Facelift Revision – Correcting or Improving Results from a Previous Procedure
Not every facelift patient has had the results they’ve expected. Perhaps this has been because their previous surgeon did not specialize in facial plastics. We’ve seen patients whose breathtaking results quickly deteriorated as sagging skin reappeared after a few years. What’s worse, some patients waited for up to a year for swelling to settle so they could see their final results, only to realize that noticeable scars and unaesthetic changes were permanent. Thankfully, with a facelift revision from a skilled facial plastic surgeon, Dr. Matt Hershcovitch, the effects of a compromised lift can be reversed, and patients can achieve the results they’ve always desired.
Double Board Certified Facial Plastic Surgeon
Why do Patients Seek Facelift Revisions?
A perfectly executed lift should create natural-looking rejuvenation that can last from 10-12 years. But what if your facelift falls significantly short of typical expectations? With a second procedure, patients no longer have to live with the consequences of substandard technique.
Earlier surgeons achieved lifts by merely tightening the skin and suturing the underlying tissues. While this led to acceptable results in the short term, the under-corrected tissues led to jowls, gaunt cheeks, and sagging skin on the face and neck. When only the skin is addressed, this often leads to an uncomfortably tight, windblown result that looks completely unnatural. Some other issues that a facelift revision can fix include:
Merely tightening the surface of the skin causes considerable tension on the incisions; that tension causes the formation of scars that are difficult to hide.
Cobra neck is created when the center of the neck has an indentation in the middle with jowls hanging on either side. Cobra neck can also be caused by inadequate lifting, when too much sub-platysmal fat is removed from the neck, and the neck muscles are overly-resected.
Pixie ear is an ear deformity that commonly occurs with skin-only lifts. Pixie neck occurs when overly-stretched skin creates tension on the earlobe making it look unnaturally pointy.
The malar crescent is a deformity that’s commonly fixed through a facelift revision. The malar crescent occurs when surgeons don’t adequately tighten the muscles underneath the eyes, leading to a gradual drooping and sagging area under the eyes.
Traditional facelifts often removed fat pads under the eyes to make them look less puffy; however, over time, the lack of fat padding and the thinning, inelastic skin eventually drooped to reveal the bony structures around the eyes.
This deformity looks like fine parallel lines that run from the cheeks to the ear. These are tension lines, and they occur when the tissues descend unevenly by the cheeks, causing the skin to pleat.
Techniques for Facelift Revision
Dr. Hershcovitch has a guiding principle for all surgeries: creating a natural appearance within the context of safety. Poor, imprecise technique are what led his facelift revision patients into his office in the first place, and having seen countless cases of careless surgery Dr. Hershcovitch strives to respect each patient’s natural anatomy and tissues.
Before your treatment, Dr. Hershcovitch will thoroughly examine your face and neck and make a detailed plan for the procedure. Special consideration needs to be taken with facelift revision surgeries because previous lifts often gave patients thinner, more fragile skin.
Dr. Hershcovitch strives to personalize the procedure, address the issues that led to you to seek a second procedure in the first place, and create natural, youthful results that can stand the tests of time.
Our facial surgeon approaches each revision procedure differently, depending on what issues the patient wants to address and how much time has passed since the original surgery. Many of his patients come to him because of the consequences of superficial skin tightening, so Dr. Hershcovitch dives into the deeper tissues to address signs of aging there. To prevent thick scars for developing on the new incisions, he’ll make sure to drape and tighten the tissues in a way that reduces tension.
What to Expect During Your Facelift Revision
Your treatment will be performed in a local, high-end surgery center that specializes in cosmetic procedures. Most procedures will be performed under monitored anesthesia care. You will not need a breathing tube. Because of the anesthetics, you will need a trusted family member or friend to drive you home after your procedure.
Recovering from a Second Facial Surgery
Dr. Hershcovitch will prepare a detailed recovery plan that’s fully customized for you. A facelift revision typically requires more dissection than a regular lift, so it’s possible that your recovery will take longer than your initial lift. Your recovery won’t be deeply uncomfortable; you will experience some discomfort in the form of tightness, soreness, and swelling, but by and large the recovery is tolerable. Many of our patients are able to get by with Tylenol; however, patients are discouraged from using NSAIDs like ibuprofen which can lead to excess bleeding.
Immediately after your procedure, you’ll be fitted with a bandage and headwrap. These can be removed after a day or two. After that, patients can wear a soft band. Sutures will typically be removed after 10 days.
Why Choose Dr. Hershcovitch for Facelift Revision?
Revision surgeries are much more sophisticated and difficult than regular face lifts. It’s essential that you choose a surgeon with the training and experience to finally give you the results you deserve.
Dr. Hershcovitch is an esteemed, double board-certified plastic surgeon and was fellowship-trained in Facial Plastic and Reconstructive Surgery, one of the most sophisticated fields in plastic surgery. In fact, Dr. Hershcovitch has written chapters on facelift revision for medical textbooks and many of his studies on the subject have been featured in renowned scientific journals. His extensive experience in facial plastic surgery allows Dr. Hershcovitch to not just perform a wide variety of techniques, but to find the right ones to give you the most optimal outcomes.
You have a second chance to get the results you’ve always wanted; with the right surgeon and the right techniques, you won’t just reverse bad side effects and deformities—you can look naturally youthful for years to come. Contact the office of Dr. Hershcovitch to learn more about facelift revision in West Hills and Westlake.