I have had 2 facelifts, both bad. My lower face is too low on my face and it has been tightened under my cheeks, making my face look narrow, hollow, and sad. I feel the sides and under cheeks need to be taken apart, and relifted, more vertically, probably with incision up into the hairline. I'm having a hard time finding anyone in the Kansas City area who is not afraid of scar tissue and nerve damage in a third facelift. Are some surgeons able to deal with this, and others are not?
Are Some Surgeons Able to Deal with a 3rd Facelift, and Others Not?
Doctor Answers (23)
Can a 3rd Facelift be Done
I'm sorry you're not happy with your previous work, but a 3rd facelift can be done by an experienced surgeon who will explain possible complications and establish reasonable goals. From your description it may be necessary to redrape the facial skin without removing anything. As we age we lose facial volume - it may be that you need facial augmentation with fat grafting without another facelift.
A Short Scar Vertical Facelift Is An Option For A Revision Facelift
By your description, it sounds that a Vertical Facelift may be a good option for you as you consider a third procedure. The Vertical Lift (MACS-lift) provides:
- An upward, not backward vector of lift
- Does not advance your hairline in the temple
- Causes less distortion than repeating a traditional facelift.
A Vertical Lift is usually safe to perform as a revision procedure if you are healthy. As with any procedure, some volume replacement and upper face or brow procedures may also be needed to obtain your best outcome.
Typically scar tissue is not an insurmountable problem with facelifts but if you are feeling too tight and pulled additional surgery might not be for you. Other procedures might better soften or naturalize your look. We need to talk. Come in for a discussion of multiple options.
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3rd face lift not an issue
It would serve you best if you could submit pictures, however, it sounds like you would benefit from facial fillers. Sounds like you are on the right track by consulting different surgeons. Don't give up! Just make sure that the person you do decide on is a Board Certified Plastic surgeon with experience on repeat facelifts. Best wishes,
Best of luck,
Multiple face lifts , further work desired
Third facelift. What can be done.
Hard to give you really good answers without photos. It sounds like you may need volume as well as redraping of the soft tissues. Each surgeon has his/her own comfort level. Best to see a few board certified surgeons with experience in these matters. Tell him/her your goals. If you have operative notes and photos these can help as well.
3rd face lift
Before seeking a third face lift, you may want to consider a facial recontouring procedure such as fat grafting. This can give a lifted look without subjecting you to a 3rd major surgery.
Revision Face Lift Procedures-Secondary and Tertiary Face Lifts
It is very possible to safetly perform a third time face lift even with previous scarring. It sounds as if the deep tissues need to be lifted separately from the skin using a high-SMAS procedure. If the skin flaps are elevated carefully, a SMAS flap can still be raised in secondary and tertiary procedures. The hollowness may need to be addressed with the addition of some fat grafting. The difficult issue in many of these secondary and tertiary face lift procedures is the amount of skin laxity and also the locations of the scars from previous procedures. The vector of lift of the skin in secondary and tertiary procedures tends to be more vertical than backward and there may not be enough skin to remove widened or misplaced scars. Permanent nerve injury is a rare occurence in revision procedures if the surgeon is experienced performing the procedure.
Facelift - #3?
I think one would have to conclude that some surgeons are inherently more experienced at specific procedures than others are and so it's possible that some surgeons can "deal with this" and others can't. As always, it is in your best interest to spend whatever amount of time is required to investigate your concerns, what you want done in view of what you've had done and make yourself comfortable with the entire process. In the end, it comes down to what you look like now, what you'd like to look like, and the likelihood that that can be achieved. Once you know that, you can decide whether or not it's worth going through (in terms of risks, downtime and costs). And then you can make an informed decision, which is all anyone can reasonably expect.
I hope that this helps, and good luck,