Is It Safe to Have Another Facelift Seven Years After?

I'm 65 years old and had a facelift seven years ago that I was delighted with. I'm beginning now to see the need for perhaps another minor procedure even though I do Botox. I wasn't happy with my Juvederm injection for the nose-to-mouth line so prefer not attempting that again. Any suggestions as to another facelift and the type or would this be an overkill on my part? Thanks!

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21 Doctor Answers | Asked by anon

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Safe to have second facelift at age 65

It is acceptable to do a facelift seven years later after the primary facelift. The goal for secondary facelifts is usually to tighten up the jowls again and tighten the laxity and loose skin in the neck including the neck cords that occur by age 65.

Secondary or revision facelift considerations

Secondary facelifts are indeed gratifying procedures, and usually quite safe in the medically cleared patient. For patients your age, our practice typically would request you get a stress test, cardiogram, physical examination and blood tests. The bigger question is how the secondary procedure is done. Often, after a facelift there are minor alterations of the hairline and ear area. If specific steps are not taken, these irregularities get worse. The skillset for secondary facelifts... more

Secondary Facelifts and your appearance

Two issues that are mutually exclusive in your question. The first is whether it is safe to undergo a second facelift procedure in a 7 year period. To this I would echo the sentiments of my colleagues in that the safety of the procedure will depend on your overall health and the skill of your surgeon. The second issue is whether you are an appropriate candidate physically for a second facelift. The fact that fillers around your mouth did not really do the trick is no surprise. You might ... more

Secondary or Revision Facelift Considerations: Safety

Secondary facelifts are frequently performed procedures with pleasing results and usually minimal problems in the appropriate patient with medical clearance to undergo the procedure. The procedure requires greater surgical expertise and experience, since some secondary procedures are technically easier to perform while many are more complex. Secondary facelifts are similar to a first facelift in that they need to be individualized based on your concerns, anatomy,... more

Safety of a Secondary Facelift

If you are healthy, another facelift, if indicated, is quite safe and the proper thing to do. However, secondary cosmetic surgery is more difficult and requires more expertise and experience as facial reshaping can lead to facial deformities unless one understands how to do secondary facelift surgery. In general, one must release the scar, reshape the face and neck, and refill the deep fat compartments to give the patient a youthful non-operated look. Most facelift techniques last about 7 to... more

Rod J. Rohrich, MD

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Dallas Plastic Surgeon

Facelift After Seven Years

Secondary facelifts are not uncommon. Depending on the appearance of your jawline, neck, and jowls, a secondary facelift can help restore some of the youthfulness back in place. Secondary facelifts can be performed safely and in general pose no additional risks than a primary facelift.

Nonsurgical facelift with fillers

Sometimes at this stage you can obtain similar results with a Nonsurgical facelift using fillers. I prefer Radiesse or Perlane since these products last longer. However, if you need a more dramatic tightening then either a Mini facelift or Full facelift could be indicated. In your case, as long as your medical condition is good then there are no contraindications to proceed. Good Luck!

Facelift After Seven Years

Question: Are there different types of mid facelift? Answer: There are many types of the facelift procedures and there are different approaches to the mid face including a direct open approach, endoscopic approach, modified endoscopic approach, approach through the lower eyelids. In general, I do not like to take one portion of the face out of context with the remainder of the face and neck. It is important to have a nice smooth contour of the mid face, lower face (jowl/jawline region) and... more

Mini-Facelift with SMAS procedure and Fat Grafts

In light of your previously successful facelift 7 years ago, you might want to consider having a mini-facelift done now. If you did not have a SMAS procedure done at the time of your prior facelift, the SMAS procedure, which tightens the deeper tissues beneath the facial skin, should be done at the time of the mini-facelift. You might also want to consider having some of your own fat grafted into the naso-labial folds (nose-to-mouth lines) at the time of the mini-facelift. This will... more

Facelift

Another facelift at 65 is safe and effective especially since you were happy with the first one. You may want to consider a lesser version of a facelift such as a minilift. A minilift can correct mild jowling and neck issues with less recovery time and minimal aneshesia and sedation. This will also decrease risks associated with revision surgery and anesthesia. Best, Dr.S.