Revision Facelift

A revision facelift, or secondary facelift, is performed to correct problems that have developed due to aging and sun damage that have occurred since the original facelift. Or, the revision may be needed to correct problems that were not treated adequately at the original facelift, or to deal with complications from the original facelift.

The facelift revision may be simpler than the original surgery if there is just some loose skin to be removed, or it may be more complex if complications are being treated or the whole facelift needs to be redone. There is always some invisible deep scaring under the skin after a facelift. This tissue is more difficult, and more time consuming, to manipulate. The scar does not flex or move as easily as un-operated tissue, so extra effort is required to obtain the best result. Even though the procedure is more difficult for the surgeon, it does not prolong recovery time, and it will typically produce the desired improvements.

Disclaimer: All photos provided of real patients and show their personal experiences with our practice. Individual results will vary from patient to patient.

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Goals of a Revision Facelift – Keep It Natural

The key goals of a revision facelift, as well as a primary facelift, are to keep it as simple as possible, create a natural, healthy, youthful appearance, and do so without any telltale visible signs of surgery.

Sagging Neck

Sagging neck tissue is the most common reason people seek revision facelifts. Over time, the neck skin may sag enough that the athletic neck contour, developed after the first facelift, is lost. A relatively simple revision of the neck will restore the athletic contour.


As we age, and as our genetic programming becomes evident, we can loose fat in several areas of the face. The most noticeable areas are under the eyes, in the upper cheeks, around the mouth, and the lips. All other areas of the face will also loose fat sooner or later. The temples can become hollow, and the eye sockets can look hollow above the upper lid. As we loose fat, the face deflates and the skin sags, creating lines, grooves and jowls.

A revision facelift to lift the cheek tissue, combined with fat injections to replace the lost fat, can restore the youthful, healthy, energetic appearance that looks so appealing. It is important that fat be used to reinflate the face, and that the entire correction not be based on the facelift alone. If too much reliance is placed on the facelift, the skin can look too tight, and unnatural distortion may occur.

Hollow Eyes and Flat Cheeks

Hollow areas under the eyes, hollow upper eyelids, and flat cheeks are usually associated with loss of fat in these areas, as well as loss of skin elasticity. This combination of factors produces loose eyelid skin, crow’s feet, horizontal lower lid wrinkles, and flat cheeks which make us look tired and sad. A revision facelift can restore these areas to natural, smooth, full contours. Some fat may need to be injected to fill the depressions, some loose skin may need to be removed from the eyelids, and it may be helpful to have a browlift to open the eyes and smooth the crow’s feet.

Low Eyebrows

Some people look beautiful with low eyebrows, but others look very tired and serious. The low brows let the skin of the upper lids bunch-up, making it difficult to apply makeup, and contributing to an old, tired appearance. Many revision facelifts will utilize a browlift to open the eyes, tighten the skin of the upper lids, and remove the loose skin that causes crow’s feet.

The Distorted Earlobe

Facelift surgery involves making an incision in front of, and around, the earlobe. Occasionally, excess tension on the earlobe after a facelift creates some distortion and elongation of the earlobe. This is referred to as a pixie ear. This can be corrected easily with a revision facelift.

Dallas Surgical Arts offers Revision Facelifts for patients in Dallas TX. Call to schedule a consultation.