BOARD CERTIFIED BY THE AMERICAN BOARD OF FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
BOARD CERTIFIED BY THE AMERICAN BOARD OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
FELLOW OF THE AMERICAN COLLEGE OF SURGEONS
As a Beverly Hills facelift expert I see patients from all over the world who have had poorly performed facelifts with horrible scars that are visible from across the room.
These people are looking for revision facelift surgery. Often times these scars can be improved but sometimes they cannot. The patient is left with the problem until the future when their skin loosens enough to perform a revision or corrective facelift and the bad scar can be removed.
There are many steps required to create an invisible incision but if these steps are followed closely and done well, the scars can be completely undetectable.
The first step is to design the facelift incision strategically to be hidden behind the ear cartilages and within the natural creases that already exist around the earlobe. The next step is to perform a well executed facelift that leaves no tension on the incisions. This is done by tightening the deeper layers of the face thereby placing the tension on the layers deep in the tissues and not on the skin. The excess skin is then easily excised and sutured back together without any tension (forces that act to pull the incision apart).
The actual suturing of the incision must be done in a very conscientious and meticulous manner that requires a very gentle and delicate handling of the tissue. I will often spend almost 1 hour per side closing the incisions. The tragus is the little piece of ear cartilage that sits just in front of the ear canal. If the tragus is not addressed correctly then the scar will not look natural. Great care must be taken in addressing the tragus correctly.
Although facelifts can be performed very quickly and shortcuts can be taken, I believe that the best facelifts are those that are performed slowly with great care. The results are such that even men with short or no hair can have a facelift without having to worry about visible scars. Below are perfect examples of what a facelift scar should look like.