18/04/2026
She came to us after a previous facelift performed in another clinic.
The question for us was not how much more to do, but what needed to be restored and what needed to be respected.
A face that has already been operated carries its own map, and any revision must read that map carefully before making a plan.
The concerns were clear. The temples had lost volume over time. The right lower eyelid carried an old fat graft that had become heavy and irregular. The neck had softened. The upper eyelids showed a tired hood. The distance between lip and nose had lengthened, and the corners of the mouth had started to turn down.
We built the plan in three layers.
1️⃣
For structure, we chose a deep plane face and necklift with a vertical lift vector. The midface and the temples were lifted through incisions hidden inside the hair. A platysmaplasty rebuilt the neck line. An upper blepharoplasty opened the eyes. A lip lift with a gliding corner lift shortened the lip to nose distance and gently lifted the smile.
2️⃣
For volume, we used the patient’s own tissue. The temples received nano fat in two layers, one deep inside the temporal muscle and one superficial under the skin. The old graft in the right lower eyelid was removed, and both lower eyelids received a proper fat transfer supported with SVF. The perioral area was also treated with SVF to soften the lines around the mouth.
3️⃣
For skin quality, we finished the surgery with fractional CO2 laser and exosome application to support healing and skin texture from the very first day.
What you see here is Day 14. Swelling and colour changes are still part of the process. The final result develops over the next six to twelve months as the deep tissues settle and the fat grafts stabilise.
Revision cases ask for patience from both sides. We planned this together, step by step, with clear expectations and a shared timeline.
Op. Dr. Berat Cigdem
Plastic Surgeon
📍Antalya