Healthy skin after repeated facelifts

Brent Moelleken, MD answers: Does a facelift result in less healthy skin over long run?

I read an interesting article that spoke of long term damage to skin that has been cut and pulled as part of a facelift. It states that skin will get thinner and will never regain or increase its thickness given that the skin is lifted away from underlying layers in order to tighten the underlying fascia and muscles. Especially so if more than one surgery. It makes common sense that skin may not re-attach itself to underlying tissues like it was before surgery.


Brent Moelleken, MD
16 days ago

Modern facelifts rely less on pulling really tight, and more on adjusting deep volume and replacing lost volume. Extreme tightness of the skin is avoided. Therefore the effect of repeated excessive stretching that was the guiding principle of the 80's that caused the skin to stretch so much does not happen.

That much we do know.  Experienced facelift surgeons have seen thousands of post facelift patients in their practice.  So these observations are "anecdotal", i.e. not scientific, but are reasonable and make good sense.

There are other reasons patients with well done facelifts look good, including their skin.

Patients with well done facelifts typically take very good care of themselves.  They look far better than their colleagues who don't.  This "package" includes an excellent skin care system, microdermabrasions, weight control, dietary restraint, no smoking, exercise, sun avoidance, treatments such as PhotoFacial lasers when appropriate, retinoids, etc.

It would not be uncommon for somebody who likes to look "just so" to have 3 facelifts in their lifetime, with various ancillary procedures.

The "full facelift" today may contain many procedures that were not even invented in the day when tightness and eradication of the nasolabial fold through tightening was the primary goal of plastic surgery.

So I suppose the answer depends on the type of facelift you are talking about, in my opinion.

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A: No it does not!

Toby G. Mayer, MD
15 days ago

 If properly done multiple facelifts do not do this. In more than 30 years of doing facelifts and seeing my patients over that period of time, there is no change even with multiple lifts on actresses who tend to have more lifts than the average person.

The skin will become less elastic and thinner in all of us even without surgery due to aging.

A: It is not the facelift that damages the skin

Kenneth D. Steinsapir, MD
12 days ago

A well done facelift will have no damaging effects on the skin. It is important to leave an appropriate amount of fat on the lifted skin to help protect the blood vessels that bring nourishment to the skin. However,  the big abusers of skin quality are over done CO2 laser resurfacing and too much injectable steroids.

The skin of the face has an amazing capacity to heal itself, so your conception of what happens with surgical maneuvers is fortunately not correct. 

When you are ready to seriously look into options for yourself, the key is to find a well qualified surgeon who you are confident in and trust will do what is best for you. Yes, surgeries can have side effects but these side effects seem to occur much less often in the right hands.

Web reference: http://www.lidlift.com
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