Does a facelift result in less healthy skin over long run?

I read an interesting article that spoke of long term damage to skin that has been cut and pulled as part of a facelift. It states that skin will get thinner and will never regain or increase its thickness given that the skin is lifted away from underlying layers in order to tighten the underlying fascia and muscles. Especially so if more than one surgery. It makes common sense that skin may not re-attach itself to underlying tissues like it was before surgery.

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14 answers to “Does a facelift result in less...”

A: A facelift should not cause the skin to look less healthy over time.

Robert Schwarcz, MD

A facelift should involve manipulation and tightening of the SMAS or muscular layer under the skin after a healthy skin flap is developed.  The skin is then simply redraped with any excess trimmed, this should not pull the skin too tight and should not affect the quality of the skin.  Often this is... more

A: It is not the facelift that damages the skin

Kenneth D. Steinsapir, MD

A well done facelift will have no damaging effects on the skin. It is important to leave an appropriate amount of fat on the lifted skin to help protect the blood vessels that bring nourishment to the skin. However,  the big abusers of skin quality are over done CO2 laser resurfacing and too much... more

A: No it does not!

Toby G. Mayer, MD

 If properly done multiple facelifts do not do this. In more than 30 years of doing facelifts and seeing my patients over that period of time, there is no change even with multiple lifts on actresses who tend to have more lifts than the average person. The skin will become less elastic and thinner in all... more

A: A face lift doesn't harm nor rejuvenate your skin

Ran Y. Rubinstein, MD

Mmuofminn A modern face lift will not harm your skin because it doesn't stretch out the skin because: Your skin is not pulled tight.  The underlying muscles are lifted to give a more natural longer lasting result. A significant cause for facial sagging is loss of volume in the cheeks and jawline. ... more

A: Skin thickness after Facelift

Robert T. Buchanan, MD

Since nothing is really done to the skin itself during a facelift, except redraping it smoothly, it does not get thinner as a result of the facelift. What does happen with some techniques is that the underlying fat layer is thinned. This causes the tissues to appear thinner. With newer techniques, the fat, and... more

A: Skin Remains Healthy After Facelift

Tanveer Janjua, MD

There is no evidence that skin will not attach to the underlying deep tissues after a facelift and then become less healthy. The blood supply through growth of new capillaries is excellent in the face and nourishment for the skin is not an issue. If anything it gets more nourishment from the growth of new... more

A: Facelift does not harm skin.

George J. Beraka, MD

Hi! Facelifts have been done for about 100 years, and so there is a lot of experience.  There is absolutely no scientific evidence that a well performed facelift harms or ages the skin. It is possible to interfere with the blood supply of the skin during a facelift, but that is very rare and is considered... more

A: Skin and Face Lift

Ricardo Izquierdo, MD

 Healing after any surgery follows a set pattern.  A facelift, done correctly, should not produce "less healthy skin".  Most surgeons now perform the structural tightening of a facelift in the layer below the skin.  Then the skin is re-draped, like a sheet on a bed, to conform... more

A: Facelifts if done correctly have little impact on the overlying skin

Scott Trimas, MD

Facelifts if done correctly have little impact on the overlying skin; however, if the skin is stretched too tightly as is done in some facelifts then it can affect the overlying skin texture and quality of the skin. Normal facelifts done today typically involving lifting the muscle and redistributing the fat... more

A: Skin quality after Facelift

John Burns, MD

A facelift should not have any adverse effect on your skin quality.  However, addressing the skin is an extremely vital part of facial rejuvenation. Think of it like the canvas of a painting. You want to make sure your skin matches the facelift because it does not look natural to have poor skin after the... more

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