Face and neck lift has dropped!

Its difficult to comment without photos.   Typically surgical results should last ten years.  In situations where the facelift result  are short-lived  a secondary procedure can be performed.  I have adopted a new procedure facetite where minimally invasive radiofrequency can significantly tighten facelift results. 

If the lift was based on only skin tightening, it can relapse quickly.  Usually some form of SMAS tightening is needed for a longer result.  

Dear Lela BergeronThank you for your question! I am sorry you have experienced these issues.  In some patients results can disappear quickly - particularly the neck - where the skin has the poorest support and quality. You may need to re-drape/tighten the skin and add volume with fat grafting.With Warm RegardsTrevor M Born MD

Hello.  Thank you for your question.  Sorry to hear that you are disappointed with your results.  It is really impossible to make any assessment of your results without before and after pictures to view.  The results of facelift surgery can vary from one patient to another, depending on multiple factors, including surgical technique, genetic factors, skin and soft tissue elasticity, body habitus, underlying skeletal structure, sun exposure, smoke exposure, etc..  Most of these factors are out of the control of the surgeon.  A facelift is simply a way to "turn back the hands of time" and give someone a more youthful look.  However, every patient continues to age from day 1 after the procedure.  So the results of a facelift will diminish with each passing year following the procedure.  Patients will look older 2 years after the procedure than they do 1 year after the procedure, and they will look older 5 years after the procedure than 2 years after the procedure.  It will typically take 4 - 10 years for things to return back to the preoperative state, depending on the individual.  However, no surgeon can make any guarantees about the longevity of their results, because there are so many factors that are out of the surgeon's control.  If the results don't stand the test of time, as is the case in some patients, then a revision facelift or "tuck-up" procedure can be performed to improve the results.  I would suggest that you seek a consultation with a board certified Facial Plastic Surgeon, who has extensive experience and expertise in facial rejuvenation, and allow them to assess your individual anatomy, concerns and goals, and determine the best treatment plan for you.  I wish you the best in achieving your aesthetic goals.

Hi.  I'm sorry that your results have fallen short.  It is difficult to comment specifically, especially without pics.  Sometimes, skin that is inelastic or lax sags quickly after a lift and requires treatments to boost elastin & collagen content in the skin.  This can be accomplished with the use of retin A, laser treatments, chemical peels etc. Consider trying these before proceeding with additional surgery as they don't carry much risk or downtime.  Best wishes,

Without any before and after photos, it would be very difficult to assess your condition. Generally speaking, patients are encouraged to wait for at least 6 months before concluding their results as the healing process takes several months. In your case, a revision might be the best option, but you will have to make a clear communication with your surgeon or get a second opinion. Post op care should be your surgeon's obligation.

Dear Lela,
Thank you for your question, and I’m sorry you aren’t happy with your results from you facelift 2 years ago.
Without multiple view photos I cannot offer any kind of opinion, however the fact that the Surgeon that has taken over the practice is offering to try to tidy things up.
I would recommend seeking at least a second opinion from a Board Certified Plastic Surgeon (has FRCS (Plast) after the name in the UK) for assessment and further opinion/advice. I wish you luck.
Marcus 

It is difficult to assess your concerns without an exam and/or pictures.  Generally, you will experience rebaound laxity.  A second less invasive procedure may benefit you or the placement of filler and/or botox may also help.  Again, it is not possible to give you an accurate answer without seeing you or your pictures.

It is not unusual for a facelift to loosen a bit, especially at the jawline, over a couple of years although your's does sound excessive. There are a few non-surgical treatments that can retighten the skin a little bit. Otherwise, your only option is to visit an experienced plastic surgeon, tell him/her exactly what bothers you short of a complete redo of the facelift, and negotiate a price that you can afford. Facelifting was never intended to be the cure for facial aging but part of a long-term plan including "tuckups" or strategic tightening procedures- probably what you need. 

 After a facelift or any type of lift, the skin may stretch necessitating a secondary procedure. This is not unusual. The surgeon has control over the technique of the surgery but not over postoperative stretching of the skin. Usually, a secondary tightening procedure is much  less involved.