second facelift can be performed at any point the patient desires. The Same incisions are used and there's actually less risk with the second facelift than with the first as long as the hairline is protected which your plastic surgeon will now. Results of a facelift are not permanent especially if a mini facelift was performed.

Dr. Christopher Park has 2 Facelift before & afters:

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There are many different types of facelifts. It really depends on what you have had done in the past. I usually insist patients wit 1 year before having any type of secondary work to allow healing and softening of tissues. Normal healing is usually 1 year. Secondary and even tertiary facelifts are possible. Depending on whats happened previously I often add a mid face ore combination endoscopic brow and mid face to secondary procedures to achieve a lift in the cheek bone area that lasts 10- 15 years. Hope this is helpful for information for you.

Hi Bernadete, I received your questions would you like o come in to speak with Dr. Eisemann so that way he can answer all your questions?

Many people have second lifts. There is no specific period of time to wait.


Dr. Donald Kress has 2 Facelift before & afters:

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Yes, we can perform secondary facelifting. Some times we do it to fix scarring, tighten the platysmal neck bands better, fix hairline problems, add fat grafting to enhance the youthfulness, etc. Sometimes the secondary facelift is a bit "easier" to do because 1. The patient has already had a facelift and understands the recovery process better 2. The incisions are already there and patients understand where they may sit and how they may heal 3. The plane of dissection has already been operated on so we sometimes can perform a secondary faster than a primary facelift. If you'd like to learn more, reach out to us at http://www.timsayedmd.com email [email protected] Call 1-858-24SAYED (1-858-247-2933) Follow us on Instagram and Twitter @timsayedmd. Hope this helps!