A revision facelift will usually be a full facelift (face-necklift) and will utilise incisions around the margins of the ears which are likely to be already present from previous surgery. If they have not been optimally placed previously their position will be adjusted for optimal aesthetics. The deep plane SMAS tissue layer is again lifted, and this may be a more comprehensive resuspension if the patient has had a less comprehensive lift previously to ensure the facial tissues are resuspended and reshaped into the optimal shape.
Additional facial surgery is commonly performed such as further adjustment to the eyelids and fat transfer, as more facial volume is lost in older patients.