Revision Facelift -- Do I Need a Specialist?

I have found a surgeon in my region who has proposed a 3rd revision facelift of surgeries done by other surgeons. He is a very experienced, respected cosmetic surgeon and about 1/4 of his practice is facework. He said he has done 2nd facelifts (1st revisions). I believe he has good judgment, advanced skill, multiple techniques, and good hands. Could this possibly make up for lack of extensive FL revision experience?

Doctor Answers 30

Revision facelift surgery requires surgical experience

Revision facelift surgery requires greater surgical experience than a primary facelift in order to achieve a natural-looking result with a low complication rate.  A third revision is likely to be more challenging than a first revision. However, if your surgeon is skilled as you describe, that is the most important factor. Looking at your surgeon's portfolio of before-and-after photos can be very helpful, and it is reasonable to ask that your surgeon show you pictures of his work. If you are comfortable with his answers to your questions, that can also be very useful in reaching your decision.

3rd revision facelift

It sounds like you found a very successful and respected plastic surgeon who has an 'eye' for detail and has a good reputation.  It also sounds as though he does some facework.  Facelift surgery is a complex procedure to begin with and facelift revision can be even more challenging.  Many times this means finding a very skilled and experienced facelift surgeon and others it means finding a surgeon who you feel comfortable with and will be there for you after the procedure.  Usually, a combination of the above is best to get the best experience and outcome. 

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.7 out of 5 stars 46 reviews

Seek the Best for A Facelift Revision

I am sorry to hear about your concerns and problems following your facelift. In answer to your question, I agree that the most critical decision to be made in achieving the best plastic surgical result is picking the most experienced and talented, that is the best, plastic surgeon possible. Too often, patients choose a physician based on a catchy ad, the brand name of a technique, the basis of one or two before and after photos, or their web site’s search engine ranking. These criteria will not find the most experienced and talented plastic surgeon. See the below link for suggestions on how to do this:

Revision facelift specialist. Who is the best facelift surgeon in the country?

If you are undergoing a third revision you need to seek your surgeon very carefully.  There are minor revisions (tuck-ups) and major revisions.  If you are undergoing a minor revision, it doesn't make too much of a difference. However, if you are getting a facelift all over again you need to be sure to avoid performing the same type of facelift you had the time before.  This can dramatically worsen your issues. This is because the majority of surgeons tend to remove skin in the same vector. You need to avoid that and avoid an excessive skin dissection in revision cases.  Most patients need an extended deep plane facelift to make things look better and more normal (non-operated).  There are not as many revision specialists in the country as you would think however.  They are typically located in the more metropolitan areas.

The only way you'll know is to look at revision before and after photos and see how the surgeon addressed the problems at hand.  Compare several surgeons to see which aesthetic you like the most.   

Ben Talei, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 36 reviews

Revision Facelift -- Do I Need a Specialist?

We do quite a bit of revision face lifts.  Some are to correct things and most are because 7-15 years has gone by and patients want a 'tuck'- meaning there was nothing wrong with their original lift.  You may or may not need a third revision, and it sounds as if your surgeon is qualified to do it.

Ramtin Kassir, MD
New York Facial Plastic Surgeon
4.6 out of 5 stars 127 reviews

A third revision of the facelift is most unusual and should be performed unexperienced plastic surgeon.

I'm not sure why a third revision of the facelift is needed in your case. Nevertheless, with each operation there or diminishing returns. This should definitely be your last operation should be performed by someone who has a lot of experience with facelifts.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

3rd Revision Facelift

I am not sure that there are revision facelift specialists but there are certainly specialists in facelift surgery.

The surgery can be performed by many surgeons well experienced in facelift surgery. But it is the aesthetic vision and what the surgeon does (and not does, for this matter) that will determine the final outcome. There are multiple technical nuances in secondary and definitely tertiary lifts that can make the difference between a great result and a mediocre one. Although there is no firm number, but most experienced facelift surgeons perform in excess of 50 facelifts a year with maybe 10 percent representing secondary surgeries.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 45 reviews

Revision facelift

A good facelift surgeon can do revisions. Seek a board certified plastic surgeon or facial plastic surgeon. Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Revision Facelift Surgery

It is absolutely safe to do a revision facelift, but the surgeon needs to know all the tricks.  So, I would stick with someone who works exclusively on the face and often does revisions.  I would look for a Board Certified Facial Plastic Surgeon.  The surgeon must have thorough understanding of the course of the facial nerve, which may have been altered by your previous facelifts. 

John Bitner, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 78 reviews

Multiple revision facelifts

   This question is easy. You can do multiple revision facelft work..........However the surgeon MUST have experience in this work, MUST feel confident about his approach and your candidacy for the proceedure, MUST be conservative, and above all MUST be honest with you about what your expectations should be. Then and only then should you proceed with the surgery. Revision facelift surgery truly takes experience and the best are those who do it frequently. They are most aware of the changes and problems they are likely to see during surgery. They also know best how to readjust the skin appropriately, how much to do, and when to stop.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.