Skin quality does affect the result a person receives

Richard P. Rand, MD answers: Can "bad skin elasticity" cause poor cosmetic surgery results?

I had a face lift and neck lift 7 years ago that did not turn out well either. My neck is lumpy. I have extra skin below my left ear. I had to have revision surgery because the skin on my right ear lobe was pulled down. My surgeon's response was that I have bad skin elasticity. It wasn't his fault. Do some people really have bad skin?


Richard P. Rand, MD
13 months ago

There are many issues with the skin that can make one patient's result from a facelift less optimal than they would like. Basically it comes down to elasticity in the skin. The better yours is, the better the result will be and the longer it will last. Factors that affect elasticity are your genetic background, history of weight swings, acne scarring, and sun damage. Seriously sun damaged skin will never allow for the same result from a facelift as non sun damaged skin.

That being said, it doesn't sound as though your problems were entirely from your skin but rather with technical problems with how your surgery was done.

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A: There are multiple factors that contribute to the final...

Shahram Salemy, MD
14 months ago

There are multiple factors that contribute to the final result after facial rejuvenation surgery, and the quality of the patient's skin is indeed one of them. Other factors include age, smoking history, overall medical health, type of procedure chosen (there are multiple ways to rejuvenate the face, include many different types of facelifts) and the patient's inherent ability to heal. Given all of these factors, the communication between the patient and surgeon is critical so that the patient understands completely what the risks are and what to expect in terms of the result.

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