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 eliminate the need for Juvederm or other fillers to that area.  If done correctly, all of these procedures will help you look fresher and younger, but not overly tightened.

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 the "delay phenomena) .

They also benefit from the many updates that have been developed since their lift so that the second lift is usually more successful that the first.

Dr. Mayl

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!