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.