Dr. Dan Shapiro is a plastic surgeon certified by the American Board of Plastic Surgery. He has been practicing cosmetic or aesthetic plastic surgery in the Scottsdale Paradise Valley area since 1992 and all he performs is cosmetic or aesthetic plastic surgery. One of his most common procedures is a face lift. He loves facial rejuvenation, and he is lucky enough to do many, many, many patients. A common question that, of course when people come in and see him, they may have been referred by a doctor, or some friends, or looking up on the internet reviews and photos, but honestly a question that people ask is, "Doctor Shapiro, how often do I need a revision, and what things, generally do you do revisions for?"
A revision face lift, of course, is a secondary face lift, and there are varying degrees of revisions. Luckily in his practice he does so many face lifts, and he’s pretty neurotic, and he’s a millimeter guy, so revisions are not very common for him. Understand that he wants his patients happy, and if there's something that he feels, or you feel that is not up to par, that has not met your expectations, we will revise that. Some patients get impatient, or request things to look good much faster than they can. Understand that healing is required for you to see your final result, and generally we say that if we do a revision, it generally won't be for a year or so, that's for something major if you will. What sort of things? Well if we feel as though there's some asymmetry of the face, if we feel that the neck isn't up to par, these are things that could be revised. Generally we will have patients wait for about a year. Most commonly these things can be revised in the office, that means under local anesthesia with some oral sedation, and again, it's very, very uncommon that we have to do that.
Other things that, less commonly, but still can occur after a face lift, is let's say there's this scar that we feel hasn't healed appropriately. Maybe somebody has had some hypertrophic scarring, usually we'll try to deal with that with some steroid injections, or some topical therapy. If in fact we fell that those are not up to par, that again is something that can be revised in the office. We have a very low threshold to revise something, because you as my patient, are my calling card, and we don't want you out there with something that does not represent me well, or does not make you happy that you've decided to have this done.
Another thing is, that we do a lot of fat transfer with my facial rejuvenation, and occasionally in certain areas where there's a lot of motion, like around the mouth, and the lips, and mostly in those areas, we may have to do some more fat transfer at a latter day. We usually wait about three to six months for that, again that can easily be done in the office. Just understand that as the swelling goes down things may change, and we really like to have them stable before we decide whether to revise them. You know, when we usually do a revision face lift, it's usually from another doctor. These are patients that come in that are unhappy with the surgery that they've had, it did not meet their expectations, or they may have had a complication.
Uniformly we will have patients wait twelve months after a face lift for me to talk to them about revision. We may see them before, so they are going to understand about what's going on, but we really like to wait for a year or so for the swelling to go down, for the scars to mature, to get an idea exactly what it is that we have to do. Unfortunately often times we have to completely redo the face lift because some of the problems often are the way the face lift was performed. Many times only skin was elevated, and we don't get that elevation of the deep tissues with facial rejuvenation, with volume rejuvenation. We will talk to you about what it is that's bothering you, oftentimes we like to have you bring in your before photos, that's before surgery, to get an idea of what you looked like before. The main thing is that we want you to be happy, we want you to be satisfied with the way you look, and understand that it's a process, and we have to wait for things to heal.
For more information about finding the right surgeon to perform your facelift, you can contact us by visiting our site http://www.shapiroplasticsurgery.com/ or contact us using the information below.
Shapiro Aesthetic Plastic Surgery and Skin Klinic
5410 N. Scottsdale Rd. Building F-100
Scottsdale, AZ 85253