Needed a revision facelift and facial fat grafting after much fat loss from previous facelift. Can you tell by this report?

Needed a revision facelift and facial fat grafting. PS said he specialized in the face and could restore volume. Can you tell by this op report what was done? My face looks thinner now than ever and it has only been 7 weeks.

Doctor Answers 5

Need a facelift revision

Facelift surgery can improve the jowls and improve the neck line. In combination with facial fat grafting the results are long lasting. However, even a deep plane facelift has been shown to last 7 years. I didn't see the date of surgery on the operative report, It would be interested how long its been since the surgery. 

San Antonio Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Revision Facelift

Or reports, ideally accompanied by before and after images taken by your physician can be extremely helpful to a surgeon with whom you are discussing a revision facelift. However, without photos, either your own or even better, from your medical record can be very helpful.

I would urge you to look at many, many photos of plastic surgeons who have performed revision facelifts. When you find a few that seem impressive to you, take time learning about their training, their experience and their record of safety. Look into the facility where the procedure will take place and the surgical staff that will be part of the surgical team

During your consultation, find a plastic surgeon who really listens and describes in detail how he or she would address your concerns.

Kudos to you for accessing your Op reports as this can be very helpful to you in the future.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Seems OK

The operative report seems very good.
Fat was grafted and there was a facelift.
Not sure why you are thinner, but you may need more volume added.
Voluma or Juvederm can be added as an office procedure.  Or more fat can be placed for thin areas.
Best wishes,
Dr. Denkler

Keith Denkler, MD
Marin Plastic Surgeon
5.0 out of 5 stars 18 reviews


The operative report certainly seems consistent with appropriate techniques for both fat grafting and for a lower face and neck lift. There is also no indication that anything did not go to plan. Obviously the amount fat to be grafted and exactly where to put is a matter of opinion. This of course would depend on the doctor and the anatomy of the individual patient. The best course of action is to follow up with your surgeon. 

Ravi Dahiya, MD
Washington Facial Plastic Surgeon
4.6 out of 5 stars 46 reviews

Revision Facelift and fat grafting

Revision Facelift requires skills and significant experience.  The operation report is only partially helpful in determining exactly what was done. Do not be shy asking your surgeon precisely what maneuvers were done to achieve your desired results.  Trying to devine information from this operation report is not going to be very helpful.

Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
4.7 out of 5 stars 56 reviews

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.