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Facelift Revision

While the goal of every plastic surgery procedure is to achieve beautiful, natural-looking results, a number of factors can leave patients with a less than satisfactory appearance. Facelift surgery is one of the more delicate procedures because it deals with the fine tissues of the face. An underqualified surgeon, a surgeon with minimal experience, or complications may result in facelift results that don’t meet expectations. Dr. Karp is a board-certified plastic surgeon with extensive training in both facelift and revision facelift surgeries. Your revision surgery will help to restore a naturally beautiful and youthful look. Obviously, the more previous surgeries a patient has had, the more internal scarring with associated changes in blood supply and nerve supply will be a factor as to how much can be accomplished in a safe and efficacious fashion.
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Who Can Benefit From Facelift Revision Surgery?

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Sagging Neck Tissues

Many patients require facelift revision surgery because they didn’t have a neck lift at the same time as their facelift. Untreated vertical banding or hanging jowls can give away your age, making your facelift results incomplete. Performing a neck lift during your revision surgery can provide you with the total, harmonious results you desire.

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Unnatural Facelift Results

If your facelift was performed by treating only the surface tissues or not properly positioning the tissues, your results may appear artificial. Surface alterations don’t provide the long-lasting results that patients need. If your facial tissues are pulled back rather than upwards, you may develop a windswept look that appears unnatural. Facelifts done only with skin and not the underlying structures can also look “operated on” and can benefit from incorporating the deeper structures such as fascia, muscle, and fat for a more softened, natural appearance.

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Poor Scarring

Limited-incision techniques can place incisions in poor locations and result in too much tension to achieve ideal results. Limited-incision techniques are typically more appropriate for younger patients with excellent elasticity and more modest expectations. Excess tension on your incisions during the healing process (to try to achieve a more dramatic result) can lead to heavier scar formation and displacement of normal facial features (e.g., earlobe pull). Facelift revision can discreetly place new incisions to improve the appearance and placement of your previous scar formations.

Design Your Facelift Revision

Facelift Techniques

Dr. Karp uses many of the same techniques for a revision facelift as he does for a primary facelift. Dr. Karp will adjust the deeper tissue layers of your face to achieve long-lasting facial rejuvenation. Scar tissue from your original procedure can make correction difficult. However, the combination of Dr. Karp’s proper skin draping, incision placement, and lifting techniques can provide you with the facial appearance you desire.


Incision Location

Dr. Karp believes that gaining quality results is reliant on the placement and position of your incisions. If poor incision placement isn’t the reason for your bad results, your original incision locations may be used for your revision surgery. However, if it is necessary to provide you with improved results, Dr. Karp will make new incisions to incorporate the best approach to achieve maximal improvement. His special incision techniques are designed to decrease scar visibility yet allow access to underlying structures.


Neck Lift

A neck lift is an integral aspect of facial rejuvenation. Dr. Karp’s neck lifts can be performed in combination with other revision techniques or as a standalone revision procedure. The goal of a neck lift is to enhance or create a clean neck and jawline, eliminate vertical banding, and tighten sagging neck tissue. He can improve the appearance of an unsightly double chin (created by excess fat, muscle separation, and droopy skin) and create enhanced definition along the neck and jawline. Dr. Karp’s neck lifts aim to balance tissue tightening while maintaining a youthful, graceful appearance.


Fat Transfer

Facelift surgery best treats tissue sagging along the jawline and cheeks, but it provides very little correction to volume loss in the cheeks and diminished fat around the eyes. Dr. Karp uses fat transfer to restore youthful volume and fat to the face. Fat transfer can restore hollowed cheeks, diminish under-eye creases, and enhance your natural facial contours (including the lips and deep nasolabial grooves). The utilized fat is removed from your excess fat in areas like the tummy, hips, or thighs.


Concerns

Recovery
Your facelift revision recovery will feel similar to your original recovery. You will experience bruising and swelling of the face. You should rest with your head elevated for several days following your procedure. Most patients can return to work within one to two weeks. You should be able to resume your regular exercise routine after four weeks but only with your doctor’s permission. Major swelling should resolve within six weeks, but your final results may not be visible for six months due to minor swelling.
Scars
Dr. Karp carefully places all incisions to mask the appearance of scarring. The extent of scarring will vary depending on the incision required for your procedure and your body’s natural healing process. Scarring that may develop is generally mild and is likely to fade over time.
Cost
The cost of your facelift revision will vary depending on the extent of correction required. Other factors such as surgical fees, facility fees, and anesthesia fees can affect the cost of your procedure. A detailed quote will be provided during your consultation.
Pain
You may experience some discomfort during the initial days of your recovery. This can be controlled using an oral pain medication. Facelift and neck lift surgery are typically not among the more painful types of aesthetic surgery.

Before & After Examples

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"Dr. Karp is just a really nice guy who is genuinely interested in his patients. Great "bed-side manner" and lots of interesting stories to share. He never seems rushed."
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“Dr. Karp was completely professional and answered all my questions. Definitely very caring at follow up visits and right after surgery. And has a great sense of humor.”
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"Thus far Dr. Karp and his staff have exemplified patient care. Dr. Karp consulted with me for over an hour at my initial complimentary exam. His staff have always been more than helpful and patient answering my multitude of questions over the phone in the last 6 months."
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"He was kind and very professional! He listened to me and walked me through the entire procedure and took all my fears away. He really did a great job with my surgery and have been very happy with the way they look and feel!"

Frequently Asked Questions

  • Am I a candidate for a facelift revision?

    Minor swelling can last for several months after a primary facelift, and deeper tissues that are still healing can affect the quality of your results. Patients looking to correct poor facelift results should wait six months to a year to allow themselves to fully heal.

  • What type of anesthesia is used for a revision facelift?

    Revision facelift surgery is performed as an outpatient procedure with the patient under a general anesthetic. Many minor touch-ups can be accomplished with local anesthesia or a combination of local and twilight sleep. This ensures a safe and comfortable surgery.

  • How long will my results last?

    Dr. Karp designs all of his procedures to provide long-lasting results. A successful facelift revision surgery should provide patients with the results they desire for many years. While a facelift can erase years from your appearance, it doesn’t prevent future aging from occurring. However, injectable fillers, fat transfer, or minor touch-ups may be used to maintain the quality of your results. Patients’ perception of their need for additional or touch-up procedures is key in this determination.

  • What complications can occur?

    Typical but uncommon complications such as bleeding and infection are possible but can usually be treated quickly and efficiently. Many of the complications associated with the initial surgery are possible; however, previous deep scarring and changes in blood supply are also taken into account.