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My Second Face Lift in 20 Years?

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taylorplay1955Jul 9, 2013

Why is it harder for a surgeon to do a face lift on a person who has had one in the past? I am 58 and had a face lift 20 years ago and I need it done again. What is the reason for difficulties on this second surgery? I am very healthy and I do need it.

Answers (34)

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Dr. Kenneth Hughes, MD
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Dr. Kenneth Hughes, MD
Board Certified Plastic Surgeon
4.7 | 664 Reviews
Answered on Jul 29, 2018
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3 people found this helpful
Dr. J. Timothy Katzen, MD, FACS
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Dr. J. Timothy Katzen, MD, FACS
Board Certified Plastic Surgeon
4.9 | 866 Reviews
Answered on Dec 19, 2013
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Dr. Jed H. Horowitz, MD, FACS
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Dr. Jed H. Horowitz, MD, FACS
Board Certified Plastic Surgeon
4.9 | 143 Reviews
Answered on Jan 16, 2017
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Dr. Mike Majmundar, MD
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Dr. Mike Majmundar, MD
Board Certified Facial Plastic Surgeon
4.5 | 124 Reviews
Answered on Apr 7, 2016
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Dr. Jonathan Pontell, MD, FACS
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Dr. Jonathan Pontell, MD, FACS
Board Certified Facial Plastic Surgeon
4.7 | 236 Reviews
Answered on Aug 11, 2013
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Dr. Rod J. Rohrich, MD
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Dr. Rod J. Rohrich, MD
Board Certified Plastic Surgeon
4.8 | 288 Reviews
Answered on Dec 21, 2017
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1 person found this helpful
Dr. Thomas A. Lamperti, MD
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Dr. Thomas A. Lamperti, MD
Board Certified Facial Plastic Surgeon
4.2 | 35 Reviews
Answered on Aug 3, 2013
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Dr. Vincent N. Zubowicz, MD
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Dr. Vincent N. Zubowicz, MD
Board Certified Plastic Surgeon
4.5 | 79 Reviews
Answered on Jul 24, 2013
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Dr. Lawrence Kass, MD
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Dr. Lawrence Kass, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 339 Reviews
Answered on Jul 22, 2013
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Dr. Ronald Schuster, MD
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Dr. Ronald Schuster, MD
Board Certified Plastic Surgeon
4.9 | 132 Reviews
Answered on Jul 16, 2013
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Dr. Evan Ransom, MD, FACS
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Dr. Evan Ransom, MD, FACS
Board Certified Facial Plastic Surgeon
4.8 | 191 Reviews
Answered on Jul 15, 2013
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More Facelift Revision Questions

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James M. Pearson, MD, FACS

Thank you for your question. The "pixie" ear deformity can be recognized by its "stuck on" or "pulled" appearance, which is caused by the tension involving the facelift cheek and jawline skin flaps at the earlobe attachment point. In many cases, this deformity may be improved in the office using...

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Ronald J. Edelson, MD

The best surgeons for revising a facelift are usually the best facelift surgeon.  I recommend going on  a few consults and trying to figure out what specifically is wrong.  An experienced surgeon should be able to tell right away what needs to be done.

+15 answers
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Jose Barrera, MD

I'm sorry for your disappointment with facelift surgery. Revision facelift can be performed at early as 6 months after surgery. I recommend a revision facelift surgery to address the residual jowling and a the residual neck bands with a facelift. It is important to redrape the skin and ...

+25 answers
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Matthew Richardson, MD

It is not uncommon for patients in their 40s to undergo a facelift, and many of these patients will go on to have another facelift at some point in time, while others will be happy with the result for the rest of their lives. The aging process will continue over time, so some laxity and sagging...

+23 answers
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Jeffrey J. Roth, MD, FACS

Hard to give you really good answers without photos.  It sounds like you may need volume as well as redraping of the soft tissues.  Each surgeon has his/her own comfort level.  Best to see a few board certified surgeons with experience in these matters.  Tell him/her your...

+24 answers
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Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast)

Thank you for your question and pictures.  A single stitch on the SMAS muscle would not correct sagging jowls and create a scooter jawline.  To give a smooth and contoured jawline the SMAS muscle and skin would both need to be addressed.  I would advise that you would need a whole facelift agai...

+6 answers
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