My Second Face Lift in 20 Years?

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.

Doctor Answers 34

My Second Face Lift in 20 Years?

   If the first surgeon did a good job with the dissection and the flaps were dissected uniformly, the revision is easier as the plane is already created.  I did a seventh facelift on a woman and found it to be no challenge whatsoever.  Find a plastic surgeon with ELITE credentials who performs hundreds of facelifts, facelift revisions, and facial procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Secondary facelifts.

After 30 years of practice, I have performed numerous secondary facelifts. The surgeries are often easy to perform and less down time for the patient. In addition, we now have additional procedures such as fat fills and peri oral rejuvenation which can be added. I would go for it if I was you. Consult a board certified plastic surgeon in your area. All the best.

Thomas A. Narsete, MD
Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Challenges with revision rhytidectomy

Revision surgery can present a challenge for a number of reasons.  The SMAS layer, which is used to anchor the face during the "lift" is often attenuated, thinned or missing to varying degrees in patients with prior surgery.  In addition, incision design and placement is critical to a successful rhytidectomy result.  If a previous surgery used poorly placed incisions, then this can make a revision surgery more difficult.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Second Facelift

It is not terribly unusual that a person would want a face lift twenty years after their first surgery.  A secondary surgery isn't necessarily more difficult if the first surgery was performed well. If there were complications or the patient was left with distorted features, unsightly scarring, changes to the ears or hairline, this can be more challenging and a patient should seek out a surgeon with extensive experience in revision facelift surgery.

It is always helpful for a surgeon to have the operative reports from previous surgeries to the same area. Ideally, a thorough surgeon will have very detailed notes including before and after photos taken by the surgeon using consistent lighting, cropping and distance from the camera. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

Is a second face lift more difficult

Thank you for asking about having a second face lift.

  1. A second face lift is often easier for both surgeon and patient. 
  2. You may have a super-cautious face lift surgeon or he may have concerns he hasn't shared with you.
  3. West Virginia has a number of excellent Board Certified Plastic Surgeons. If your first surgeon can't explain his opinion, a second might be helpful. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

My Second Face Lift in 20 Years?

 I am not certain that all repeat Facelifts pose an issue.  I have numerous patients that have come back for their second facelifts and other than some scar tissue, within the facial tissues, the facelift went perfectly.  With the newer minimal incision, less dissection versions of facelifts, there should be even less issues.  Experienced Facelift Surgeons should not have a problem in my opinion.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Second Facelift More Difficult?

A second facelift is not always more difficult. Having been in practice for over 35 years I've had the opportunity to do a second facelift on some of my patients and always enjoy the opportunity. If there were problems with the first surgery the operation would be more difficult but this is rare and you would know that before surgery. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Second facelift

A second facelift is not necessarily more difficult than the original surgery.  In fact, sometimes it is easier.  The surgeon may be locked in to incision sites due to the previous treatment but this rarely is a major problem.  The trick is for the surgeon to give you a natural look and not over do skin tightening.  Donald R. Nunn MD   Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 reviews

Secondary facelift surgery

A revision facelift is not any more difficult than a primary facelift but does present challenges that must be overcome including old scar placement and thining of the deeper tissues, deep scar tissue etc.    Revision and secondary facelifts 10 to 15 years are not uncommon and an experienced and skilled plastic surgeon should be able to help you acheive your goals. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Revision Face Lift

Taylor there are many reasons a revision facelift can be more challenging than a primary facelfit.  One of the biggest reasons is the scar tissue that has developed from your previous surgery.  Additionally, some of the deeper tissue that is often used to secure the lift may not be as strong.  Having said that, it's not uncommon for patients to require "tuck ups" or revisions after serveral years.   Be sure your surgeon is comfortable with revision procedures and you should be able to enjoy an excellent outcome!

Anthony E. Brissett, MD, FACS
Houston Facial Plastic Surgeon
5.0 out of 5 stars 13 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.