Revision Facelift

Do I Need a Revision Facelift?

When it comes to turning back the clock, the quest for that ever-elusive fountain of youth can feel more like a marathon than a sprint. And sometimes, even after crossing what we thought was the finish line with a primary facelift, we find ourselves eyeing the starting block again for a revision facelift. Now, before you start thinking this is about fixing botched jobs, let me assure you, it’s often more about fine-tuning. Because, let’s face it, perfection is a moving target, especially when it comes to our faces.

In this blog, Consultant Plastic Surgeon Anthony MacQuillan will discuss revision facelift, exploring why you might consider a revision.

What Is a Revision Facelift?

A revision facelift isn’t just a facelift’s sequel; it’s more like its director’s cut – often better thought out, with a touch more finesse. But before visions of scalpels and stitches start dancing in your head, let’s break down what a revision facelift really is. In essence, it’s a surgical procedure aimed at correcting or improving the results of a previous facelift. And while the idea of going under the knife again might seem unappealing, the truth is, with the right approach, the results can be well worth the encore.

But why, you ask, would someone consider a revision facelift? Well, reasons vary as much as our facial expressions. Maybe the sands of time have marched on, and gravity, that relentless force, has started to win the tug-of-war against your skin. Or perhaps the initial results were more ‘abstract art’ than ‘Renaissance masterpiece,’ leaving you wishing for a bit of a touch-up. Whatever the case, understanding that a revision facelift is about refinement and customisation is key.

This procedure is tailored to address specific concerns that have arisen since the first facelift. That might mean tightening up skin that’s decided to loosen up a bit more than you’d like or adjusting contours that aren’t quite playing in harmony. It’s about enhancing the original work, not starting from scratch.

And while we’re on the subject, let’s dispel a myth right here and now: opting for a revision doesn’t mean the first surgeon did a bad job. Bodies change, expectations evolve, and sometimes, it’s just about finessing the details. So, if you’re contemplating a second act in your facial rejuvenation journey, know that it’s not just about fixing mistakes; it’s about perfecting outcomes.

Are You a Candidate for Revision Facelift?

Determining if you’re a candidate for a revision facelift is a bit like deciding if you’re ready for round two—you know what to expect, but you’re hoping the experience will be even better this time around. It’s not about seeking perfection but rather about improving upon what you’ve already achieved. So, how do you know if you’re ready?

First off, it’s essential to have realistic expectations. If you’re envisioning stepping out of the clinic looking like a 20-year-old version of yourself, you might want to hit the pause button. A revision facelift can indeed turn back the clock, but it’s not a time machine. The goal is enhancement, not complete transformation.

You should also be in good health, both physically and mentally. Surgery, no matter how routine it may seem, is a significant event for your body to handle. Being in tip-top shape can help ensure a smoother procedure and recovery. And let’s not forget the mental aspect. Understanding the journey you’re about to embark on, with its highs and lows, is crucial. A positive outlook, paired with a dash of patience, can make all the difference in your experience and outcomes.

Another critical factor is having specific concerns that can be addressed with a revision facelift. Maybe it’s sagging skin that’s decided to make a comeback, or perhaps the results from your first facelift weren’t quite what you hoped for. Whatever your reasons, being able to pinpoint what you want to improve is key to a successful dialogue with Anthony. It’s a bit like going to a tailor; you need to know which areas need a nip and tuck to get the perfect fit.

Timing is everything. If it’s only been a hot minute since your first facelift, you might want to give it a bit more time. Skin needs a moment to settle, and sometimes, what might seem like an issue can resolve itself with a little patience. On the flip side, if it’s been several years and you’ve noticed changes that aren’t making you jump for joy in front of the mirror, it might be the right time to consider a revision.

Choosing the Right Surgeon for a Revision Facelift

When choosing the right surgeon for your revision facelift keep in mind that you want someone experienced and skilled. It’s not just about the credentials, although those are certainly important, but also about finding someone who understands your vision for the journey ahead.

Start with the basics: board certification. This is your assurance that the surgeon has undergone rigorous training and meets high standards in their field. But don’t stop there. Get into their experience, specifically with revision facelifts. You want someone who knows what they are doing, with a portfolio of before-and-after photos to prove it.

Preparing for Your Revision Facelift

Imagine you’re gearing up for a major event. You wouldn’t just wing it, right? Preparing for your revision facelift is similar. It’s about getting all your ducks in a row so that when the big day arrives, you’re ready. Here’s how to prep like a pro:

  • Medical Evaluations and Clearances: First things first, Anthony will likely recommend a series of medical evaluations. Think of these as your body’s pre-flight checks. They’re essential to ensure you’re in good health and to identify any potential issues that could affect the surgery or recovery
  • Medications and Supplements: You’ll also need to review your current medications and supplements with Anthony. Some of these might need to be paused or adjusted. For example, certain supplements and medications can increase bleeding risk, which is not what you want when you’re about to have surgery
  • Skincare Regimen: Anthony might recommend a specific skincare regimen leading up to the surgery. This could include products designed to improve your skin’s condition and optimise healing post-surgery
  • Practical Preparations: Then there are the practicalities. Arrange for someone to drive you to and from the surgery and help around the house during the initial recovery phase. Stock up on groceries, especially easy-to-prepare meals and snacks, and set up a comfortable recovery area in your home
  • Mindset and Support: Lastly, prepare mentally. Revision facelifts can be emotionally taxing. Having a support system in place and knowing what to expect can ease the journey

