How you can reverse a skin-only facelift?

Thank you for your question! I am sorry you have not been satisfied with your results. You do not have any pictures posted, but I can discuss what I typically see in patients who have had these type of lifts. When only the skin is lifted, there tends to be tension on the incision lines and scarring can be a problem. Additionally, most of these skin only procedures have a horizontal pull and do not adequately reposition the tissues vertically giving patients a "pulled" appearance. My solution to this situation often times is a deep plane facelift to reposition the deeper layers more vertically and support the skin so there is less tension for a more natural result. If there were widened scars from the first surgery these can sometimes be removed during this procedure - really depends on the case! I am sorry you are going through this but there are a lot of great surgeons out there that you can see. I recommend seeing several before deciding who you feel comfortable with. Good luck!

Thank you for reaching out and sharing your concerns. It sounds like the “skin-only mid facelift” you underwent may have created some unwanted tension and distortion in your facial features, leading to the pulled appearance, square-shaped face, and slanted eyes you described.
Reversing or improving the results of a previous facelift is a delicate process, but it is possible with an experienced surgeon. The key is to address the underlying causes of the issues, which may include: 1. SMAS Repositioning:A “skin-only” facelift focuses solely on tightening the skin, which often leads to unnatural tension and results that don’t last. To correct this, a more advanced technique that includes repositioning the SMAS (Superficial Musculoaponeurotic System) may be necessary. This approach restores natural contours and reduces the overly stretched look by addressing the deeper layers of tissue, not just the skin. 2. Volume Restoration:Loss of volume in certain areas of the face may contribute to the square or harsh appearance. Fat transfer can help restore a softer, more youthful contour by filling areas such as the cheeks or temples while complementing the facelift revision. 3. Correcting Eye Appearance:The “slanted” or pulled eye look can be addressed by carefully adjusting the positioning of the lateral canthus (outer corner of the eye) and balancing the surrounding structures. This requires precision to achieve a natural and harmonious result. 4. Scar Evaluation:It is essential to assess the scars resulting from the previous facelift, as they may contribute to the tension and overall appearance. Evaluating the condition and placement of these scars will help determine the best approach for revision surgery. 5. Personalized Revision Surgery:A revision facelift focuses on tailoring the procedure to your specific concerns. The goal is to reverse the effects of the previous surgery while creating a more balanced, refreshed, and natural appearance.
To provide the best recommendations, it’s very important to evaluate your individual case thoroughly, including the existing scars and areas of tension. I would suggest scheduling a consultation or video call