The surgeon’s collection of male facelift photos of his previous patients will reveal a lot about his level of expertise and artistic eye. Take note that a good result should look natural, with no surgical stigmata such as [visible] scars, overly tight appearance, flat cheeks, and distorted smile.
- Ear’s appearance
The ear should not look distorted, i.e., the detached part of the earlobe should remain that way after surgery. For this reason, you should compare the ears between the “before” and “after” photos.
Too much tension or incorrect direction of pull can distort the ear, leading to the pixie ear deformity. While a revision can mostly reverse this appearance, it always makes sense to avoid it from the very beginning through appropriate surgical techniques.
- Facial hair
The “after” photos should reveal facial hair position that is the same as the “before” image. To preserve the natural hair growth, skilled surgeons maintain a small area of non hair-bearing skin at the base of the earlobe and avoid excessive pulling of the soft tissue.
One of the most visible signs of surgery is the presence of hair-bearing skin that is too close to the earlobe, prompting the patient to shave too close to the ears.
- Hairline and sideburns
The hairline and sideburns should remain unchanged after surgery; however, they could move into unnatural positions or have their shape altered after an aggressive technique (i.e., excessive or incorrect direction of pull).
Oftentimes these problems can be repaired by a hair transplant surgery whose results must reflect the natural direction and angle of growth and “grouping” of hair follicles to completely hide the bad effects of an aggressive facelift.
Too much lift in an attempt to raise the saggy mid face can lead to flat cheeks, while leaving the lateral side of the face unnaturally tight.
The cheeks in the “after” photos should have natural plumpness, as opposed to looking gaunt, flat, or overly tight. For this reason, some patients may need “volumizers” usually in the form of dermal fillers and fat graft, which are both injected into the skin.
- Jaw line and neck
As aging progresses, the jaw line and neck skin have the tendency to sag, making the lower face looks “heavy” and undefined. For this reason, most facelifts also address the area to achieve a smoother, more balanced appearance.