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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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+2

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
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+2

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
Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon
+1

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
Dallas Plastic Surgeon
+1

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.
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

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.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

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!
Blane T. Shatkin, MD
Ft. Lauderdale Plastic Surgeon
+1

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
Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon
+1

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
Pamela B. Rosen, MD
Coral Springs Plastic Surgeon
+1

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.
Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon
+1

Seven years isn't too bad

A facelift will set your facial appearance back about ten years in age. You will, of course, continue to age after the surgery, so needing a second facelift at seven years isn't that unusual. If you were delighted with your first facelift you should be equally delighted with your second. Good luck!
Kenneth R. Francis, MD
Manhattan Plastic Surgeon
+1

Safety of secondary facelift

Hi, Secondary facelifts are commonly performed surgeries. If at all possible, you should return to the surgeon who performed your original surgery. He or she will be most familiar with the specific technique used for your procedure, which will allow for elevation of the muscle-fatty layer of the midface and neck in the safest possible manner. If it's not possible to see the same surgeon, see if you can get a copy of the operative note to provide the next surgeon. As other surgeons have... more
Sam Jejurikar, MD
Dallas Plastic Surgeon
+1

Second Facelift

There are two things that determine the safety of a second (or greater) facelift. First is your health. If it is relatively good and nothing would increase your risks of surgery in general, then only the only determinant is your anatomy and what was done the first time. The biggest problem is that some of the anatomy has been moved. This has to be considered when cutting and suturing. Also, the areas that we open to reposition the tissues are scarred and make everything harder than at the... more
Robert T. Buchanan, MD
Highlands Plastic Surgeon
+1

Secondary Facelift

It is not unusual to have secondary facelifts. After your first facelift, you will have significant improvement. However, just because you have a facelift, it does not stop you from aging. Your skin will continue to age and, generally, secondary facelifts are considered 8 to 10 years after the first one. However, many patients only need or want the primary facelift and do quite well. Good luck.
David Shafer, MD
New York Plastic Surgeon
+1

Re-do facelift.

A facelift typically "lasts 7-10 years". So to some degree, your facelift has survived a typical cycle. I would recommend that you return to your original surgeon who is most familar with your anatomy and previous procedure as well as how to enhance those results
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

A second or even a third facelift is safe, but it should be different

I practice in Fort Lauderdale with patients who are typically older than those in other areas other than Florida. My usual patient has had a prior facelift in another city and patients who have not had a prior lift are in the minority. Actually patients who are healthy will often do better at their second lift than at the first. They are usually familiar with the "process" and less fearful. The original lift has actually conditioned the tissue to heal more quickly. (this is called... more
Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
+1

Second Facelift @ 65 Is Safe

If you are medically healthy and can undergo surgery then a facelift is safe. You should consider it before you develop any medical illness that would increase your surgical risk. If for any reason you cannot have this facelift then consider Sculptra injections to restore the facial volume and youthful appearance. Regards
Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
+1

Cosmetic surgery is anatomy and desire-based

It doesn't matter when you had a previous facelift. If the anatomy determines that your look can be improved to what you desire, you only have to determine the safety of that, the benefit to you, and the techniques required.
Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
+1

It is Safe if you are Healthy

Safety in a surgical procedure is predicated on the physiological health of the patient. In elective cosmetic surgical cases, one of the chief responsibilities of the surgeon is appropriate patient selection: based on indications (aging changes), physiological health (cardiovascular, respiratory, and other systems), and psychological health (an individual's state of mind and motivations). Revision Facelift surgery can be more technically complex depending on the incision placement and... more
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+1

Secondary facelift after 7 years

 If you are seeing changes that would benefit from a repeat facelift and if you are healthy and your excellent surgeon is still practicing, by all means go for another.  This is far more powerful that fillers and Botox.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Is it safe to have another facelift seven years after?

The safety of another Facelift is predicated more on your state of health than on the procedure itself. If you are healthy or have minor medical conditions (such as high blood pressure or elevated lipids) which are corrected by medication, it would be quite safe to perform the procedure. (Although if you REALLY want to be sure, have your cardiologist perform a stress test on you which would likely disclose any underlying cardiac disease) On the whole, depending on how your ORIGINAL FACELIFT... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
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