Finesse and Accuracy
Revision facelifts are performed to improve or correct an initial facelift outcome. If you are unhappy with the results or want to make additional changes, a revision facelift may be performed.
More finesse and accuracy are required for the revision process than for the initial facelift. For this reason, it’s essential to seek a quadruple board-certified plastic surgeon like Dr. Harvey "Chip" Cole, III, MD, FACS, at Oculus Plastic Surgery, who has many years of experience and accreditation under his belt. There is a reason he is frequently referred to by his surgeon colleagues as the “Doctor’s Doctor.”
Your Deserved Aesthetic
A revision facelift, also called a secondary facelift or secondary rhytidectomy, is performed to improve the patient's appearance after a primary facelift that yielded unsatisfactory results—or after the outcome of an earlier facelift has faded.
Its purpose is to fix issues like jowling and sagging that the primary operation missed or to achieve more natural-looking results. Dr. Cole has perfected treatments for revision patients, and he is a specialist in corrective facelift surgery. Patients who come to see Dr. Cole for a secondary facelift are unique from his general patient population. Therefore, additional attention must be given during revision facelifts. Atlanta revision facelift provider, Dr. Cole takes into account the unique requirements of each patient in order to provide the best possible care.
Ensure A Natural Look
Most botched facelifts can be traced back to a surgeon's lack of experience. Some facial plastic surgeons just focus on the skin's surface when performing a facelift, leaving the underlying fat and muscles untreated.
As a result, surgeons can pull tissue in the face too tightly, leaving patients looking shocked, stretched, or unnatural. In other instances, surgeons undertreat the face, resulting in drooping cheeks, a sagging neck, and jowls. However successful the procedure, time will nonetheless age the face. As a result, some patients need to have a second operation as a form of upkeep. In other cases, the past surgical outcome may be satisfactory, but they may be unhappy with the resulting scars, which are nearly always the result of too much pulling.
The InsideOut™ facelift is a revolutionary new procedure pioneered by Dr. Cole. This surgery uses an endoscopic approach to rejuvenate the underlying facial muscles without the need for any visible incisions. Dr. Cole can also use this method to repair scars from previous facelifts. As a result, patients of Dr. Cole's tend to have an unaltered, luminous glow rather than an overly artificial one.
The Results You Expect
Dr. Cole is an experienced expert in revision facelift surgery and is board-certified in four separate specialties. He uses cutting-edge methods and is particularly trained to provide you with the most natural facelift imaginable. During your consultation, Dr. Cole will review your aesthetic goals and medical history and examine the previous surgeon's work. Then, he will be able to make recommendations for a customized procedure to give you the results you expect. Contact our Atlanta location to find out whether Dr. Cole can perform a revision facelift for you.
Those considering a second operation often are afraid to have their results get worse. Dr. Cole's InsideOut™ endoscopic facelift is the solution; it's faster, less risky, and more effective than the conventional facelift. It is of note that 60% of Dr. Cole’s surgical schedule is repairing other surgeons poor surgical results—what Dr. Cole refers to as “rescue surgery.”
Both local and sedation anesthesia are used throughout the surgical procedure. When operating, Dr. Cole makes tiny incisions. These incisions are often less than an inch in length and are placed high on the hairline, inside the eyelid, or inside the mouth. A skinny, wand-like structure is inserted under the skin via these incisions. A little camera mounted on the inside of this endoscopic device gives Dr. Cole real-time visual feedback while he works. Then the facial muscles are molded and reconstructed to tighten the underlying tissues, and any excess fat is removed from problem areas of the face using small telescopic surgical devices. After the operation is finished, the incisions are sewn closed in a way that makes the stitches undetectable. As a result, it causes minimal discomfort and leaves no visible scars.
Correct Your Contours
Before your revision facelift Atlanta plastic surgeon, Dr. Cole, will go over a comprehensive post-operative plan with you, outlining everything from when and how to take showers and sleep to when and how to start exercising and getting back to your regular routine. Dr. Cole will check on your recuperation and make sure everything is on track at your scheduled follow-up visits. Final results may take up to a year to settle in, so be patient with your face. The effects of a facelift may continue to persist for up to 15 years after the procedure is completed.