What to Expect During the Procedure

The day of your revision facelift is a mix of excitement and nerves. Here’s a glimpse of what the day might entail:

  • Arrival and Pre-Op: Upon arriving at the surgical facility, you’ll go through the final pre-op steps. This includes meeting with Anthony to review the plan and marking the surgical areas
  • Anaesthesia: For your comfort and safety, you’ll be given anaesthesia. Depending on the extent of the revision and Anthony’s recommendations, this could be general anaesthesia or local anaesthesia with sedation
  • The Surgery: The revision facelift procedure itself varies depending on the specific areas being addressed and the techniques used. Anthony might work on tightening deeper tissues, removing excess skin, or refining the results of the previous surgery. The goal is to correct, enhance, and harmonise your features
  • Recovery Room: After the surgery, you’ll be taken to a recovery room where your condition will be closely monitored as you wake up from anaesthesia
  • Going Home: Once you’re stable and alert, you’ll be able to go home with your designated caregiver. This marks the beginning of your recovery journey. It’s the first step on the road back, with the promise of refreshed and refined results ahead

Recovery and Aftercare

Here’s a guide to help you navigate the recovery process:

  • Immediate Post-Op: The first few days after surgery are crucial. You’ll likely experience some swelling, bruising, and discomfort. To minimise swelling, keep your head elevated, even when sleeping
  • Pain Management: Anthony will prescribe medication to manage any pain. It’s important to follow his instructions to the letter
  • Follow-Up Visits: You’ll have scheduled visits with Anthony to monitor your healing progress. These are not just check-ins; they’re milestones on your journey to recovery. Each visit is an opportunity to ensure everything is on track and to address any concerns you might have
  • Activity Restrictions: Take it easy. Seriously. Your body needs time to heal, so avoid strenuous activities and heavy lifting for the first few weeks. Think of this time as an opportunity to catch up on books, podcasts, or that show everyone’s been talking about
  • Skin Care and Sun Protection: Proper skin care is essential during recovery. Keep your surgical incisions clean and follow Anthony’s instructions for wound care. Also, sun protection is crucial; newly healed skin is vulnerable to damage
  • Patience is Key: Remember, recovery is not instantaneous. It can take weeks to months to see the final results. Swelling and bruising will diminish gradually, and scars will begin to fade. It’s a process, but with patience and proper care, you’ll get there

Risks and Complications

As with any surgical procedure, a revision facelift comes with its own set of risks and potential complications. It’s important to go into this with your eyes wide open, aware of what could happen, but also armed with the knowledge of how these issues can be mitigated:

  • Infection and Bleeding: These are risks with any surgery. Following Anthony’s post-op care instructions can greatly reduce the chances of infection. If you notice any signs of infection, such as increased redness, swelling, or pus, contact Anthony immediately
  • Scarring: While scars are a natural part of the healing process, Anthony use techniques to minimise their visibility. Nevertheless, everyone heals differently, and some level of scarring is to be expected. Think of them as the marks of a journey to a rejuvenated self
  • Nerve Damage: In rare cases, surgery can affect facial nerves, potentially leading to numbness or muscle weakness. Most of the time, these effects are temporary and resolve on their own
  • Asymmetry and Unsatisfactory Results: Despite the best efforts of Anthony, sometimes the outcome might not meet expectations. It’s important to have realistic expectations and communicate clearly with Anthony about your goals

FAQs about Revision Facelift

How does a Revision Facelift differ from a primary facelift?

  • While both procedures aim to rejuvenate the face by addressing signs of ageing, a Revision Facelift specifically targets the results of a previous facelift. It often involves more complex techniques to correct or enhance the earlier surgery’s outcomes, taking into account scar tissue and changes in the skin and underlying tissues.

Who is an ideal candidate for a Revision Facelift?

  • Ideal candidates for a Revision Facelift are individuals who are not fully satisfied with the results of their initial facelift surgery. They should be in good overall health, have realistic expectations about the outcomes, and be at least one year post-primary facelift to ensure complete healing and stability of the initial results.

What are the potential risks and complications of a Revision Facelift?

  • As with any surgical procedure, a Revision Facelift carries risks such as infection, bleeding, and adverse reactions to anaesthesia. Given its nature, there may also be an increased risk of nerve damage, asymmetry, and more significant scarring due to the corrective work on previous surgical sites.

​​How long is the recovery period after a Revision Facelift?

  • The recovery period can vary widely depending on the extent of the surgery and the individual’s healing process. Generally, patients can expect a similar recovery timeframe to their initial facelift, with most resuming normal activities within two to four weeks. However, it may take several months for all swelling to subside and up to a year for the final results to fully settle and mature.

Further Reading about Facelift with Consultant Plastic Surgeon Anthony MacQuillan

Medical References about Revision Facelift