Cords and secondary rhytidectomy
Last reviewed: 19.10.2021
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As the observations of patients for 6 months to 1 year after the operation showed, they will inevitably have some relaxation of the facial and neck surface tissues. And this despite the remarkable efforts on your part to give them a long tightened cheeks, a clear line of the jaw and neck. To a large extent, this is due to inherited tissue elasticity characteristics in individual patients, which sometimes requires small interventions to improve overall results. Operations to correct small residual irregularities in the sub-chin can be required in 5-10% of patients, depending on their preoperative state and skin elasticity. They should be offered as part of a general facial correction by tightening. This is not related to the quality of your equipment as a whole. Much less often the cheeks, because of their completeness and preoperative state, return to their previous state so that they form folds that require correction. This area most often disappoints patients in the final result. Patients should be informed in advance that the buccal and labial folds and furrows are the least affected by a standard facelift. However, if the cheeks sag, to some extent, because of this recurrent relaxation, patients can be quite upset. Some patients in the achievement of those long-term results, which they expected, can help the treatment of only the buccal region and the application of SMAS.
However, despite all the efforts during the first year, there are patients whose face-lift results do not last as long as they would like. This is often associated with the patient's age, skin condition and heredity. Patients should understand that an early secondary lift is not needed in any case; that they will continue to grow old and look normal, better than if they never did a lift. They will always look younger than their chronological age. Repeated facelift can certainly be done in the future, but it is usually not needed for 5-8 years after the first operation. Surgical technique may be required, similar to that of a primary pull-up, depending on the progression of the aging process in all layers of the concerned tissues.
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