How Many Facelifts Can U Have in a Life Time?

  There is probably no limit.  I have done a 7th revision on a facelift.  As people are living longer, healthier, more productive lives, facelift revisions will continue to become more and more popular.  Kenneth Hughes, MD Facelift Los Angeles, CA

Providing you have had well-performed facelifts and you are healthy, there is no limit to the number of revisions you can have. Plastic surgery is based on need and viability, not an arbitrary number. Even after a full rhytidectomy, in which the SMAS layer is lifted upward and outward, your face will continue to age and lose volume. Many people opt for a second facelift after 10 years to continue their rejuvenation. Fat grafting during a facelift helps to make the results look more natural. You can also opt for a mini lift or use facial fillers, such as Juvederm Voluma, to maintain facial volume between lifts.  Generally, it would be unusual for a patient to require more than 3 facelifts over a lifetime.  I hope this helps.

Having more than one facelift in one's lifetime is not unusual as long as they still make you look natural.  However, sometimes other procedures may avoid having more facelifts.  Facial aging is not only loose skin but loss of volume (fat) in the face.  Fat injections or the use of fillers such as Voluma may be all one needs to continue having a rejuvenated look.  A good plastic surgeon will certainly tell a patient when enough is enough in order to still have natural results.

Thank you for a very good question.  The answer is dependent on several factors, but the most important is the strength and integrity of the tension bearing layer mobilized in a facelift, known as the SMAS.  If the SMAS has been treated appropriately, and has not been resected, further Facelifts down the road are possible.  Secondly, the capability of the skin to stretch is limited, so performing more than 3 Facelifts on an individual would be unusual.  Assuming that a well executed Facelift result lasts 10 years or so when performed by a skilled Facial Plastic Surgeon, the likelihood of needing or wanting a fourth Facelift is limited.

I combine many of my facelifts with non-surgical skin and fascia tightening to minimize the number of revisions. This keeps the look very natural. Raffy Karamanoukian Los Angeles