How soon can a revision surgery be done after healing from a partial facelift? I had a recent endotine midface lift.

It all depends on how you are healing, if you don't have any more swelling or bruising, and are otherwise doing well, then by 2-3 weeks after your first surgery, you should be able to hv the facelift - the incision placement and surgical sites should be different so it should not interfere too much with the second surgery. 

It is imperative that the patient and doctor have clear understanding of the goals of proposed surgery.  It is puzzling that your request for correction of jowls was addressed with a mid-facelift.  Seek out a talented and experienced facelift surgeon for an in person evaluation.  You could consider a lower face-neck lift withing 6 months of your procedure.

Revision surgery after a facelift is generally recommended to be performed after most of the healing process has passed, which is about 1 year. However in certain cases, revision surgery could be performed earlier.Endotine midfacelfit (usually a subperiosteal midface lift) is a associated with prolonged swelling compared with other types of mid facelift. Therefore, revision surgery in these kind of cases shall not be done too soon after the initial surgery.Revision facelift surgery in areas that were not operated before ( eg. lower facelift and neck lift in a subperiosteal facelift) may be addressed with surgery before 1 year  after the initial surgery.Patients interested in undergoing revision facelift surgery should discuss a safe timing for the re-opeariong with their primary facelift surgeon. 

It is always easier to suggest things from a far, but my philosophy of facelift surgery are to address all areas of ageing. In the pre op photo you have I would have performed a full facelift with High SMAS flap and opened your neck. There is no minimum time to wait to get the lower face addressed now.

Thanks for sharing.  An endotine mid face lift lifts the upper cheek and nasolabial folds.  This procedure will not pick up the jowls and neck as a lower facelift does.  Although you could have a lower facelift a few months after the endotine safely, it is best to see the long term results of the mid facelift  first and then proceed with a lower facelift so that if the mid face needed more pick up it can be done at the same time with the lower facelift.  That said, i would recommend waiting at least 6 months to see the results of the mid face and then proceed accordingly with the lower facelift. You have nothing to lose by waiting.  Best of luck!

Hello PausingtheClock,Thank you for your question.I am uncertain as to the reason a midface lift was offered to fix a jawline problem.  A lower face and necklift operation, or a mini-facelift (in certain conditions) is the operation used to improve a jawline.  Your problem currently is that swelling from the midface operation follows gravity and settles in your jawline and neck areas for up to 2 months after surgery.  You will have to wait until all the swelling is resolved to determine your actual results.  Final results from facial surgery can take 6-12 months to manifest.It sounds like the midface lift did what it was supposed to, lift your cheeks.  The rest will probably have to be dealt with during a standard facelift procedure.Good luck,Dr. Shah

i am not sure that you are having revtsional surger.  it seems to me you are having additional surgery.  i would wait 3-6 months before proceding just to make sure that the swelling is gone from your midface.  good luck. would love to see your pictures to see if i agree with the preop assessment

While I can offer insights from a distance, my approach to facelift surgery involves addressing all aspects of aging comprehensively.

Looking at the pre-operative photo you've provided, my consideration would have leaned towards performing a full facelift with a High SMAS flap and incorporating neck enhancement.

In terms of timing for a revision procedure to address the lower face, there's no specific minimum waiting period. Each patient's situation is unique, and a thorough evaluation is necessary to determine the ideal timing for a revision that aligns with your goals and recovery.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.

I always recommend patients wait as long as possible for revisions, which can be emotionally challenging. I prefer the tissues are completely softened and recovered before doing a second operation you never wanted in the first place in an area that now responds less favorably because of the prior surgery.               

Hello PausingtheClock,I would recommend you wait at least 6 months before considering any revision surgery.  The reason is you want to allow plenty of time for the body to heal from the first surgery, allow the swelling to go away, and get a better appreciation for what the result will be.  After 6 months if you remained displayed with your result you can consider addressing the neck and jowls (but right now both of them are swollen right now negatively affecting how they will eventually look).I would continue to discuss your concerns with your surgeon who can evaluate you and determine when the optimal time for a revision would be.    I hope this helps and good luck.