The complexity of the reoperative facelift or neck lift is directly related to the way the primary procedure was performed. Regardless of the primary technique used, the secondary procedure should be directed to the specific problems that the patient exhibits, such as scars, earlobe deformity, hair pattern changes, laxity in the upper face or neck, jowling, or deepening of the nasolabial folds. Contour should be restored within the deep layer support via the elevation of the superficial musculoaponeurotic system and platysma rather than rotating skin flaps in an exaggerated manner in a cephalad direction, producing a tight unnatural look.