Revising a facelift surgery is more complex than performing the original surgery. Dr. Paul Holden is trained to assess and correct the challenges of performing surgery on a previously operated patient. Revision facelift surgery has complications that our experienced surgeon at Scottsdale Plastic Surgeons has diagnosed and addressed for many of his patients seeking improvement for facelift surgeries from other surgeons. Scaring, uneven results, disappointing results, pixied earlobes (ear lobes attached to the jaw line), wide incision scars, weakened internal layers and, in general, dealing with another surgeons work are all challenges that Dr. Holden can address and improve.
"Rhinoplasty - Scottsdale, AZ - I couldn't be happier with my new nose.I hated my nose for as long as I can remember, when I looked in the mirror or at pictures of myself that's all I saw. The first time I met with Dr.Holden he pin pointed my exact issues with my nose with out my having to tell him. He was very kind and patient and answered all of my questions. While talking to him it was obvious he knew what he was talking about and was an expert in his field. I felt so comfortable and confident with him that I canceled my other consultes (with another surgon I used in the past) and scheduled by surgery for the next week. Dr.Holden also saw me at every one of my follow up appointments, not some nurse, which was very important to me and helped with my post surgery anxiety. With being 34 years old and a mother of 3 it was very important to me for my new nose to look natural. It does. I am thrilled when I look in the mirror and the people close to me have all remarked how wonderful it looks. While people that I haven't shared my surgery haven't noticed or at least not enough to say "oh my gosh you got a nose job!" I still look like me. :)"- S. / RealSelf / Jul 30, 2015
"Restylane Lyft Gave Me the Lift I Needed. - Dr. Holden was very knowledgeable and he took time to discuss all options available to me."- L. / RealSelf / Dec 04, 2016
"After many consultations with several surgeons I'm happy to say I found Dr. Holden. He is hands down the best of the best when it comes to trusting someone for facial plastic surgery. Dr. Holden performed a revision rhinoplasty and chin augmentation on me. After doing extensive research, Dr. Holden was more than qualified for the job. He had the same vision I had when it came to creating the masterpiece that he did. He turned my imperfection into perfection. I'm a person who worries about every little thing, and not only did Dr. Holden answer all my questions but he never rushed me and always made me feel comfortable. Behind every phenomenal doctor is great staff. Everyone was positive, smiled and was happy to assist. Andrea provided me with step by step instructions and explained everything to me. The customer service was beyond my expectations. Dr. Holden will be the only doctor to perform any future facial plastic surgery that I may need as I age."- K.A. / Yelp / Oct 28, 2016
"Chin Implant, Lower Facelift, Fat Grafting- 42 Year Old Female- Best Decision - Scottsdale, AZ - Dr Holden was amazing- start to finish. He was very honest with me, and we discussed the best plan for my multiple issues. This was not a quick conversation and I was so impressed with the way he explained everything to me. He spent considerable time going over what the surgery itself would entail, what to expect after surgery, and my questions about recovery. He understands that this is both exciting and a bit terrifying as well- because it is my face after all. I wanted to look like myself, but with a better profile and jawline. He explained that a lower facelift, custom chin implant, as well as a touch of fat grafting under the eyes, at the temples, and at the lips would give me the results I desired.Interestingly enough, I was planning on having a different surgery for this problem, where my jaw would be broken and moved forward (orthagnathic surgery) and we spent considerable time weighing the pros and cons of both. Since my braces had largely corrected my teeth crowding and overbite, there would only be a few millimeters added with orthagnathic surgery. This would not be enough to change my profile in a noticeable way, and I would still need soft tissue reconstruction to get my desired effect. Not to mention, I would NOT need my jaw wired shut for 6 weeks with a facelift, and the pain would be remarkably less as well.Dr Holden made me feel very confident in my decision, and his advice was so valuable to me. His expertise was obvious as well. Not once did he pressure me or rush my decision, and we decided to proceed.After surgery, he was just as interested in my recovery and had frequent follow up visits. I felt he genuinely cared about my well being and outcome. I really could not be happier! I feel so grateful to Dr Holden for all the time he spent walking me through this complicated decision, and the results speak for themselves. When my friends see me now a week out, even though I'm still a little bruised and swollen, the typical reaction is tears of joy. I have several friends who are plastic surgeons, and they were impressed with my results right away as well. I am so grateful that Dr Holden was my surgeon- I have never felt so beautiful."- S. / RealSelf / Sep 11, 2016
"42 Yr Old - Amazing Breast Augmentation Experience - Scottsdale, AZ - Dr Tsujimura was the perfect choice for my breast augmentation. I trusted him immediately. He was kind, respectful, and gave me very honest feedback to my questions. I wanted silicone implants, somewhere in the 250-300cc range, under the muscle, with transaxillary placement. He discussed the pros and cons of implant types, incision location, implant placement, and implant size/profile. We agreed on a plan, and I couldn't be happier with the results. Even though I am only a week out from surgery, they look natural, symmetric, and appropriately sized for my small frame. I did not have any numbness on my inner arm or chest wall, which can happen with the transaxillary approach. I had almost no bruising either, just a little around the incisions. Pain was very minimal. He was very caring and involved during my postop visits as well, and made me feel very comfortable during my recovery. I am so grateful that Dr Tsujimura was my surgeon! I would recommend him to anyone!Also, his office staff and surgery staff are amazing- they make you feel appreciated, important, and they are all so kind and helpful! They made the experience even that much better!"- S. / RealSelf / Sep 11, 2016
There are various techniques used today to perform a facelift. Facial anatomy, skin laxity and the overall aesthetic goal of the patient will determine the best approach. The revision of a previous surgery has the additional complexities of scar tissue and adulterated tissue from the original surgery. Each procedure will be unique to the patient and will vary based on the type and location of the incision, the number of tissue layers affected, the plane of elevation and the level of invasiveness.
All facelift procedures are performed under monitored anesthesia care (MAC) sedation at our surgical facility. The length of the surgery will vary, but a revision surgery generally takes between 4-6 hours. This surgery is considered an outpatient procedure. After surgery, patients will be bruised and swollen and the face and neck will feel tight. This will gradually improve within a few days. It is common for patients to feel anxious about how their face will appear. Most patients feel comfortable in social or work situations between 10 to 14 days after surgery, often with concealer makeup. Patients need to understand it can take several full months for the final results to appear.