Secondary Revision Facelift Information

In Beverly Hills and serving the Los Angeles area

With the increasing popularity of cosmetic surgery, more and more individuals who have previously undergone facelift and facial rejuvenation procedures are seeking secondary revision facelift procedures. Dr. Babak Azizzadeh is a renowned revision facelift specialist based in Beverly Hills, California. He has been at the forefront of developing procedures to best address patients who have previously undergone facelift and eyelid procedures. Patients who present themselves for revision facelift procedures have significantly different needs than the patients who have not had prior facial rejuvenation procedures. As a result, secondary facelift procedures require special techniques and care because of previous surgical manipulations.

In the first portion of the consultation, Dr. Azizzadeh will proceed with a detailed history and facial analysis to best determine the appropriate surgical procedures. Many patients have previously undergone not only a facelift, but sometimes thread lifts, or other limited procedures that might have distorted the tissues and will require special needs. During the facial analysis procedure, five special areas need to be comprehensively evaluated. First and foremost the entire overall skin condition and facial balance will be looked at. The skin is an extremely important part of the revision facelift consultation. Many patients who have undergone previous lifting procedures have thinner skin and require special treatment to avoid having complications from secondary procedures. After the skin has been thoroughly evaluated, the facial balance between the upper, middle, lower and neck regions of the face must all be detailed. There needs to be a solid balance between the forehead, brow, eyelid region and the rest of the face. Therefore, if patients have any sort of imbalance still, the areas will be addressed at the same time with an endoscopic brow lift and blepharoplasty procedures. Also, we now know that the aging process is not just a matter of gravitational laxity, but that significant volume atrophy is also due to the change to the skeletal bone as well as subcutaneous fat atrophy. As a result many patients undertaking secondary facial procedures will require multilevel fat grafting to restore facial volume.

Dr. Azizzadeh’s main technique with addressing revision facelift procedures in addition to multilevel fat grafting, a blepharoplasty and endoscopic brow lift is the utilization of the short flap rhytidectomy facelift, which provides the best possible outcome for patients who have undergone previous facelift procedures. The short flap rhytidectomy facelift (SFR facelift) utilizes a short skin flap dissection, but this dissection limits the risks of skin issues which is especially important for secondary facelift procedure. The underlying tissue and muscles are elevated with the skin flap in order to obtain the best possible elevation of the appropriate areas that require improvement both in the neck and the face. This SFR facelift furthermore allows fat grafting to the midface and cheek areas, which are traditionally hollowed and not addressing traditional facelift procedures. Furthermore, it also allows chemical TCA peels to be performed with limited risks to the skin.

SFR revision facelift procedure allows for a relatively short downtime with patients returning back to work within seven to ten days. Bruising and swelling is limited. It also limits the risk of injury to the facial nerve especially for the patients who previously had had extensive procedures.

During your consultation, Dr. Azizzadeh will discuss all options available and will analyze your face in detail, with digital interface.

Dr. Azizzadeh, a Los Angeles based facial plastic surgeon, is one of the leading experts in facial rejuvenation and revisional facelift procedures. He is the author of the eminent plastic surgery textbook entitled Master Techniques in Facial Rejuvenation. He is the course director at the Cedars-Sinai Department of Continued Medical Education, called Advances in Facial Plastic & Reconstructive Surgery and has been featured on the Oprah Winfrey show for his special technique of facelift procedures. Please consult us for more information.

The Endoscopic subperiosteal mid-facelift is utilized by only a few surgeons around the world in facial cosmetic surgery and was developed by combining modern endoscopic techniques and craniofacial reconstruction. Using small incisions and a small telescope, the mid-face region is elevated and placed back in its original position. The eyelid-cheek regions as well as the nasolabial folds return to their natural youthful position providing significant harmony to the face. The hollowness under the eyes and the “laugh lines” dramatically improve. This in turn will result in a more natural aesthetically pleasing appearance.

The Endoscopic subperiosteal mid-facelift is usually combined with other facial cosmetic surgery procedures such as the facelift and eyelid procedures in order to produce a well-balanced and youthful facial appearance. Please contact Dr. Azizzadeh for more information on the mid-facelift.

Mini Facelift
Endoscopic Facelift
Mid-facelift

Before and After


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