Takashi Nakao
2024.07.19
How many times can you have a facelift revision? A plastic surgeon explains.
A specialist in rhinoplasty. At university hospitals, he has performed numerous functional restoration surgeries, including septal deviation correction, and has successfully guided rhinoplasty procedures requiring advanced techniques on par with reconstructive surgery. Currently, he incorporates globally recognized advanced techniques such as preservation rhinoplasty, providing nasal reshaping optimized for Japanese and Asian patients. His specialty is achieving the “compact, sharp design with a pointed tip” considered ideal in Western aesthetics. Combining extensive experience as a board-certified plastic surgeon with a cosmetic surgery perspective, he performs procedures that harmonize functionality and beauty.
Hello.
I'm Nakao from the Plastic Surgery Department.
"I had a facelift, but over time, my face started sagging again."
"I'd like to raise it a little more."
It is not uncommon for patients to come in for consultations regarding revision surgery for these reasons.
In fact, the patient we are introducing this time also underwent a second facelift.
There are various methods for facelifts.
Top: Before treatment / Bottom: Six months after treatment
Facelift ¥844,580
DT: Internal bleeding (approx. 10 days) Severe swelling (approx. 1 week) *Individual results may vary
There are multiple surgical techniques for facelifts, depending on the patient's condition and preferences.
In this case, the classicalMini Lift Using the SMAS MethodThe procedure was performed.
This is a method that can be done in a relatively short amount of time.
Six months post-surgery, significant improvement in the facial contour is observed.
Revision surgery for facelifts may be considered depending on the individual case.
During the procedure, it was determined that the initial surgery involved suturing the SMAS layer and dissecting and retracting the platysma muscle in the neck.
In such cases, reoperation can often be performed using the same approach as the initial surgery.
However, depending on the extent of the previous surgery and the condition of the scar tissue, adjustments to the surgical procedure may be necessary.
When performing revision surgery, it is crucial to carefully assess the degree of adhesion in the subcutaneous tissue and SMAS layer and lift within reasonable limits.
In other words, a facelift is effective as long as the tissue condition and skin elasticity are maintained.In some cases, reoperation may be considered.
Even after a thorough lift, changes will occur over time due to aging and gravity.
Features of the Deep Plane Facelift
Top: Preoperative / Bottom: Postoperative
Deep Plane Facelift Risks: Asymmetry, facial nerve paralysis, discrepancy from desired outcome, infection, hematoma, scarring, excessive tearing, tightness sensation Fee: ¥1.5 million~
Now, this isDeep Plane Face LiftThis is a case immediately after the procedure.
For heavy neck areas,Composite neck flapBy employing a method known as "lifting the skin and muscles together," we address sagging.
There are various methods for neck lifts, but this approach is considered highly suitable for the bone structure and skin thickness of Asian individuals.
The key feature of the Extended Deep Plane Facelift we frequently perform is that, unlike conventional methods, it releases deeper layers beyond the SMAS layer to achieve a natural lift.
At Bianca Clinic, we carefully assess each patient's age, risk factors, and skin condition to select the surgical procedure best suited to them.
Summary｜If you're considering a facelift revision surgery, please consult Bianca Clinic.
If the tissue and skin condition are favorable, a facelift may be a candidate for revision surgery.
A facelift is not a procedure that stops time.
To maintain a natural and beautiful contour for a long time, postoperative care and maintenance therapy are essential.
At Bianca Clinic, we recommend the optimal surgical approach—such as the SMAS method or deep plane method—tailored to your age, skin condition, and preferences.
If you are considering revision surgery for your facelift, please feel free to consult with us.
We look forward to seeing you for counseling.
RESERVATION