A revision facelift is performed to refine or repair a previous facelift procedure. Alternatively called secondary facelifts, this procedure can either improve a successful facelift that has aged overtime, or address several areas of the face that were undertreated during the first facelift.

This type of plastic surgery requires extreme precision and customized techniques to properly address the previous surgical manipulations from the first facelift. Those who undergo this corrective procedure can expect renewed or even better results compared to their initial facelifts, leaving them with tighter skin and a lifted appearance that looks youthful and natural.

Reasons To Undergo This Procedure

Revision facelifts are typically for patients who are unhappy with the results of their previous facelift procedure. But even with a successful facelift, a person may still have to undergo a revision later on, as the bony and soft tissue of the face will continue to go through the aging process as the years pass, with further receding, thinning, and drooping. The skin will also continue to lose its elasticity and exhibit signs of aging on a continuous scale.

A revision facelift specifically addresses the following issues:

  1. Unsatisfactory results from first facelift
  2. Decline in appearance of initial facelift results

What Are The Benefits?

Each patient requires a different approach so as to properly address their unique issues, which is why your plastic surgeon must devise a customized procedure in order to successfully achieve the desired results.

Dr. Jacob Sedgh is a double-board certified facial plastic surgeon. Given his unique and extensive background in both cosmetic and reconstructive surgery, and with nearly a decade of dedicated surgical experience on the head and neck area, he is well-equipped to deliver a fully tailored procedure that will repair or improve any and all issues from your previous facelift.

Under his expert care, patients can expect the following benefits:

  1. Tighter, smoother skin
  2. Improved facial contours
  3. Enhanced symmetry in all areas
  4. Naturally rejuvenated face

When you come in for your consultation, Dr. Sedgh will listen as you explain what you’d like to accomplish with the surgery. He will then examine you and inquire about your medical history and relevant lifestyle habits to determine your eligibility for the procedure.

He will also conduct the following:

  1. Thorough evaluation of your initial facelift
  2. Explanation of the procedure
  3. Discussion on the ideal surgical execution plan for each issue

Out-of-town patients who wish to undergo a revision facelift consultation can do so through Skype. Should you decide to proceed with the surgery, Dr. Sedgh’s office will gladly assist you with travel arrangements to ensure an optimal surgical experience.

Revision Facelift Procedure

A revision facelift is performed through several approaches, depending on the issues and areas of the face to be treated. Dr. Sedgh uses only the safest and most advanced facelifting techniques to achieve an optimum lift that looks graceful and natural.

The most commonly used techniques include the SMAS lift, deep plane lift, and MACS lift. There are pros and cons to every facelift technique, which is why a fully tailored procedure that effectively addresses the patient’s individual needs is required in order to create the best results.

As with most facelift procedures, a revision facelift is typically performed under local or general anesthesia.

To begin the surgery, the doctor will create strategic incision (usually at the scarring site from the initial facelift) to obtain maximum access to the underlying facial tissues. The specific details of the actual procedure will depend on the chosen technique, but generally, once the incisions have been made, the doctor will reposition and tighten the deeper tissues to avoid skin-only pulling, which can result in a skeletal or overdone appearance.

In most cases, Dr. Sedgh may also incorporate liposuction to remove excess fatty deposits for a more streamlined look. Conversely, he may use fat grafting to add volume and reduce the appearance of hollow cheeks.

In combination with the facial portion of the procedure, the doctor may employ platysmaplasty and an extended lateral platysma flap to improve neck contour, eliminate neck bands (cobra neck deformity), and minimize the appearance of “turkey neck” directly under the chin.

The length of the procedure will vary depending on the patient’s needs and the extent of the revisions required.


A revision facelift is typically performed as an outpatient procedure. After the surgery, a cotton dressing will be placed around the neck and face to support the initial results and protect the treated area.

Swelling, mild pain, and bruising are some of the expected side effects. But as long as you take the prescribed medications and follow all post-op instructions, you should have a faster and more comfortable recovery.

Depending on the extent of the surgery and other individual factors, it takes about 2 to 3 weeks for patients to be “socially presentable” following the surgery.

Expect to meet with Dr. Sedgh closely for follow-up appointments throughout the next few months up to a year, so that he can monitor your progress and ensure that you are recovering properly.

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