Skin-only revision possible?

Question

I had a deep plane facelift and necklift performed 3 months ago. I know there is still a lot of time to see the full results, but I already see that one side of my face is almost exactly as it was pre-surgery. The necklift was quite aggressive but my non-expert evaluation of how the skin was pulled is that the facelift (my main concern) was not. If I were to get a revision would a skin-only lift be possible to get closer to my ideal? I would not want to go through this prolonged recovery again.

Anil R. Shah, MD · Answer

Firstly, I don't believe that the skin is what sags in a facelift; it's more about whether the procedure addressed deeper tissues adequately. At three months post-op, it's crucial to allow yourself time to heal and ensure that any issues are being addressed correctly. A facelift doesn't change the texture of your skin but rather lifts descended tissues. If you feel like your facelift wasn't done correctly, it might be because the middle portion of your face or the soft tissues weren't adequately lifted. Focus on evaluating these aspects rather than the skin texture. If you're unhappy with your skin's texture, other options like laser treatments and using high-quality skincare products can be considered.

Yasin Kursad Varsak, MD · Answer

Hi there,
I agree that it is too early to see the final result since it has only been three months since your surgery. You mentioned that your complaint is sagging on one side. In this case, you may not benefit from a face lift that only removes skin and is performed on one side of your face.
The skin is an elastic organ and the removed skin will adapt to the underlying tissues again. In other words, if the SMAS layer and suspensory ligaments were not completely released and fixed in a higher position during your first surgery, it is not possible to achieve this by only removing skin.
My advice is to wait for your face to heal completely and then observe the development of deep nasolabial folds, sagging cheeks and jawls , which are the signs of an aging facial appearance. If you really feel that your face has returned to its previous state, I recommend that you undergo an extended deep plane face lift instead of a face lift that only removes skin.
I wish you a good day.

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