Facelift surgery — the second time around
Posted: 11:13 a.m. Saturday, Feb. 2, 2013
By Anita Mandal, M.D.
Question: I had a facelift 10 years ago and have seen some sagging in my jowls and upper neck in the past five years. Is it safe to have a second facelift? What are my options if I don’t want surgery?
Answer: If your sagging is only noticeable in the past five years, you are fortunate that your lift has lasted longer than average.
Having a second lift is typically very safe. Half of the patients undergoing surgical lifts in my practice have previously had a facelift or mini-facelift by their surgeon.
I have not found there to be a significantly greater disadvantage to patients undergoing facelift surgery a second time. However, careful evaluation of prior scars and facial tissues must be done by your surgeon prior to additional surgery.
Sometimes the new incisions can be placed over the old incisions. Often, however, the new incisions need to be revised. Additionally, your facial tissues will likely have aged, and may be thinner. Very thin skin can give a “pulled” look after surgery and, in such cases, a lift may not be your best option. Also, aged tissues are more prone to bruising and swelling, and recovery can be longer the second time around.
Because many patients don’t want aggressive surgery a second time, the Whisper Lift™ — which offers the benefits of less downtime, less anesthesia and lower risk — is a popular option in my practice.
For patients not wanting surgery, Ultherapy™ can tighten and lift sagging face and neck tissues with no incisions, no surgery, and minimal to no downtime.