I had a facelift 18 years ago when I was 50. I believe I still look at least 10 years younger. Am I too old to do it again?

It is great that you are looking young for your age.  Sounds like you had a very nice and long lasting results with your first facelift.  However, I am sure that in 18 years your face had sagged a bit, so another facelift would make you look even better. As for the age, I don't think it should be a problem.  My oldest facelift patient was 94 years old at the time of her procedure and she was thrilled with the results.  If you are concerned with health impact of the surgery, consider getting your facelift done under local anesthesia.  This would minimize any possible health risks and complications.Best of luck!Dr. Konstantin

It sounds like you are thrilled that you had the foresight to address your facial aging almost two decades ago. The wonderful fact is that you absolutely can have a second procedure at your age.  Having a second, third, or even fourth facelift is becoming quite common.  That said, a quality lower facelift/necklift should last you around a decade before needing another procedure.  In my personal practice, I have performed this procedure on a few women in their late 80s, and even two in their 90s.  Probably the most important factor in having a second procedure is deciding who will perform the procedure.  Having a board certified, skilled, and experience facelift surgeon is crucial to assuring you have a successful result.  Age is just a number, so it seems like you are still in wonderful shape (for any age!), so I would proceed without reservation. Just be sure to interview a few surgeons and make sure they have performed facelifts on patients who have had previous facelifts in the past.

One of the best things about today's facelifting techniques is that they are safe, last 7-12 years, and can be repeated safely anytime.Your situation is quite common.  Many people seek treatment for they aging lower face around their 50th birthday.  A decade later, they may be ready of a "tuck-up" procedure which can be performed safely under local anesthesia.To date, my oldest patient undergoing this procedure was 89 years old.  She appeared to be in her 60's with great health and very motivated.  At your young age of 60 years, you can certainly undergo a secondary facelift when you are ready.  You will likely be surprised at how things have advanced since your first facelift.

At 68, you are not at all too old for a second facelift. That you were able to maintain the benefits of the first facelift for almost 20 years suggests that your skin is healthy and will respond well to additional surgery. Ideally, the muscles underneath will be retightened so you can go another 10 years or more with good results. You may also need fat grafting at this time, if you have lost volume in your mid face. I hope this helps.

Without examining you it's difficult to give specific advice about what you would need surgically however I can tell you that in general 68 is not too old for a secondary facelift in a healthy patient. The only way to know for sure is to book a consultation with a board-certified plastic surgeon near you to see what your options are. Best of luck! 

Hi, and thanks for
your question. I'm pleased to hear that you got a good result from your first
facelift. As you've already discovered, one of the great things about facelift
surgery is its ability to keep patients looking a decade younger than their
peers even as time passes. However, it's certainly not uncommon for facelift
patients to consider a second surgery several years down the road. When I
evaluate a patient's candidacy for surgery, age is not nearly as important a
factor as overall health. You should be healthy enough to undergo general
anesthesia and not have any conditions or take any medications that affect
bleeding. It's not possible to determine the amount of muscle involvement
required for your second facelift without an in-person consultation. I
recommend seeing a board-certified plastic surgeon near you who is especially
focused on facial rejuvenation. He or she can help you better understand the
details of your potential surgery. Good luck!

Thank you for your question.  Facelift surgery is very common for people in their 60s.  Age is not as much of a factor as overall health.  As long as you don't have any major medical problems, you would be a good candidate.  Revision facelift can safely be performed although depending on the technique of the first surgery, there can be extra scarring to deal with that may make the revision more difficult.  See a facelift specialist who can help turn back the clock for you a second time!  All the best.

Thank you for your great question.Many people ask the same one.If you are healthy and a good candidate,
then there is no reason you could not have another face lift performed.The techniques have changed a lot in 18
years, so your recovery should be a lot faster than it was 18 years ago.Also your surgeon should be able to use the
same incisions so you will have no additional scars and you should have less
bruising because the flap has already been lifted once.You will probably need the SMAS lifted
again, but your surgeon will determine this.Many times a facelift can be performed under local and therefore you
will not have the risk of anesthesia either.Good luck to you.

You are young!Many patients your age have revision facelifts.  Indeed many don't have their first until your age.Let a plastic surgeon evaluate you and hear their opinion. They will send you to have a preoperative clearance by your internist and the two of them, along with the anesthesiologist will consult and decide if you are a good risk.But in actuality if you are healthy, all you will end up getting is a routine physical, labs, keg, and perhaps chest x-ray. 

Thank you for your question.  As long as you are in good health and all of your pre-op lab results confirm that, age does not have to be a factor in your ability to have surgery.  Schedule a consultation with a board certifed plastic surgeon to disucss your surgical options and work together to create the plan that works best for you.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV