Facelift Not Tight Enough

Facelift Not Tight Enough? Here’s What You Need To Do

Facelift is a surgical procedure to improve the appearance of the face. It can help remove excess skin and tighten underlying muscles, giving a youthful appearance. However, it is essential to remember that, like any other surgery, a facelift can also have complications. We will address the most common query, “Is my Facelift not tight enough?” 

Potential Signs: Facelift not tight enough

1. Visible scarring

It’s not always clear whether unsightly scars from a facelift will be permanent. However, if your facial swelling diminishes and you notice noticeable scarring, this could be due to too much tension on the incisions from tightening the skin’s surface.

2. Initial Outcomes Deterioration

Some persons who are initially blown away by their results may realize that the spectacular benefits of a facelift fade soon, and facial drooping reappears. While some settling is common following a facelift, the reappearance of significant sagging should not be anticipated.

3. Deformity of the Cobra Neck

A visible indentation in the middle of your neck and sagging or jowly skin hanging on either side of the indentation may indicate that corrective surgery is required. This is known as a cobra neck, a deformity created by a facelift when too much fat is removed from the neck or due to insufficient lifting during the treatment.

4. Sagging under the eyes

If you see noticeable sagging in a crescent shape around the cheekbone under the eye, it could be a sign that your facelift is not aging effectively or that the surgeon did not adequately tighten the muscles behind the eyes. The malar crescent is a condition that can be rectified with a facelift revision.

5. Eyes that are sunken or hollow

Sunken or hollowness with drooping skin and noticeable bony structures surrounding the eye may result from too much fat cushioning around the eyes being removed or skin becoming thin and inelastic with time.

6. Sweep Lateral

If you notice parallel lines that appear stretched or taut from the cheeks to the ear, this could result from incorrect tension caused by a facelift. A lateral sweep occurs when the skin wrinkles as it descends without adequate support.

7. Earlobes with Points

When the skin is stretched excessively following a skin-only lift, it creates too much tension, resulting in this “pixie ear” malformation.

Causes for facelift not tight enough 

A variety of issues can contribute to an insufficiently tight facelift. These are some examples:

1. The excessive skin was not removed sufficiently by the surgeon.

This is the most prevalent reason for an insufficiently tight facelift. The surgeon may have taken a conservative approach and removed blemished skin, or they may not have been able to remove as much skin as needed due to the patient’s anatomy.

2. The surgeon did not sufficiently tighten the underlying muscles. 

Sagging skin can be caused by muscles in the face and neck. The facelift may be less effective if the surgeon does not tighten these muscles sufficiently.

3. The incisions were not sufficiently closed.

This may let blood and fluid pool beneath the skin, causing swelling and making the facelift appear slack. 

4. The patient did not follow the surgeon’s post-surgery instructions. 

This can include failing to wear the compression garment, failing to avoid intense activities, or failing to take the prescribed drugs. 

5. The patient has naturally lax skin. 

Some people have naturally slack skin, which might make achieving a tight facelift more challenging.

6. The patient has gained weight as a result of the surgery. 

Weight gain can cause the skin to stretch and make the facelift appear saggy.

If you are concerned about your facelift not being tight enough, consult your doctor. They are the most suitable for assessing your results and determining if you need a revision facelift.

Revision Facelift

Revision facelift surgery is performed after a previous facial operation, such as a facelift or neck lift. You may need revision facelift surgery for one of two reasons:

  • The effects of aging continue

A facelift resets the clock but does not stop the aging process. Even the best facelifts do not last indefinitely. The majority of people seek revision facelift surgery to cure skin looseness, wrinkles, and drooping caused by the continuous impacts of aging, UV exposure, and gravity.

  • Unsatisfactory facelift outcomes

If you are displeased with the results of your facelift surgery, a revision facelift might help restore a fresh, natural appearance.

Revision facelift surgery can help correct facial flaws and enhance scar appearance. Because of the altered anatomy and pre-existing scars, revision facelifts provide additional problems. 

To create an appealing and natural-looking effect, they require specialized expertise. On the other hand, Revision Facelift can be complicated, involving numerous combined or staged treatments, sometimes under general anesthesia. 

How long to wait before the revision facelift?

The time you should wait before having a revision facelift depends on why you need the operation. 

  • Dissatisfied with previous surgery’s result

If you are dissatisfied with the results of past facial surgery, you should seek treatment sooner rather than later. However, allowing the wounds to heal is critical for the ultimate results to be seen before performing revision surgery. Cosmetic surgeons usually recommend waiting at least 12 months before undergoing revision surgery to achieve the best results. 

  • Results of previous surgery are fading

An effective facelift will lift, smooth, and revitalize the face for several years. You should expect your jowls, nasolabial folds, and marionette lines to look better for five to ten years after surgery. It would help if you still looked younger than you would have without surgery. You may require revision facelift surgery around ten years following your initial procedure.

Non-surgical facelift options to consider instead of a revision facelift

Plastic surgery techniques for a simple facelift are no longer required due to technological breakthroughs in cosmetic dermatology. Although removing excess skin will still require the assistance of a plastic surgeon, there are other non-invasive options you can consider before surgery.  To know more about how many facelifts you can have, consider reading.

1. Liquid Facelift

Dermal fillers are used to perk up the skin during a liquid facelift. This technique uses medically approved dermal fillers to soften and remove unsightly wrinkles, face creases, and age lines.

Your skin thins and becomes more elastic as you age. Dermal fillers firm up drooping skin and make a face and other body parts appear fuller and younger.

2. Chemical Peels

Chemical peels are a rapid and safe approach to removing the top layer of damaged or aging skin. It can aid in treating sun damage, acne, pigmentation, and fine lines/wrinkles on the neck, face, back, chest, and hands.

Chemical peels promote collagen formation, resulting in younger, healthier skin. They can be repeated as your dermatologist suggests.

3. Microneedling

Tiny, sterilized needles create tiny holes in the skin, allowing the skin to manufacture new collagen. This is used to cure acne scars, shrink pores, minimize fine lines and wrinkles, and aid in general rejuvenation.

4. Fraxel Laser

The Fraxel CO2 laser is a non-invasive therapy in which a sophisticated fractional CO2 laser addresses wrinkles and lines on the face and damaged skin all over the body.

5. Laser Skin Resurfacing

You can achieve a more youthful and fuller appearance with laser skin resurfacing. It provides outstanding benefits for skin affected by the sun, acne, and the wear and tear of aging.

6. Ultherapy

Ultherapy is excellent for the chin and neck. It is a highly successful treatment for reducing hanging jowls and shrinking double chins.

Ultherapy is a medical technique done under a dermatologist’s supervision. It can take up to an hour to complete, with almost no downtime. The effects can continue for up to six months.

7. Thermage

Another therapy that might assist not just problem regions on the face but also other sections of the body is thermage. The treatment might take up to an hour, and the effects can continue for years.


It is essential to understand that a facelift is a major surgery. Therefore, there are risks associated with it. Being verbal about your concerns with your doctor is of extreme importance. It would help if you were realistic about your expectations and understood no facelift can result in an entirely wrinkle-free face. 

Regarding your concern about the “facelift not tight enough”, remember that your results will be visible in about 3 to 6 months, so don’t assume things. If you are still concerned, consult your surgeon. If you are wondering, what is the best age for facelift, consider reading.

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