Secondary Facelift: “ A second chance without failure — the new standard for Secondary Facelift ”

More Precise Than Ever — Secondary Facelift: Secondary Facelift is required when the results of a previous surgery are unsatisfactory or when sagging has recurred over time. The key to Secondary Facelift lies in precisely analyzing the various anatomical changes caused by previous surgery — including scarring, adhesions, SMAS layer changes, and vascular distribution changes — and establishing an individualized surgical plan.
At ZELL Plastic Surgery, based on extensive secondary surgery experience, we guarantee satisfying results through a precise, personalized surgical plan and approach.

Surgery Duration: Approx. 4 hours or more

Anesthesia: IV Sedation

Hospitalization: Not Required

Suture Removal: After 7 days

Follow-up Visits: 2 times

Recovery Period: 10–14 days

*Results may vary depending on the patient's condition and surgical method.

key point: What Sets ZELL Plastic Surgery Apart

1Safe Skin Incision: The skin is incised at the existing incision site to preserve blood circulation. If the previous scar position is unsuitable, it is repositioned to a concealed area behind the tragus.

2Safe and Thorough SMAS Dissection: Intact SMAS is preserved as much as possible, while SMAS damaged or adhered by previous surgery is carefully dissected and restored. If necessary, surrounding scar tissue is utilized to dissect the entire SMAS as a single, firm layer.

3Triple Deep Plane Technique: The skin flap, SMAS, and deep fascia are triple-fixed in different directions and tensions to ensure firm and stable fixation, while simultaneously compensating for the facial widening effect of the conventional deep plane method, creating a three-dimensional and natural facial contour.

4Restoring Facial Volume: When necessary, buccal fat repositioning, SMAS folding, and liposuction are performed simultaneously to fill areas lacking volume and reduce excessive areas, restoring a three-dimensional volume balance.

5Restoration of Sideburns and Ear Shape: For patients who have lost their sideburns due to previous surgery, the hairline is preserved and restored to the greatest extent possible. Cases with Pixie Ear deformity are also corrected back to a natural, beautiful earlobe shape.

6Expertise in Scar Management for Secondary Surgeries: Almost all patients considering Secondary Facelift carry trauma related to scarring. At ZELL Plastic Surgery, we apply strict standards for scar management — correcting existing scars to be as inconspicuous as possible and relocating them to less visible areas, helping you reclaim your quality of life.

who: Candidates for Secondary Facelift

We recommend Secondary Facelift for the following individuals.

✓Those who were not satisfied with the results of their previous surgery, or whose results did not last long
✓Those with severe scarring or Pixie Ear deformity
✓Those who wish to relocate existing incision scars to a less visible area
✓Those with asymmetry or unnatural results caused by previous surgery
✓Those who were satisfied with their previous surgery results, but wish to undergo surgery again as significant time has passed

Tissue Regeneration Period at the Surgical Site6 Months – 1 Year

The time for skin scars and dissected tissues to reduce swelling, stabilize, and restore blood circulation varies by individual, but typically takes around 6 months to 1 year. Secondary Facelift should be performed at least 6 months after the previous surgery to achieve stable and natural results.

Plan: Surgical Method

ZELL Plastic Surgery's Secondary Facelift precisely restores tissues damaged by previous surgery and anatomical structures that have been altered.

Analysis of Post-Contouring Surgery Sagging

Skin Incision

Skin Dissection

Appropriately releasing retaining ligaments and widely dissecting the SMAS and deep fascia

Lifting and Fixing the Deep Fascia

Lifting and Fixing the SMAS

Lifting and Fixing the Skin Flap

Suturing

Surgical Results

Scar & Pixie Ear Correction: Existing visible scars are naturally refined and Pixie Ear is corrected to restore the altered anatomical structure.

Improvement of Cheek Sagging & Marionette Lines: Cheek sagging and marionette lines are improved to create a sharper jawline.

Improvement of Nasolabial Folds: Deep nasolabial folds are softened to improve mid-facial aging.

Three-Dimensional Volume & Youthful Appearance: Buccal fat repositioning, SMAS folding, and liposuction reduce areas of excess volume and fill sunken areas, restoring a three-dimensional and well-balanced facial appearance.

ZELL Plastic Surgery understands better than anyone the difficulties faced by those considering Secondary Facelift.: While the nature of secondary surgery means we cannot promise 100% perfection, ZELL Plastic Surgery is committed to pursuing something
even more important — 'results that the patient can be truly satisfied with' — right to the very end.
We will dedicate ourselves wholeheartedly — not only to correcting the results of previous surgery, but also to helping heal the emotional wounds left by that experience.

synergy: Complementary Procedures

Procedures That Complement Triple Deep Plane Facelift

Deep Cheek Fat Repositioning: (Buccal Fat Repositioning)

By repositioning the sagging deep cheek fat (located in a layer deeper than the SMAS) to the hollowed area beneath the cheekbone (submalar hollowness), both the drooping deep cheek fat and the sunken lateral cheek can be improved.

✓ Method: The buccal fat is dissected along with its capsule, spread toward the lateral cheek, and fixed to the periosteum of the lateral zygomatic arch.

✓ Advantage: By repositioning — rather than removing — the sagging deep cheek fat, the three-dimensional facial structure is restored and the face's natural volume balance is regained.

SMAS Folding

Most people have a hollowed appearance in the submalar area. Instead of simply excising the excess SMAS, SMAS Folding can be applied — designing the required area and folding it inward.
This fills hollowed areas, making the face appear more three-dimensional and youthful. It can also be customized for surrounding areas where SMAS is excised, depending on the individual's facial structure.

✓ Method: Instead of removing the remaining SMAS lifted from the hollowed area of the lateral cheek, it is folded inward and fixed.

✓ Advantage: Forms a three-dimensional facial line while naturally compensating for hollowness.

Facial Liposuction: (Facial Liposuction)

Most people have a hollowed appearance in the submalar area. Instead of simply excising the excess SMAS, SMAS Folding can be applied — designing the required area and folding it inward. This fills hollowed areas, making the face appear more three-dimensional and youthful. It can also be customized for surrounding areas where SMAS is excised, depending on the individual's facial structure.

✓ Method: For excess subcutaneous fat in the nasolabial mound, cheeks, jawline, or double chin, fat is suctioned via cannula through small incisions at the corner of the mouth or beneath the chin.