Revision Face and Neck Lift

Revision Face and Neck Lift: Surgical Options for Adjusting Previous Facelift Results

Understanding Factors Influencing Facelift Outcomes

Several factors can impact the longevity and satisfaction of facelift results, including the surgical techniques employed and individual patient characteristics.

Influence of Surgical Techniques on Facelift Durability

The Superficial Musculoaponeurotic System (SMAS) facelift is a widely practiced technique that targets the layers of facial tissue. However, variations in SMAS techniques can influence the durability of outcomes. For instance, SMAS plication and imbrication methods involve tightening the lateral SMAS without releasing facial retaining ligaments or addressing deeper soft tissues. These approaches may not provide long-lasting results, as they primarily focus on superficial adjustments without comprehensive repositioning of deeper facial structures. In contrast, techniques like the deep plane facelift address these deeper layers, potentially offering more enduring outcomes (Mowlavi et al 1999).

Potential Limitations of Traditional SMAS Facelift Techniques

Traditional SMAS facelifts that do not adequately release facial retaining ligaments or reposition deeper tissues may result in less durable outcomes. Without proper release and repositioning, there is a risk of soft tissue redundancy in the lower face and neck over time. This underscores the importance of selecting surgical techniques that comprehensively address both superficial and deep facial structures to achieve lasting results (Mowlavi et al 1999, Hamra 1990).

It is essential for individuals considering facelift surgery to consult with qualified and experienced surgeons who can tailor the surgical approach to their unique anatomical features and aesthetic goals, thereby optimising the potential for satisfactory and enduring outcomes.

What Is the Typical Duration of a Deep Plane Facelift?

Although a facelift can achieve noticeable changes, the effects are not permanent as over time, facial skin and soft tissues may naturally change due to the ageing process. Typically, the effects of a deep plane facelift may last for several years, though the duration varies between individuals. When these changes become more apparent, some individuals may consider a revision procedure.

Studies have indicated that deep plane facelift results may be maintained for over a decade, with some research suggesting outcomes can last 10–15 years, depending on individual factors such as genetics, lifestyle, and the natural ageing process.

A prospective study involving 93 patients who underwent deep plane facelift procedures found that 96.7% of patients reported a more youthful appearance post-surgery, with an average perceived age reduction of 11.9 years (Jacono & Bryant, 2010). Additionally, anatomical studies suggest that techniques involving full release and redraping of facial tissues, as used in deep plane facelifts, may contribute to more stable and lasting outcomes (Jacono & Malone, 2023).

What Is the Recommended Waiting Period Before Undertaking a Revision Facelift?

For those considering a second facelift, it is generally advised to wait at least 12 months after the initial surgery. This period allows the skin, muscles, and other tissues to fully heal before undergoing another procedure.

The Complexities of Revision Facelifting

Revision facelifts are often more complex than primary facelifts due to the presence of scar tissue and changes in facial anatomy from the previous surgery. Surgeons performing revision facelifts require advanced knowledge of facial anatomy and surgical techniques to assess and address these structural changes.

Why Consider a Deep Plane Facelift?

Dr Honeybrook performs a deep plane facelift for revision facelifts, as this technique involves adjusting the deeper layers of facial tissue to restore facial structure. This approach may be considered for individuals who have previously undergone a lateral SMAS facelift, as this technique does not typically involve deep plane dissection. The untreated tissue can sometimes be safely elevated in a manner similar to a primary facelift, with careful attention to underlying structures.

Recovery After a Revision Facelift

Recovery after a revision facelift varies between individuals but generally follows a similar process to primary facelifts. Bruising and swelling are common in the first 2-3 weeks and typically improve over time. Dr Honeybrook will provide specific post-operative instructions to support recovery.

Who May Consider a Revision Facelift?

A revision facelift may be considered by individuals who have previously undergone facelift surgery and are seeking further adjustments. Individuals should be in good health, have realistic expectations, and understand the potential risks and expected outcomes of the procedure. A consultation with Dr Honeybrook allows for assessment of individual concerns and discussion of surgical options.