Scars for Second Facelift

Hello, Thank you in advance for taking the time to answer my question. I would like to have a second facelift and I'm wondering if it's possible to use the same area (scars) for incisions? My concern is that with age my hair seems to be thinning quite a bit and I'm worried about losing more hair where new incisions would be made. Question 2... is it at all possible to do a mid FL without incisions behind the ear? Thanks again, you guys are great!

Doctor Answers 29

Scars for a Second Facelift

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Incision placement is a very important aspect of Facelift surgery, so the question is a very good one.  The answer is that good Facelift Surgeons will place incisions in the least conspicuous location possible and avoid excessive skin tension.  Excess skin tension can lead to widening or migration of scars from the planned location.  Poor incision placement is sometimes correctable and sometimes not.  Therefore, the answer depends on whether the incision placement was appropriate, whether the direction (vector) of pull was correct, and whether a SMAS based procedure was performed or not.  Consultation with a good Facelift Surgeon in your area will help you determine this.

Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 104 reviews

Yes, old facelift scars can be removed and not thin the hair.

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Old face lift scars can and should be removed with a second facelift and the incision can be placed "inside" the ear instead of in front of it. A midface lift can be done with the incision in the eyelid crease. See an experienced facelift surgeon for the best results. We never make the incisions into the hair and never remove any hair in facelifting. There are techniques we developed for avoiding this, i.e., The Irregular Trichophytic Hairline Forehead Lift.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Scars for secondary facelift- how to minimize

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Not only is it possible to use the existing scars for a secondary facelift, it is almost always possible to improve them vastly.

The change in direction of pull can yield a less pulled look.  The "high on the side" or Nike swoop look can be reversed.

Reconstructing the earlobe and tragus can hide scars and yield a more relaxed look- despite things being rejuvenated.

Hairlines in the temple and posterior ear region can be greatly impvored as well.

Brows can be adjusted down rather than further elevated.

Cheeklifts can elevate the middle of the face, not just the side.  They can also correct eye shape that has been distorted from conventional lower blepharoplasties.

Times change, and the secondary facelift is the time to update the technique, not just pull tighter.  However each of these steps above demands a specific plan.

There was a question on the plastic surgery board examination two years ago for which the correct answer was that a secondary facelift results in further distortion of the hairline.  However, this is wrong.  The secondary facelift, in highly skilled hands, is the time to update previous techniques.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 195 reviews

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Scars for second facelift?

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Hello! Thank you for the question!  it is typical to reuse the same ncisions from the previous procedure.  It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.

If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.

Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Redo Facelift Scars

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Yes, it is possible to use your previous face lift scars if you have a revision or redo facelift.

Depending on the type of face lift you had before (mini face lift, mid face lift, full face lift), and the type of redo facelift you require, your plastic surgeon may need to use the entire length of the previous incision or just a portion.

A mid face lift or cheek lift can usually be performed through the incisions in front of the ear and do not require incisions behind the ear.

The best way to avoid thinning of hair at face lift scars is to avoid tension on the closure.  Thus, it is important to have your surgery performed only by a plastic surgeon certified by the American Board of Plastic Surgery who are trained in these techniques.

Jaime Perez, M.D.

Face Lift Specialist in Tampa, Florida

Plastic Surgery Center of Tampa, Florida

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 81 reviews

Redo facelift

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A facelift can be redone using the same incisions.  The incisions can be modified to avoid loss of the hairline as well.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Re-do facelifts re-do the scars

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To re-do a facelift, in most cases your old scars will be removed and re-done.  By the right doctor and not under too much tension, they might be even better than the first time.

Mid facelift can be done without incisions behind ear and a secondary facelift can be done through old scars

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Typically a secondary facelift is done by placeing incisions just behind the old facelift scars so that the old facelift scars are removed.


A mid face lift can be done through incisions inside the front hairline and only the incsions in front of the ear. There is no need to make an incision behind the ear to do a mid facelift

Secondary facelift scars can be well hidden

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The scars from your first facelft, as long as they were placed in the appropriate position, can usually be removed during the secondary facelift.  This would leave you with a single new scar which should be very well hidden in the normal creases and contours of the face and ear.  To avoid pulling your hairline / sideburn backward, the incision can be placed in front of the hairline.  As long as this incision is closed meticulously it should be barely noticable.  The mid facelft incisions are typically placed in the temporal hairline, through the lower eyelid or intraorally so no incisions behind the ears are needed.  Only your plastic surgeon, who has had a chance to examine you, could tell you whether you would need an incision behind your ear to give the best possible result in contouring your neck.

Yes it could be done

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It is hard to say 100%. Generally, a mid face suspension or lift during a secondary facelift could be done with anterior scars only. I try to hide the scars behind the old ones by removing the old ones. It will curve the front of your upper ear border, go inside the tragus cartilage and then step anterior to the lobule. If the neck is good, you could have a nice result.

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon
4.8 out of 5 stars 30 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.