Are there certain type of facelifts that cannot be up for revision?
Doctor Answers 10
SMAS elevation ina revision facelift
It is possible to perform something like an extended-SMAS or deep place facelift when doing a revision even if a SMAS flap was used previously. It will be a bit more challenging from a technical standpoint, but in many cases it can still be done.
However, it might not be necessary.
Any facelift surgeon who chooses to offer revision or secondary facelift procedures MUST be comfortable with a variety of techniques and be able to shift on the fly to adjust the surgical plan as needed. I would advise you to seek out a surgeon who focus their practice on facial rejuvenation and facelifts in particular. It will be helpful for your surgeon to know about your previous procedure and even get a copy of the operative report if possible.
There is always scope for revision but not all techniques work as well the second time. Also, its worth bearing in mind that the same pathology may not be present the second time. For example the techniques to rejuvenate the neck are different to those to freshen the midface. Please bear in mind however that the older patient will get a great benefit from revision surgery but the tissues may not hold on to that benefit for as long as those of a younger patient. Hope that helps.Adam Goodwin
Is always an option and possible(you do not have to live with a distorted face).Re-elevating the SMAS is typically not a problem and other techniques can always be performed if there is significant scarring and the SMAS cannot be re-elevated. Adding volume during the revision either in the form of fat or fillers will aid in the revision. Waiting a period of 5-6 months from your first surgery is a reasonable amount of time to wait prior undergoing a revision.
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Revision facelifts, in the right hands, can be just as successful as primary facelifts. To be honest, it is now more and more common to see secondary and revision facelifts as patients who had their first lift 10+ years ago are starting to come back for their "tuck ups". During that time, techniques have changed dramatically - from subperiosteal lifts all the way through less invasive, quick stop lifts (like the lifestyle lift which was popularized a few years ago). Previous elevation of a SMAS flap does not preclude the surgical plan in any way - but it certainly is good to know about as it allows us to modify what is and isn't done during the surgery. Also, often times if a surgery was done alone, addition of adequate and appropriate volume can aid a revision or secondary lift more than surgery alone. I hope some of this helps. Best of luck.
Revision surgery is possible
Is a revision possible
If a SMAS flap was elevated properly, usually it can be elevated again during a revision facelift. Even if it cannot be elevated again, other techniques are still available that can work well. Even if the first procedure was done poorly, often a revision can still be performed with significant improvement. Likely focusing on volume replacement (ie fat grafting) as well during a second procedure can significantly improve the outcome if this was not done during the first operation.