I need a second neck lift from aging ten years after the successful first. Is a revision specialist recommended?

Secondary (or revision) necklifts and facelifts are frequently performed, as many patients are having their first lift at a younger age and then desire to maintain a healthy, more youthful look as years pass.  It is best to seek out a plastic surgeon who has experience with primary and revision face and/or necklifts.  The anatomical conditions being treated are similar, but there are some special concerns for the revision operations.    The presence of scar tissue from the first procedure many affect the way in which the muscle and skin can be shifted.  And the position of underlying nerves may have been altered slightly.  As with a primary lift, the most important aspect is for the surgeon to carefully analyze the anatomical changes that need to be improved, and to plan a safe operation to improve your appearance.  Surprisingly, there is often less loose skin that needs removal than one would think, and more work is often done on the deeper tissues.

This is a great question and will help educate others. Most people after about 8-10 years after a facelift, will look into some kind of 'touch up' in order to maintain their best appearance. Like you have mentioned, you look great, but feel a little touch up is in order. What you are doing is a secondary neck lift- not necessarily a revision, as a revision is performed when suboptimal results are obtained. This is all semantics, as in both cases you are having surgery a second time. My suggestion is to find someone that is VERY comfortable doing neck lifts and has done a lot of secondary neck lifts as my experience has been that even more care is involved and techniques are a little different the second time around (for example, less skin is always removed, so care has to be taken during the placement of the incisions and closure- and extra work has to be done to the underlying neck muslces). Good luck!

Thank you for your question, Maxime. I suggest you consult with board certified facial plastic surgeons for a handful of in-person opinions. Consider the Laser-Assisted Weekend Necklift which contours the neck line utilizing laser technology and hidden incisions while providing a short recovery of a few days. Based on your age and your desires, you may be a great candidate for this procedure. Best wishes,

A lower face/neck lift is a great procedure now that it is done under local with a little iv sedation. Everytime you do it, it is like a new procedure except that there is a little more fibrous tissue involved which may make it a little longer but not a big deal in most cases.

Thanks for sharing.  Seek a board certified facial plastic surgeon who specializes in aging face procedures such as face and neck lifting.  Invariably and experienced one will have done revisions on his own and others surgeon's patients.  Inquire about surgical experience with these procedures and their comfort level. There are several important certain things to consider when doing a revision that is learned by experience.  I have performed several thousand and feel comfortable with any revision and any shapes and sizes.