I hear this question every day and every day I give a very long answer to this seemingly simple question. I am always surprised when somebody can guarantee their facelift, or mini facelift for 8-15 years. I cannot.
First of all, I do not know what the terms “longevity”, or “how long it lasts” truly mean.
Once the facelift surgery has been performed and deep muscle, also known as SMAS, had been lifted and properly secured, it is not going to just relax and drop down one day. From the standpoint, if you had any facelift surgery, SMAS excision, SMAS plication, SMAS flap, MACS lift and any others, you will never look the same as you would if you never had any surgery done. In this content, the improvement will last forever.
However, it does not mean that the face will stay frozen in time. We continue to get older and age. The aging process is determined by genetics, nutrition, activity level, hormones, skin care regimens, stress levels and many other factors. The older we are, the weaker the deep tissues become and less durable the facelift result is going to be. I would not expect facial rejuvenation surgery to last as long in 75-year-old patient, as in 45-year-old one.
The main person who determines how long the facelift lasts is the patient herself or himself. In my book, whenever the patient is ready for another surgery, that is when the results of previous surgery have exhausted themselves. Obviously, the more critical we are of our appearance, the less we maintain our skin, the more stress we impose on ourselves, the less we pay attention to our nutrition and vitamin supplementation, the shorter the effect of the facelift surgery is going to be.
Overall, the facelift procedures that lift deeper tissues, will last longer than the one that lift skin only. Otherwise, if deep muscle is secured with any of the documented techniques, the durability of the left is mostly dependent on the patient and quality of their tissues.
Boris Volshteyn M.D., M.S.