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Revision Facelift city, state

Revision Facelift Rhytidectomy, also known as “facelift” or “face-lift”, is a complex surgical procedure designed to release and reposition the soft tissues of the face, and to remove excess skin and fat. The combined effect of this procedure should be natural-appearing rejuvenation – restoring the patient’s face to a more youthful state. Depending on the approach used and the demands of each patient’s unique anatomy, however, not all results are complete or satisfactory. For patients who have undergone a facelift elsewhere and who have incomplete or unsatisfactory results, Dr. Ransom offers revision surgery.

Dr. Ransom tailors his facelift approach to the specific anatomy of each patient, and works closely with each individual to satisfy specific goals – all the while making sure that, in the end, “you still look like you” …just a younger, more vibrant “you”! Dr. Ransom is a specialist in revision plastic surgery and revision facelift surgery. Many patients seeking revision of a previous facelift have experienced common aesthetic complications or postoperative deformities.

A common problem of skin-only facelifts, and most facelifts with a horizontal vector, is the appearance of tightness of the skin and what is often called the “wind-swept” deformity. This is most evident near the corner of the mouth, as the posterior pulling stretches the skin in this area in an unaesthetic way – creating an unnatural contour and an “operated” look. A related problem may occur in the neck, when the skin is tightened but the neck muscles are not treated. This can lead to the appearance of two tight bands in the anterior neck (the medial edges of the platysma muscles), which is called a “cobra neck” deformity, because of the similarity to a snake in striking position. Both of these postoperative issues require revision facelift, with a deeper level of dissection and attention to the repositioning of the deep connective tissue and muscle layers of the face and neck, and a vertical vector of lift.

Other common issues after traditional, limited facelifts include incomplete treatment or early recurrence of the jowls and persistence of the drooping cheek area (midface ptosis). These problems are different but related to the same phenomenon – incomplete release of the facial soft tissues. Dr. Ransom ensures that these problems do not occur by performing a more complete facelift – without making a bigger incision! In addition, patients who have had a previous facelift but have experienced these issues can undergo a revision facelift to treat the jowls and lift the cheeks.

A revision facelift, as performed by Dr. Ransom, uses a similar approach to the primary facelift. Dr. Ransom uses the latest in facelifting techniques to elevate the neck, jowls, and cheeks (midface) in one surgical procedure. With this approach, Dr. Ransom doesn’t just lift the skin (which creates the unnatural “wind-swept” look and fails to lift the cheeks) – he lifts the deep tissues and muscles of the face and neck. The result is better, longer-lasting, and more natural appearing facelift …a correction of the previous surgery and a more youthful, vibrant, and healthy-looking you. Please visit the photo gallery for examples.

Revision facelift is most often performed under sedation or general anesthesia, and can be combined with other facial rejuvenation procedures (such as upper and lower eyelid lift, lip lift, or implants) and skin resurfacing (such as chemical peels, lasers, or dermabrasion). After the procedure, the face will appear puffy or swollen. A soft cotton dressing is used to wrap the face and neck for about 24 hours, after which a light bandage may be applied. Some bruising will occur, but pain is limited. Patients are generally able to return to work in about a week, though direct or prolonged sun exposure should be avoided during the healing process. For more information about revision rhytidectomy, please contact Dr. Ransom or schedule your consultation today!

Who is a candidate?

Patients who have had a facelift more recently and are not happy with the results or feel that there could be more improvement may require a revision facelift. This is different than a secondary facelift, where patients typically are satisfied with the results of their first facelift, but have continued to age and experienced some recurrence of drooping skin, neck bands, or jowls (please see the Secondary Facelift page). Revision facelifts address the specific problems or deformities caused by the previous surgery, and are designed to improve the previous result – all while keeping you looking natural. Dr. Ransom would be happy to discuss options with you during your confidential consultation. Please call today to schedule.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.