THE PROCEDURE

Correcting Unsatisfactory or Aging Facelift Results

A facelift can be life-changing when performed correctly, restoring youthful contours and renewing confidence. However, the results can diminish over time due to continued aging, or the original results may not meet the patient's expectations. In these circumstances, a revision facelift surgery, also known as a secondary facelift, may be needed. Corrective facial surgery is a highly specialized procedure designed to address these concerns.

As a double board-certified facial plastic surgeon in New York City, Dr. Joshua Zimm has extensive experience performing complex facelift corrections. Patients from Manhattan, Brooklyn, Queens, and beyond seek his expertise when their first surgery leaves them with persistent sagging, visible scars, or an unnatural appearance, or when the aging process has simply diminished a previous facelift’s results. Employing meticulous techniques and an artistic eye, Dr. Zimm focuses on delivering refreshed, natural-looking outcomes while prioritizing patient safety.

RESULTS

BEFORE AND AFTER

Personal LifE

Dr. Zimm’s Approach to Revision Facelift

Dr. Joshua Zimm combines technical precision with an artistic eye to deliver natural, harmonious results. Every revision facelift begins with a thorough evaluation and a customized surgical plan tailored to the patient’s needs. He focuses on restoring lasting structural support by repositioning and reinforcing the deeper layers of the face, including the SMAS and platysma, rather than relying solely on skin tightening. Jawline, cheek, and neck contours are carefully refined to achieve a balanced, youthful appearance, while incisions are discreetly placed within the hairline or natural skin creases to minimize visibility. With years of specialized experience in complex corrective procedures, Dr. Zimm has earned a reputation as one of the best revision facelift surgeons in NYC.

Why Someone Might Need a Revision Facelift

While many people are thrilled with the results of their initial facelift, there are times when patients may have unsatisfactory facelift results, whether driven by personal preference or specific needs, requiring facelift correction. Here are some reasons a revision facelift in New York City might be the perfect choice for you:

  • Persistent sagging or jowls after a failed facelift — If skin laxity returns too soon or was never fully corrected.

  • Visible scars or irregular skin tension — Scars that are overly noticeable or skin that appears puckered or uneven.

  • Overcorrected or “pulled” appearance — An unnatural, overly tight look that can result from excessive skin removal.

  • Natural aging since the first surgery — Even excellent facelift results can fade over 10–15 years as the aging process continues.

  • Asymmetry after the initial procedure — Uneven jawlines, cheeks, or neck contours can sometimes occur.

These issues may stem from surgical technique, healing complications, or simply the passage of time. A facelift correction can help restore balance, improve contours, and achieve a more natural appearance.

Timing: When to Consider Revision Surgery

Timing plays a crucial role in achieving optimal results and minimizing complications. After the initial procedure, the face needs to have sufficient time to heal before considering a second surgery. During the healing process, patients typically experience swelling, scar tissue formation, and tissue settling, which can take several months to fully resolve. Therefore, it is generally recommended to wait at least six to twelve months before contemplating a secondary facelift. This waiting period allows the tissues to stabilize and the scars to mature properly.

The decision to move forward with a secondary facelift should also take into account individual factors such as skin elasticity, a patient’s overall health, and emotional readiness for the procedure. Those considering a revision facelift in New York City should schedule a consultation, where Dr. Zimm can help evaluate readiness, address realistic expectations, and develop a customized surgical plan tailored to your individual needs.

REVIEWS

FEATURED testimonials

"I am very happy with the results."

“Prior to the consultation, I was very uneasy about getting fillers in my cheeks because I didn’t want to look unnatural or feminine. Dr. Zimm senses my concerns and was very patient…before leaving his office, I knew exactly what to expect over the next few days after the injection. All in all, I am very happy with the results and I’m glad I found Dr. Zimm’s office.”

"My breathing is significantly improved and the cosmetic portion was beautifully done."

“…As a healthcare provider myself, I have worked with many physicians over the years and I can attest to his competence and professionalism. His practice is extremely well run and his excellent bedside manner, astute medical knowledge and involvement in the latest research put me at ease and allowed for me to completely trust his abilities… His passion for his field of work is evident, and I am extremely satisfied with the outcome of my sinus reconstruction and rhinoplasty -- my breathing is significantly improved and the cosmetic portion is beautifully done.”

"World-class Surgeon with a Small-town Manner"

“I was really impressed by how much he knew about state-of-the art surgical techniques and practiced them. He is clearly an extremely skilled surgeon. He is also a very intelligent and kind person. As someone who doesn't love the idea of surgery, I felt comfortable and confident… As someone who works as a professor and an artist, I can say that Dr. Zimm sets a high bar for engaging with people and teaching them about their condition, for putting people at ease and building trust, and for clearly being passionate about both the artistry and the technical dexterity of his work. I couldn't recommend him more.”

