Is It Safe to Have Another Facelift Seven Years After?

I'm 65 years old and had a facelift seven years ago that I was delighted with. I'm beginning now to see the need for perhaps another minor procedure even though I do Botox. I wasn't happy with my Juvederm injection for the nose-to-mouth line so prefer not attempting that again. Any suggestions as to another facelift and the type or would this be an overkill on my part? Thanks!

Doctor Answers 36

Secondary or revision facelift considerations

Secondary facelifts are indeed gratifying procedures, and usually quite safe in the medically cleared patient. For patients your age, our practice typically would request you get a stress test, cardiogram, physical examination and blood tests.

The bigger question is how the secondary procedure is done. Often, after a facelift there are minor alterations of the hairline and ear area. If specific steps are not taken, these irregularities get worse.

The skillset for secondary facelifts (and many of the adjunctive procedures to offer the patient) are completely different from the first time surgery.

With secondary lifts, the goal becomes correcting of the hairline, tragus (bump in front of the ear), earlobe, previous scarring, eyelid shape, especially from prior lower eyelid surgery, and restoration of hair lost to prior surgery and aging.

Even more important than the corrective aspect of the secondary facelift is the volume aspect. Valuable volume lost to time will NOT come back by itself. It must be strategically placed in areas of hollowness, and readjusted from positions where the volume is detrimental to a position where the volume enhances the appearance.

Also important is the appearance and length of the upper lip, the earlobes, the skin surface itself, since all of these structures have been aging (and often lengthening) over time.

If you want to obtain your best result, your prospective surgeon should be comfortable with these concepts, and probably will bring them up at the time of consultation without you having to say anything.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Secondary Facelifts and your appearance

Two issues that are mutually exclusive in your question. The first is whether it is safe to undergo a second facelift procedure in a 7 year period. To this I would echo the sentiments of my colleagues in that the safety of the procedure will depend on your overall health and the skill of your surgeon.
The second issue is whether you are an appropriate candidate physically for a second facelift. The fact that fillers around your mouth did not really do the trick is no surprise. You might consider fillers or fat to specific areas of your face that would give you a more youthful and full faced appearance rather than the appearance you will get by simply pulling your skin tighter. The mid face, cheeks, jaw line, and temples are four such regions.

Philip S. Schoenfeld, MD, FACS
Chevy Chase Facial Plastic Surgeon
4.7 out of 5 stars 29 reviews

It is Safe if you are Healthy

Safety in a surgical procedure is predicated on the physiological health of the patient. In elective cosmetic surgical cases, one of the chief responsibilities of the surgeon is appropriate patient selection: based on indications (aging changes), physiological health (cardiovascular, respiratory, and other systems), and psychological health (an individual's state of mind and motivations). Revision Facelift surgery can be more technically complex depending on the incision placement and technique of the first surgeon, but in most circumstances is feasible.

Your being underwhelmed with Botox and Juvederm isn't unusual for a patient at your stage. Although these procedures can work very well, they just don't achieve the same degree of results as a Facelift. When your expectations exceed the results you can achieve with minimally invasive procedures, and you have the desire to proceed with a revision Facelift, and you are healthy, then it is safe to proceed.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Redo facelift

Revision facelift surgery has the advantage of delayed flaps. This decreases the blood flow demand on the flaps of skin that are elevated as the blood flow has been redirected following the initial surgery. Caution needs to be exercised as it is not desirable to appear "over pulled" giving the patient the wind blown look.
A consultation with a board certified plastic surgeon in your area is a good start.

R. Brannon Claytor, MD, FACS
Bryn Mawr Plastic Surgeon
5.0 out of 5 stars 41 reviews

Revision or secondary facelift

Many patients who have a facelift will go on to have another facelift at some point in time. This typically occurs 5-10 years after the initial procedure. The procedure is usually not as extensive as the first first operation, and the recovery is similar, but often easier and shorter. A well-trained and experienced facelift surgeon should be able to determine whether a second facelift would be beneficial to address each patient's individual concerns.

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 2 reviews

Is It Safe to Have Another Facelift Seven Years After?

It is not unusual for patients to seek a secondary face lift at around  7-10 years after their first.   I like my patients to check in with their primary care physician especially if they have any underlying medical issues.  I also make sure we preform labs and an EKG prior to surgery.   You will want to go to a board certified plastic surgeon who can show you lots of before and after pictures. Also, ask to see their secondary face lift before and after pictures. I wish you the best.

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 14 reviews

Is It Safe to Have Another Facelift Seven Years After

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. 

If you learn that you are a candidate, this may be helpful. Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.

Lite Lift™ surgery is individualized for each patient. The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. Candidates should also have a face and neck line beginning to sag, but skin with elasticity and well-defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. 

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

Second Facelift Is Safe and Normal

As long as you are in good health and have good quality skin, you should be an excellent candidate for a second, or revision facelift. Most facelifts last about ten years so it is not unusual for you to start wanting to make changes at the seven-year mark. Botox and filler maybe an option to improve facial balance.  It all depends on your goals and expections on which path is going to be best for you.  I hope this helps.

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

Secondary Facelifts

In general, it is safe to undergo a second facelift seven after a primary surgery–assuming your overall health is excellent. A patient typically benefits from a facelift for about seven to ten years, so it is not unusual for an individual to consider having a second face lift around the seven-year mark. It is important to remember that your skin has continued to age, so it will be less elastic than it was before– this means that the surgical plan may be different than it was for the original surgery. A skilled surgeon will be able to determine the best way forward based on your history and the current condition of your skin.

Julian De Silva, MD
London Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

Facelift Revision is a safe procedure

A secondary facelift can safely be performed in a 7 year period. A thorough workup should be performed prior to any surgery. Consult with 3 experienced and expert board certified plastic surgeons to understand your options. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.