Another facelift or fat transfers? (Photo)

Question

I am 65. Perfect health. No medications. I had facelift w upper and lower eyes, chin implant and fat transfers under eyes (which didn't really take) 8 years ago .Of course I'm still aging (damn it! ). What is the best course now? Fat Only? Facelift & fat? First pic is before & 8 weeks after 1st lift. Rest are now. THANK you !

Jeffrey H. Spiegel, MD · Answer

In my hands I'd suggest a deep plane facelift and fat grafting. You may need fat repositioning around r lower eyelids as well.

Jill Hessler, MD · Answer

What treatment you choose really depends on what your concerns are now. If you want to address laxity to the neck and face, this is best treated with a facelift. As we age we lose volume in the face and we develop hollowing. Fat transfer can replace the last volume but it does not significantly lift the facial tissues.

Carey Nease, MD · Answer

This is a good question and there is not one single right answer. You could actually start with some facial filler like Sculptra, which would help. Or, be a little more aggressive and repeat the fat transfer, which would be my suggestion. Another facelift may be in your future but I think that is a big surgery for a small problem based on your photos. Hope that helps!

Anil R. Shah, MD · Answer

How long did your Facelift last?  Ideally we would like our facelifts to last about 10-15 years. I would recommenced addressing all of the areas that concerns you. Most of my patients who choose a facelift chose the whole face in order to address all of their concerns and have the best outcomes. In maintaining their facelift they will use medical grade skin care and resurfacing lasers. Best of luck!

Robert M. Wald, Jr., MD · Answer

In general, after 8 years, another facelift would be indicated. Fat transfers could also be done to give more volume to your face. I would discuss your options with your plastic surgeon.

Dilip D. Madnani, MD, FACS · Answer

thank you for the pictures, very helpful and the accurate history. You are right on track for a second facelift, most patients, after 8-10 years would need another one, if they want to look their best. 
At the very least, a facelift and fat transfer with laser skin resurfacing would be a great option for you.

Gianfranco Frojo, MD · Answer

I would recommend facelift, necklift, upper blepharoplasty, facial fat grafting, and lower eyelid blepharoplasty.

Tanveer Janjua, MD · Answer

In these situations I find it helpful for my patients to choose a tightening modality such as Sofwave. There is not enough extra skin sagging to do a revision facelift. Fat grafting will work only in a few areas. Sofwave gives a reasonable tightening. 
Regards
Dr. J

Ronald J. Edelson, MD · Answer

Fat transfers will do nothing as you have already found out. I think your facelift and eyelids need to be redone without fat transfer. The fat transfer may be causing the puffiness in your lower eyelid

Philip S. Schoenfeld, MD, FACS · Answer

Without a thorough evaluation of your neck, it appears that you may be a good candidate for a mini facelift and fat transfer.  Pretty quick recovery and good longevity.

Another facelift or fat transfers? (Photo)

Answers (13)

More Facelift Revision Questions

WE SEND PRETTY
EMAILS

Answers (13)

More Facelift Revision Questions

Deep Plane Facelift and Necklift Failure - Necrosis and Right side Palsy. When can I have a revision? (Photos)

Jowls persist 6 months after facelift, do these warrant a revision? (Photos)

Suggestions for a smooth contoured jawline, please (Photo)

I had a neck lift and face lift 11 months and my face has sagged again. Suggested a mini facelift? (photos)

Does an underbite cause minimal improvement of a facelift?

Would a revision correct sagging and indents or should I consider other options? 18 months post op (photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS