Why facial revision is different
Previously operated facial tissues may have altered planes, scar adherence, volume shifts, or reduced mobility. A revision plan should identify the specific structural problem rather than simply repeat the first operation.
- Prior facelift or neck-lift concerns
- Eyelid asymmetry, retraction, or scar problems
- Contour or volume irregularity
- Facial scars and prior wound-healing problems
- Revision after previous aesthetic or reconstructive surgery
Form and function
A facial revision can involve appearance, function, or both. Eyelid position, nasal breathing, oral competence, facial nerve function, and scar contracture can be as important as contour.
A restrained endpoint
The goal is not maximal change. In revision surgery, preserving viable tissue and avoiding unnecessary re-dissection may be more important than pursuing perfect symmetry.
