All efforts must be done to avoid the facelift telltale signs such as windswept or overly tight look, gaunt cheeks, hollow eyes, lumpy neck and jaw line, visible scars, and hairline/ear deformity.
The list below explains the fundamental strategies utilized by surgeons from the California Surgical Institute that allow them to deliver natural-looking facelift results and to prolong its rejuvenating effects.
- Deeper facial muscle methods
The goal is to create a strong, stable support and elevation of the face by going deeper, as opposed to stretching the skin alone, which is an antiquated technique that is linked to the windswept appearance, overly tight or flat cheeks, hollow eyes, poor scarring (migration), pixie ear deformity (elongated appearance), and short-lived results.
Simply put, elevating the deeper muscle and fascia layer can help surgeons avoid a myriad of facelift telltale signs.
- Use of ancillary procedures
Soft tissue laxity is not the only sign of facial aging. It is important to address the loss of volume or fat as well to achieve a more balanced, youthful appearance. For this reason, volumizers usually in the form of fat transfer and dermal fillers are often considered as good simultaneous procedures.
Simultaneous neck lift is also warranted in many cases. Bypassing this procedure could make the aging neck look out of sync with the more youthful face.
Other possible ancillary procedures include brow/forehead lift, eyelid surgery, and cheek implant.
- The issue of fat and volume
While others require volumizers to correct the gaunt cheeks and hollowed eyes, some patients may need liposuction along their jaw line and neck to correct the “fleshy” appearance. However, this should be done sparingly; there should be some layer of fat left behind under the skin to preserve its smooth surface.
- Preservation of the natural hairline and the ear’s contour
While it might seem always ideal to hide the incisions behind the hairline, some patients’ anatomy will warrant them to be positioned in front lest their natural hairline might be disturbed. With proper wound closure, they are supposed to fade into a scar that is almost invisible.
Facelift may also entail incisions in front of the ear. Some doctors suggest that placing the scars in front of the tragus, as opposed to inside the ear, is less likely to disturb the natural shape of the ears. Despite varying views on the “best” scar placement, the consensus is that eliminating or minimizing tension on the wound is of critical importance to promote favorable scars.