ya sailers also like 73 years old... dont know how fine motor skills deteriorate but i know my grampas fork shakes when hes eating.
I think if you want a bimax revision you should speak with sinn to see what he thinks. other than that i think gunson would be the only answer.
i have a really good skin program. its not cheap, but its a friggen miraculous for acne discolouration, works especially well for my skin tone (class 3 ish) : Basically, Fraxel laser if youre scars are deep, VIVA if its just hyperpigmented. followed by microneedling and PRP, and finish it off with sculptra for wrinkles or nasiolabial folds, or craters. theres a lil bit of downtime but you literally end with baby soft skin.
what about a Sailer reverse facelift?