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Are Revision Facelift and Neck Lift Surgeries Common?

asked 1 year ago by anonymous57 in San Francisco, CA
Latest answer by Sam Naficy, MD
Question viewed 1,164 times
Tags: face, neck, revision, skin laxity, wait

I had a face and neck lift 5 months ago. There is still laxity in the neck area which is concerning and disappointing. Is it true that sometimes a surgeon can only take up so much laxity the first time and that revisions are sometimes needed to achieve the desired results? What is the suggested time to wait? Thank you.

14 answers to Are Revision Facelift and Neck Lift Surgeries Common?

Skin still lax after a facelift

A picture is worth a thousand words, so in absence of before/after pictures I'll do my best. There is a delicate balance between too tight and not tight enough when performing a facelift. Not tight enough and there is some residual laxity and the patient may be unhappy Too tight and the patient looks scared and they are definitely unhappy No surgeon can do with a knife what a patient can do with their hands... A patient can pull the skin up and it looks so... more

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon

Revision face and neck lift is common in a limited group of patients.

In some patients which includes patients wtih:: Familial poor skin elasticity Those who have lost a great deal of weight Heavy round faces with short necks Male patients with thick short necks we will tell them they may need a "double lift" technique. This is because even if you tighten the skin to the safe limit at the first operation, there is likely to be so much "stretch back" that the result is not satisfactory. The... more

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Revision Facelift Surgery

Unfortunately, every Facial Plastic Surgical procedure carries with it the possibility of revision. At the same time, revision surgery, especially for Facelift, should be relatively rare; a low revision rate (1-5%) is typical of an experienced Facelift Surgeon who take the time to understand an individual patient's concerns and expectations. The possibility of revision increases when a patient is overweight, or has a very heavy neck. The classic timing for revision is... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Revision facelift and necklift

If the neck skin was entirely undermined and released at the time of the first surgery it would be uncommon to have laxity there unless your skin elasticity was very poor. If only liposuction was done there, you might need to go in and do the undermining of all the skin to tighten it up.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Revison face lift

Sometimes a revision is necessary because there is residual laxity in the neck or cheeks. Probaqbly happens in less than 5%.

Steven Wallach, MD
Manhattan Plastic Surgeon

Revision Facelift and Neck Lift are not common, but sometimes necessary to remove excess neck skin

A revision of a Facelift and or Neck Lift is occaisionally necessary, but not usual. The most common revision is the neck. Sometimes the lax neck skin cannot be totally tightened even with an excellent Neck Lift and Platysmaplasty. In these cases a revision is necessary and usually involves a local procedure which includes excision and removal of excess neck skin with a visible external incsion on the neck beneath the chin. If a good complete Facelift and Neck Lift have been... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Revision surgery after facelift.

At five months you should be seeing an excellent result not thinking of a revision. Without a picture to see where you started it is hard to be specific about your degree of laxity. I would recommend you discuss this with the surgeon who did the surgery and see what he/she recommends. I normally do not re operate on face lifts for a full year to let everything settle down unless there was a clear mistake made and I feel it can be corrected. This shortens the time period the patient... more

Paul Vitenas, Jr., MD
Houston Plastic Surgeon

When is a right time for revision facelift surgery

It depends on the degree of your neck laxity prior to the surgery. If you started with severe aging of neck, it would be very difficult to have no laxity after the surgery. However, with mild laxity of neck you should not have to have another lift this soon. It all depends on the surgeon’s technique and his comfort and understanding of facelift surgery. If there is any chance of post operative tissue laxity due to patient’s anatomy, surgeon must communicate that to his/her... more

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

Facelift revision

A revision in this area is not uncommon, but is certainly uncommon at this point in your recovery. It is true that only a defined amount of tissue can be removed, but the treatment of laxity is most effectively achieved in the plane beneath the skin known as the SMAS/platysma. Unfortunately, this is a more time consuming and labor intensive approach. It is technically difficult and often more costly, but this is the only means to adequately treat laxity. If the... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Facelift revisions

It really depends what was actually done during your "facelift"-whether just skin was removed or different layer lift was used. In most cases you really do get what you pay for. I would suspect that you had a quickie type removal of skin from one of the centers that advertise extensively. However, all surgeries do cause swelling and you look better usually for first several months and then when the swelling goes down, some of the lines, skin returns. This is actually the... more

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Re-do face and Necklift

This is not uncommon.So much depends on the condition of the skin at the time of a face-neck lift.If the skin is in great shape it will hold up better.If I did a facelift on a woman at 45 and fast forward to 60 she will get more mileage at 45 because her skin is in better shape Also alot depends on the amount of swelling.Once the swelling goes down then some laxity will return.

Robert Brueck, MD
Fort Myers Plastic Surgeon

Revision of Facelift and Neck Lift

The likelihood of Revision of a Facelift and Neck Lift depends on a number of factors: The quality of the - poor skin quality has more relapse of laxity Whether or not a deep plane face lift was performed - the more superficial a face lift, the more likely the relapse of laxity Whether or not enough undermining (separating of skin from deeper layers) was performed Whether or not long-lasting or permanent deep sutures... more

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Revisional facelift and necklift

Extremely loose necks may require secondary revisional surgery, as may a facelift procedure. Any of us who have been inpractice for many years have certainly performed this for selected patients, with good results obtained. Don't worry if this becomes the recommendation of your doctor. Trust your doctor to give you the best advice, and if you don't feel comfortable with the recommendation always get a second opinion. Good luck.

Francis (Frank) William Rieger, MD
Tampa Plastic Surgeon

Touch ups after surgery

There is always a balancing act between how much skin to remove and getting a good quality scar during a a Facelift tor neck lift. The more skin that is removed, the greater the tension and therefore the greater the chance of a wide scar. The general consensus is that about 5% of these procedures need a touch up at the one year mark, and that is even in the best of hands.