Scars for Second Facelift

Hello, Thank you in advance for taking the time to answer my question. I would like to have a second facelift and I'm wondering if it's possible to use the same area (scars) for incisions? My concern is that with age my hair seems to be thinning quite a bit and I'm worried about losing more hair where new incisions would be made. Question 2... is it at all possible to do a mid FL without incisions behind the ear? Thanks again, you guys are great!

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28 Doctor Answers | Asked by almost50

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Second facelift and scars

The scars for the secondary facelift can encompass the old scars. It is important to note where the previous scars are. Many times on revision secondary facelifts we end up placing a preauricular incision into a postauricular incision. We also remove old scars and place the incision at the hairline so as not to remove any hair bearing skin when tightening the skin itself. Because of this technique, the hairline will not shift upwards or backwards from its current position. We do... more

Scars for a Second Facelift

Incision placement is a very important aspect of Facelift surgery, so the question is a very good one. The answer is that good Facelift Surgeons will place incisions in the least conspicuous location possible and avoid excessive skin tension. Excess skin tension can lead to widening or migration of scars from the planned location. Poor incision placement is sometimes correctable and sometimes not. Therefore, the answer depends on whether the incision placement was... more

Scars for secondary facelift- how to minimize

Not only is it possible to use the existing scars for a secondary facelift, it is almost always possible to improve them vastly. The change in direction of pull can yield a less pulled look. The "high on the side" or Nike swoop look can be reversed. Reconstructing the earlobe and tragus can hide scars and yield a more relaxed look- despite things being rejuvenated. Hairlines in the temple and posterior ear region can be greatly impvored as well. Brows can be... more

Redo Facelift Scars

Yes, it is possible to use your previous face lift scars if you have a revision or redo facelift. Depending on the type of face lift you had before (mini face lift, mid face lift, full face lift), and the type of redo facelift you require, your plastic surgeon may need to use the entire length of the previous incision or just a portion. A mid face lift or cheek lift can usually be performed through the incisions in front of the ear and do not require incisions behind the ear. The... more

Redo facelift

A facelift can be redone using the same incisions. The incisions can be modified to avoid loss of the hairline as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Re-do facelifts re-do the scars

To re-do a facelift, in most cases your old scars will be removed and re-done. By the right doctor and not under too much tension, they might be even better than the first time.

Mid facelift can be done without incisions behind ear and a secondary facelift can be done through old scars

Typically a secondary facelift is done by placeing incisions just behind the old facelift scars so that the old facelift scars are removed. A mid face lift can be done through incisions inside the front hairline and only the incsions in front of the ear. There is no need to make an incision behind the ear to do a mid facelift

Secondary facelift scars can be well hidden

The scars from your first facelft, as long as they were placed in the appropriate position, can usually be removed during the secondary facelift. This would leave you with a single new scar which should be very well hidden in the normal creases and contours of the face and ear. To avoid pulling your hairline / sideburn backward, the incision can be placed in front of the hairline. As long as this incision is closed meticulously it should be barely noticable. The... more

Jeffrey M. Darrow, MD

18 reviews

Boston Plastic Surgeon

Yes it could be done

It is hard to say 100%. Generally, a mid face suspension or lift during a secondary facelift could be done with anterior scars only. I try to hide the scars behind the old ones by removing the old ones. It will curve the front of your upper ear border, go inside the tragus cartilage and then step anterior to the lobule. If the neck is good, you could have a nice result.

What to do with a secondary facelift incision.

Good question: During your secondary facelift similar patterns of incision are made. This helps to remove the old scars and possibly improve them. In regard to just doing a mid facelift without neck lift, it is possible. I would recommend you to talk to your surgeon. He or she can assess your facial anatomy and decide what approach is best for you.