A Familiar Recovery
You can expect to have post-op discomfort and swelling similar to what you had after your initial facelift. Although the swelling won't go away entirely for a few months, you should start to observe improvements within a week or two. Most of the visible swelling should have subsided by month five.
A revision facelift is basically what it says: you're revising a facelift. It means somebody has had a facelift, and they're not happy with the results that they have. A revision facelift is a little more complicated than a regular facelift because you're going in and repairing the facelift and making a better secondary facelift.
There are many factors that go into a revision facelift. The first thing I always like to do is to work on natural healing the best we can. If there are concerns with exposure, infection, and severe asymmetry, we might intervene earlier. But typically, we like to wait a minimum of about six months, usually preferably one year, before a revision facelift.
There are many factors that have to do with the success of a facelift. Number one is probably experience. Number two is the approach. A lot of people take a superficial approach. My approach is a deep approach, from the inside to the outside. Most people go from the outside to the inside, which causes more scarring, more swelling, and more problems. So it's important to go with someone who has experience and has the proper, modern approach.
A bad facelift can be turned into a good facelift, but possibly not a great facelift, depending on how much damage was done. You always want to get it done correctly the first time. That's why it's important to shop around and make sure you go to someone with a lot of experience. 60% of my practice is revision, or what I call rescue surgery. As a result, I do work on a lot of patients who have had less than optimal outcomes, and I can always help them and get them back to where they're happy. But certainly, I can't assure them that I'll give them the best result that I could have if I had done their surgery to start.
A well-done facelift should last 10 to as long as 15 years. Certainly, you can have another facelift after your first facelift. Most people during their lifetime, if they start early, will have two facelifts and maybe even a third tweak of some sort. But the thing about aging is we can turn you back on the timeline, but we can't stop it. So when you're 100, you only look 85. You always get the benefit.
When we talk about risk with facelift surgery, a revision facelift has some unknowns that make it more challenging. That's why it's very important to go with someone that has a lot of experience. You're depending on normal anatomy and what are called tissue planes. And when you do the surgery, and you're going into altered tissue that possibly wasn't done properly, you're going to encounter more scar tissue. So make sure that you go to somebody very experienced, especially if you're having a revision facelift.
When you have a facelift, the best thing to do is to get through what I call the frustration phase and get to where everything is healed. If you're not happy, and especially if you're having any kind of problems like dry eyes, tearing, pulled-down areas, or excessive scarring, you should consider a revision facelift. A revision facelift done correctly can correct many, if not all, of the challenges that you had with a poor original facelift.
A facelift can always be redone and improved, but the best thing to do is to have it done right the first time. So if you feel like you got into a situation and you need to have an improvement, talk to somebody very experienced. They can help you, but ideally, you want to do all your research and homework and do it right the first time.
A facelift can always be tweaked depending on what the concerns are. I like to tell people that 95% of everything that's needed gets taken care of, and there is always 5% where there could be a concern.
As an example, I saw a gentleman who had a facelift and his eyes done two years ago. One of his lids had loosened a little bit, so we tightened it with one stitch in the office. It took 15 minutes with local anesthesia. So there are always little ways I call sneaky tweaks that we can do.
A second facelift, if the first facelift is done correctly, is not more complicated. But if a second facelift is a revision facelift because of a poor outcome and scar tissue in areas that shouldn't have occurred, then it certainly is more challenging and does have the potential for more complications.
Your revision will vary in cost depending on the extent of what's needed to reach your aesthetic goals. Our facelift revision procedure usually starts at $29,000. Dr. Cole will be able to give you a more accurate quote during your consultation.
Schedule your consultation with Atlanta’s premier facial plastic surgeon
Learn what’s possible with some of the most advanced techniques in the field today. During your consultation, Dr. Cole will use his extensive knowledge and experience to recommend an optimally beneficial treatment plan tailored to you. At Oculus Plastic Surgery, our honest and patient-focused approach ensures that every patient can achieve their best outcome.