Botched facelift is easily recognizable, while good results remain low-key that patients can lie about their surgery and attribute their more rejuvenated look to better sleep or “special” diet.
The first and most critical step to avoid botched facelift results is finding the right doctor—i.e., he must be board certified in plastic surgery and possess the right skill set, experience, and knowledge to understand the anatomical nuances and facial harmony.
Leading Los Angeles plastic surgeon Dr. Tarick Smiley says the classic signs of botched facelift include windswept appearance (overly tight effect), flatness of the cheeks, and abrupt lower lid-cheek junction.
The elongated earlobes, visible scars, uneven hairline, overfilled cheeks, and skin/contour irregularities also reveal (poorly done) facelift, says Dr. Smiley.
Dr. Smiley shares his techniques that promote natural results, which can remain “stable” for many years.
- Concomitant fat injection
Facelift alone does not address age-induced facial volume loss or atrophy. In fact, it may even aggravate the thinning of the face as it elevates the soft tissue and brings it closer to the bone. But with a simultaneous fat injection, this adverse effect is avoided.
Fat injection or fat grafting to the face involves harvesting a small amount of fats usually from the tummy, which are immediately processed and injected into the facial soft tissue to correct flat cheeks and abrupt lid-cheek transition.
- Going beyond the skin
Dr. Smiley says the key to natural and longer lasting facelift is “going beyond the skin.” By elevating the fat, tissue, and muscle all as a single unit, a truly rejuvenating effect is achieved.
Furthermore, going deeper into the tissue plane allows the surgeon to put most of the tension to this area, thus preventing overly taut skin, which is a dead giveaway that facelift has been done.
- Oblique direction of pull
Pulling the skin at about 45 degrees angle can turn a jowl into a more chiseled jawline and can also smooth out the skin in the neck. In the past, facelift received notoriety due to the overly flat cheeks caused by incorrect direction of pull (horizontally).
- Holistic approach
A sagging neck or a hollowed lower eyelid juxtaposed with smoother, more rejuvenated face can look worse than it really is. Hence, great surgeons often complement facelift with other facial procedures such as fat injection, neck lift, blepharoplasty, etc.