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
"Dr. Paul Holden is a Very Gifted Plastic Surgeon. - Dr. Paul Holden is a fantastic plastic surgeon. I would highly recommend that anyone needing facial plastic surgery use him. My results were outstanding. Arizona is very fortunate to have him as a resource in our area."- D. / RealSelf / Sep 19, 2018
"Walking through the fear! - I initially went to talk to Dr. Holden in May of 2016 about straightening my septum and removing a bump on my nose from when it was broken when I was young. I got nervous and opted not to do it. A friend of mine went to see him for a similar surgery and went through with it. After seeing the results and the success that my friend had I opted to go through with it in March of 2017. Tonight I..."- B. / RealSelf / Sep 16, 2018
"Forehead Advancment....yay - I'm only one week post op from a forehead advancement. I mean I have dealt with a very high forehead all my life. Hated it, and tired of hiding it with bangs. Yes I'm a very young 67 yr old who dates younger men so I want to look good. However, the benefit of the surgery was a one inch lowering of my hairline AND a brow lift. Besides alittle bruising under the eyes and normal numbness on my..."- M. / RealSelf / Sep 04, 2018
"Five Stars - I am so grateful that Dr. Holden was my surgeon.I love, love my results and couldn't be happier with my new nose. They way exceeded my expectation.! Doctor Paul Holden is a truly gifted surgeon. He has the ability to listen, recommend, and follow through. He delivers more than expected. I would recommend him highly to anyone and everyone. He is kind and gentle in his manner. Thanks to Dr. Holden.!May 25 2018.T.h."- Anonymous / Vitals / Aug 04, 2018
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.