Why is a revision cosmetic surgery more difficult than a first-time surgery?
Many reasons. First, after any cosmetic surgery, scar formation creates a thick, tough layer that is more difficult to work with than original tissue. Second, the original location of (anatomical) landmarks have been altered. Third, the overall skill level required to perform a successful revision is greater. Revision plastic surgery can take a little longer because of corrections that need to be made as a result of the initial plastic surgery. It is best to provide a patient with a realistic picture of exactly what can be accomplished prior to undergoing another surgery. Revision cosmetic surgery has humbled even the most experienced board certified facial plastic surgeon and – at the same time – has been the most rewarding.