2026-05-24
🔹 Revision Facelift: Correcting Pixie Ears and Achieving Powerful Lifting – Dual Plane High SMAS Lift
A 40-year-old patient from Thailand achieves a natural, firm jawline and earlobe restoration through a Dual Plane High SMAS Revision Facelift at VIBE Plastic Surgery.

💎 Revision Facelift Case: 40-year-old Female
Achieving definitive lifting results and pixie ear correction with Dual Plane High SMAS Face & Neck Lifting!!
* This case involves a patient from Thailand who underwent a facelift at another clinic 4–5 years ago. She experienced almost no lifting effect and was left with ear deformities (pixie ears), causing long-term discomfort and dissatisfaction.
* As time passed, her cheeks and jawline sagged further, and the loss of elasticity around the neck became severe, leading her to seek fundamental improvement through revision surgery.
* Note: Patients from Thailand often have very thin skin and SMAS layers, requiring a different level of care and delicate tissue handling compared to Korean patients.
🔹 Surgical Approach: Dual Plane High SMAS Face & Neck Lift
At VIBE Plastic Surgery, we do not simply pull the skin. We apply the Dual Plane High SMAS lifting method, which treats the SMAS (Superficial Muscular Aponeurotic System) layer and the skin layer on different planes.
✔ Dual Plane
Separates the skin and SMAS layers to adjust the tension of each independently.
Results in a natural surface appearance while providing a powerful lift from the deep layers.
✔ High SMAS Approach
Extends the lifting range to the deep layers of the upper cheek.
Improves nasolabial folds and mid-face sagging.
✔ Combined Face & Neck Lift
Pulls the lines connecting the jawline and neck together.
Completes a natural silhouette by refining the double chin and neck wrinkles.
🔹 Pixie Ear (Earlobe Deformity) Correction
Due to excessive skin tension during the previous surgery, the earlobes were pulled downward, resulting in a ‘pixie ear’ deformity.
In this revision surgery, we:
Restored the normal position and direction of the earlobes.
Resutured along a natural line to minimize scarring.
Recovered a clean ear contour without further deformity.




















🔹 Post-Operative Progress
* Swelling and bruising were minimal immediately after surgery, and the patient showed a rapid recovery without facial nerve issues or sensory problems.
* From the 2nd week onward:
The facial contours became naturally refined.
The lifting effect on the cheeks and jawline became clearly visible.
* Currently, the patient maintains natural expressions with firm lifting results and has expressed very high satisfaction.
🔹 VIBE’s Specialized Aftercare System – ‘Wellness Center’
VIBE Plastic Surgery does not stop at the surgery itself.
We operate a dedicated ‘VIBE Wellness Center’ for rapid recovery and continuous anti-aging management.
Hyperbaric Oxygen Therapy: Regenerates recovery cells and reduces bruising/swelling.
Swelling & Circulation Programs: Promotes swelling absorption and improves elasticity.
LED Regeneration & Solutions: Restores skin texture.
This system minimizes post-operative discomfort and maximizes results. Our aftercare goes beyond simple ‘recovery’ to ‘anti-aging maintenance,’ helping lifting results last longer.
💬 Dr. Yoo Young-moon on the Key to Revision Facelifts
‘A face that has already undergone surgery contains significant adhesions and scar tissue, so simply pulling it again will not solve the problem. We must meticulously analyze the existing incision lines and tissue adhesions, then redesign the direction of the SMAS layer to achieve both natural expressions and powerful lifting simultaneously.’
✨ Surgery Information
Procedure: Dual Plane High SMAS Face & Neck Lift
Correction Areas: Mid-face, lower face, neck line + pixie ear correction
Key Effects: Cheek/jawline lifting, neck wrinkle improvement, earlobe restoration
Recovery Care: Wellness Center Hyperbaric Oxygen Therapy + Swelling Management Program
📌 Recommended For
✔ Those whose previous facelift results were insufficient or have sagged again.
✔ Those with deformities like pixie ears or scarring from a primary surgery.
✔ Those who want to improve the face and neck lines simultaneously.
✔ Those who want systematic management until full recovery.
Dr. Yoo Young-moon of VIBE Plastic Surgery provides natural and long-lasting anti-aging results through ‘Anatomically Designed SMAS Lifting’ and a ‘Systematic Recovery Management System via the Wellness Center.’
Consultations and surgeries should be performed by a board-certified plastic surgeon!
VIBE comes from rich experience.
Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is a revision facelift necessary?
A revision facelift may be considered if the effects of a previous facelift are insufficient or if sagging has recurred, or if deformities such as pixie ear or scars remain after the initial surgery. It is also recommended for those who wish to improve both their face and neck lines simultaneously.
What is Dual Plane High SMAS Lifting?
Dual Plane High SMAS Lifting is a method that separates the skin layer and the SMAS layer, adjusting tension in different planes for each. This allows for a natural appearance on the surface while achieving a powerful lifting effect in the deeper layers, and also helps improve nasolabial folds and mid-face sagging.
How is pixie ear correction performed?
Pixie ear correction is a surgery that restores the ear, which has been pulled down due to previous surgery, to the normal position and direction of the earlobe. By re-suturing with a natural line that minimizes scars, a clean ear line can be restored without ear shape deformation.
How is post-operative recovery managed?
After surgery, you can receive systematic post-operative care at VIBE Plastic Surgery's Wellness Center. Hyperbaric oxygen therapy aids recovery and alleviates bruising and swelling, while swelling and circulation management programs and LED regeneration care support skin recovery and elasticity improvement.
Are there any special considerations for revision facelift surgery?
Yes, there are. A face that has undergone surgery once has a lot of adhesions and scar tissue, so it is important to meticulously analyze the existing incision lines and the state of tissue adhesion. After this, the direction of the SMAS layer must be newly designed to achieve both natural expressions and a powerful lifting effect simultaneously.
How long is the recovery period after surgery?
In many cases, swelling and bruising are not severe immediately after surgery, and rapid recovery without facial nerve abnormalities has been observed. From the second week onwards, the facial contours naturally refine, and the lifting effect can be confirmed. Recovery can be further accelerated through management at the Wellness Center.