The word "facelift" has been used generically to describe a number of procedures that have the goal of improving the appearance of the face. The term "liquid facelift" has been used to describe improving the appearance of the face via fillers or sometimes fat. Same goes for the term "non surgical facelift." SOmetimes the term facelift has been used to describe an overall facial rejuvenation which might include a classic rhytidectomy (technical word for a facelift) as well as a browlift, eyelid surgery, and neck tightening (platysmal plication). A "mini facelift" is not a technical procedure but a coined term that could describe any number of procedures from a non aggressive rhytidectomy to a neck tightening procedure. Needless to say, there is no uniformity in the terminology used for these procedures. What one surgeon might call a facelift, another might call a necklift, and another might call a mini-facelift.

The lack of uniformity in the terminology can lead to confusion when patients try to compare apples to apples and know what different surgeon's plans might be for them.

In my practice a facelift is a rhytidectomy that treats the jowls and neckline. It can sometimes be combined with a platysmal plication (further neck tightening, called a necklift by some) which is done via a small incision under the chin. A facelift doesn not help the brows or eyes--that's a separate procedure. A facelift does not raise the cheeks significantly--that's a cheeklift or midface lift.

Some surgeons call a facelift a necklift, maybe because it sounds more benign and less threatening, or maybe because they want to make sure the patient does not think it will "lift" the entire face--it only treats the jowls and sagging neck. A patient is a good candidate for a facelift if they have significant jowling and sagging of the neck while still having good skin elasticity.

I am sorry to hear that you had unsightly scars from your previous operation. If indeed you have enough laxity in your face and neck now, you can have another lift and excise out your old scars. Your ear lobes can also be fixed so they are not pulled down anymore.

That is sometimes the problem with trying too hard to have a tight facelift. It puts excessive tension on the incision lines which can cause excessive thick scars, and can pull down on the ear lobes over time.