Considering repeating facelift after 18 months because of loose skin?

Generally, a facelift lasts 7-10 years.  As with most facelift surgeons who perform revisions, we see individuals who return for a second facelift a year or two after their initial facelift.  Sometimes it's the result of having the wrong type of facelift or poor technique, and others, it's because of genetics, skin quality, and inelasticity.  Waiting at least a year before your first facelift makes the results more predictable and in general, the second facelift tends to yield better results.  My only advice to you would be to seek out a facelift expert who performs several different type of facelifts and facelift revisions. 

Most patients have only one facelift in a lifetime. Revisions are fairly uncommon. The exception is the older patient with a particularly heavy neck where relaxation of the tissues after the original operation can cause some recurrence of obliquity. A secondary lower facelift will remedy this. Patients are advised of this before the first operation.

Hello,While no surgical procedure can be guaranteed, the vertical laser facelift last for at least 5 years or more.  It depends on how "good" you expect to look at 5 years after surgery.  Most of my patients look better at 5 years after surgery than they did before surgery. You can look at my web site to see what I mean.  I have performed re-do facelifts 6 months after surgery by another doctor.  I cannot explain why the results did not last from your initial procedure.  

I like to think facelifts should last about 10 years plus.  put there are situations where revisions are needed.  this would be more likely to be on one but not both sides.  if you need a second facelift at 18 months it begs the question, what type of lift did you have the first time? 

Touch up lifts are not out of the ordinary, depending on what type of lift you had to begin with.  It has been well documented that even after full traditional facelifts, some patients choose to have touch-up procedures to enhance their results.  It is always better to come back another day rather than go too far with the lift.  An additional procedure, depending on what is performed, often will improve upon your first treatment.  The most important factor in all of this is who is your surgeon and what is their level of experience.  Best of luck!

It is usual to have some relaxation of the facial tissues after facelifting but if the underlying SMAS was adequately tightened and the resulting skin excess trimmed you shouldn't need a revision at this early stage. If the sagging is due to an area not treated (eg. midline neck) then an alternative procedure such as platysmaplasty may be advised. Seek advice from your surgeon.

It would be interesting to know what sort of facelift you had the first time. With some of the minimal incision facelifts you will heal quickly but also fall quickly.  There are also some patients who have very sundamaged skin, and the skin may stretch out more quickly after the surgery.  In males with very thick skin, I tell them that they may need a touch up at a year, but this would not be another full lift.  

I appreciate your inquiry about considering a second facelift after 18 months due to loose skin. It's important to understand that while facelifts are often suggested to last 7-10 years, the natural aging process continues immediately after surgery. My approach is to ensure that, compared to your appearance before the initial surgery, you still look better 7-10 years later.

While 18 months is a relatively short timeframe for a revision, there could be considerations that make it a viable option. Often, adjustments to the original technique can achieve the desired outcome. Additionally, complementary treatments such as fillers and non-surgical skin tightening procedures can extend the longevity of your facelift results.

Considering your unique situation, I recommend seeking a second opinion or even a couple more to explore the best course of action. I specialize in facial procedures and would be honored to provide you with expert insights and options. If you'd like, we can discuss your specific case during a consultation, where we can work together to determine the most suitable approach to achieve your aesthetic goals.

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

Sadly, not every surgical result is the best it can be. In cases of severe aging changes or poor skin elasticity, the result of the first lift could be further enhanced by a second lift. A year or so is a good time to wait; 18 months is more than adequate.If you have confidence in your surgeon, go for it.

As surgeons we will usually suggest that facelifts will "last" 7-10 years, but you need to realize that you continue to age immediately.  What I like to tell people is that in comparison to before surgery, they should still look better 7-10 years later.  While 18 months is a bit soon for a revision, it may be helpful.  Usually, some modification of the original technique can do the trick.  Additionally, we always suggest that adjunctive procedures such as fillers and certain non-surgical skin tightening procedures can add to the life of a facelift result.  I would suggest that you obtain another opinion or two.