"He won me by his demeanor, his experience, strive for perfection and honesty."

“Need a perfect, natural-looking nose? Go nowhere else but to Dr. Zimm!...Being involved in the industry myself, I went to 13 different rhinoplasty consultations in NYC to find the right surgeon. After hearing lots of opinions, prices and seeing different images of the "perfect" nose, I chose Dr. Zimm. He won me by his demeanor, his experience, strive for perfection and honesty. He also didn't have a "signature" nose he puts on every one of his patients (walk around the UES and you'll know what I'm talking about). He is truly an amazing surgeon and anyone who works with him at the hospital will tell you the same.”

"Dr. Zimm made me feel as though he was treating a friend or family member."

“Working in the industry I have had the opportunity to work with many surgeons and am always very particular when choosing a physician myself, family, friends and so forth. Dr. Zimm recently performed a Blepharoplasty on me in his office. I consulted with 10 surgeons before moving forward and scheduling this surgery. Without hesitation, I have to say I could not have made a better choice in surgeons!!!! Dr. Zimm was confident and competent, he also had a wonderful bedside manner and made me feel as though he was treating a friend or family member of his own. Fantastic! Not to mention the results are amazing!!!! Completely natural, but amazing Thank you Dr. Zimm!!!!!!”

"Warm and extremely professional"

I am not one to write reviews, but Dr. Zimm deserves one. I had numerous consultations with other top rhinoplasty surgeons across the country but as soon as I had my consultation with Dr. Zimm, I immediately felt he was the right surgeon for me. I am very thankful I chose him. Heather and his entire staff have been warm and extremely professional. He is a brilliant surgeon. I can’t say enough positive things about my experience and would recommend him to anyone looking for a kind, patient, artistic surgeon.

"From the moment you step into Dr. Zimm's office you feel at ease."

"I spent the bulk of my life feeling self conscious about how my ears were set on my head, and I started to look around for surgeons for my otoplasty to help correct them. After my first meeting with Dr. Zimm, I cancelled my remaining consultations with other surgeons. Dr. Zimm and his staff make you feel at ease and informed at every step of the process. From the consistent and clear communication all the way through to the fantastic results and follow up care, Dr. Zimm was without a doubt the right choice to handle my case. Thank you Dr. Zimm and team!"

Surgical Techniques & Options

Depending on the patient’s needs, Dr. Zimm may combine several advanced methods to achieve the best results. A deep plane facelift, particularly effective for revision cases, lifts and repositions the deeper facial structures for more natural and longer-lasting results. When sagging extends below the jawline, a neck lift can be performed simultaneously to enhance facial rejuvenation. Fat grafting may also be used to replenish lost volume in areas such as the cheeks, temples, or under the eyes, creating a softer, more youthful appearance. To further enhance the outcome, skin resurfacing with laser treatments or chemical peels can improve skin texture and minimize fine lines. Each of these techniques is carefully selected based on the patient’s unique anatomy, aesthetic goals, and prior surgical history.

Risks, Limitations, and Realistic Outcomes

Like all surgeries, secondary facelift procedures carry risks, including:

  • Prolonged swelling or bruising

  • Temporary numbness or tingling

  • Scarring

  • Healing complications

Setting realistic expectations is essential. While revision surgery can dramatically improve appearance, it may not completely erase all signs of aging or prior surgery. It's common to feel a range of emotions like anxiety and frustration during the revision facelift process, especially after a disappointing initial surgery. Being emotionally prepared can enhance your experience and recovery, leading to a greater sense of well-being.

What to Expect: Consultation to Recovery

A revision facelift in NYC with Dr. Zimm follows a structured process:

  1. Comprehensive consultation — Dr. Zimm evaluates the outcome of your previous facelift, reviews your medical history, and discusses your concerns.
  2. Pre-op planning — Detailed review of previous surgical history, review of before and after photographs if available, and development of a surgical plan to best meet each patient’s expectations.
  3. Day of surgery — Most revision facelifts are performed under general anesthesia in an accredited surgical facility.
  4. Recovery timeline — While swelling and bruising may last longer than after a primary facelift, most patients feel comfortable in public within 2–3 weeks. Final results become apparent as tissues fully settle over several months.

Cost & Financing

Revision facelift pricing varies based on complexity, surgical time, and additional procedures needed, such as fat grafting or skin resurfacing. Revision costs are often higher due to these procedures requiring longer operating times, more intricate techniques, and additional resources.

Dr. Zimm’s office offers payment plans to help patients comfortably manage their investment in renewed confidence.

FAQs

Frequently asked questions

SCHEDULE A CONSULTATION

Scroll to Top