How Can I Avoid This? (Facelift Gone Wrong) (photo)

I'm wondering if a plastic surgeon can offer an expert opinion on what cosmetic procedures were likely performed on this actress that resulted in her recent facial appearance? It is said around Hollywood that she got a facelift/bleph, which did not turn out well. How does this happen & why the lumpiness/weird contour & immobility? Possible nerve damage? I am around her age & am having a subperiosteal MFL through the temples/mouth to raise the cheeks, is this aesthetically an outcome I risk?

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7 Doctor Answers | Asked by Erica334

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Don't have surgery if you don't need it.

I think most would agree that this woman looks better before than after. For someone this young and pretty I would have recommended waiting or doing something less invasive. I am not sure what she had done, but here are the things I see different. It does not look like she had a severe brow lift, but the angle of the eyes looks more slanted, suggesting a canthopexy. Something is different with the mouth. The lips have probably been augmented and the corners of the mouth are a straight line... more

How Can I Avoid This?

Some will say that a subperiosteal lift has less possibility of nerve damage but one can only lift tissues in that procedure and not excise excess skin. The person in the photos looks different in the post op shots. There is more prominence in the cheeks and less in the lower face. It is possible that she had some liposuction of the lower cheek and then fat injections into the upper cheek. During the injection of the fat, there can be irritation of muscles and nerves that can cause one... more

Avoid the unnatural look by avoiding too much

Thank you for your question and the photos. From those pictures, it looks like she has been overdone with Botox and dermal fillers of some variety. When overdone, they give a very unnatural look and in my opinion, can make someone look older and worse than they did before. Also, specifically the cant of her eyelids is different, so she may have had at minimum a canthopexy or perhaps a MFL. When you see your surgeon, ask not to be overcranked, and yes, unfortunately poor... more

Midface Lift Before 40

Midface lifts have a laundry list of problems even in the hands of experts. If you do not need it or can avoid it with other measures, that would be best. Kenneth Hughes, MD Los Angeles, CA

Bad Indications for Surgery

I agree that this person looks worse after surgery, which begs the question:why did she have surgery anyway? Surgery as a tool in facial rejuvenation is only useful when it is actually indicated. In this person, I just don't see any real reason to have had a procedure. I agree with other posts that this patient most likely underwent a superiosteal mid face lift. This procedure tends to be transformational rather than rejuvenative. Youths person has clearly been "transformed" but hardly... more

Seek a Board-Certified Plastic Surgeon

Choosing the right surgeon for you is extremely important: 1. Seek a board-certified plastic surgeon by the American Board of Plastic Surgery 2. Look for a surgeon who produces natural-looking results – look at before and after photos 3. Consult with different qualified surgeons to find the right doctor for you. Ask how many of these surgeries they have done and if they have had complications.

Avoiding the unnatural result

The most common cause of unnatural results in facial plastic surgery have to do with poor midface and lower eyelid work or excessive brow lifting. Find a surgeon with a proven record of producing natural results