Incisions for a facelift serve 2 main purposes: access to the deeper tissues and removal of excess skin. Facelift incisions are something that many people are concerned about before the procedure but, if planned thoughtfully and executed with expertise and care, they should be virtually invisible. The key to the outcome after a facelift is less the incision but more so what has been done underneath the skin. Some repositioning of the SMAS layer is necessary in order to achieve long-lasting improvements. Personally, I prefer the deep-plane approach where the cheek fat and the SMAS are repositioned for the most natural appearance. Having said that, an extension of the incisions into the temple region is commonly necessary for appropriate lifting.
We see quite a few patients who had there surgery abroad, most of them with problems but some of them with a good outcome. And then there may be many patients that are pleased with their out-of-the-country surgery and other who are too embarrased to look for help.
In general, it is important to choose your cosmetic surgeon wisely and do your research beforehand. If you are interested in facial rejuvenation, look for somebody who specializes in these kind of procedures. A plastic surgeon who did a great job with your friends tummy tuck may not be a very experienced facelift surgeon.