Does facelift involve literally pulling the skin to tighten?

I have scars under my eyes. If I have a facelift, would it mean that the scars could be removed as excess skin as the face is pulled up tighter?

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19 answers to “Does facelift involve literally...”

A: Facelift tightens the fascia and structures underneath the skin

William Portuese, MD

A comprehensive face/neck lift involves tightening the fascia and structures underneath the skin in the face, the tightening of the muscles in the neck, removal of fat deposits both above and below the muscle in the neck, and then gently removing any excess skin that is present after the muscle and fascial... more

A: A midface lift could recruit more skin and perhaps allow scar improvement

Wayne F. Larrabee, MD

The typical facelift done to improve the neck, jowls, and cheeks would do little for the eyelid scars. A midface lift, however, done at a deeper level elevates the cheek almost directly upwards and can recruit tissue into the lower lids. This has been well shown by a number of studies including one by Quatela... more

A: facelift versus lower eyelid scar revision

Harrison C. Putman III, MD

It depends on how bad the scars appear and other factors such as lid tone, skin excess and the type of facelift you are going to have performed. If, for example the surgeon performs midface/ cheek lift with the facelift a fineline scar revision is certainly possible, but conservative laser resurfacing or... more

A: Eyelid Scars

Richard W. Fleming, MD

A facelift, which lifts the side of the face and the neck, would have no effect on lower eyelid scars. A check-lift, done through a lower eyelid incision, could be used to revise the lid scar if there is tension of the skin on the lower eyelid. 

A: Lower lid scars

Theodore Katz, MD

To answer your question directly, a facelift will likely do very little for your lower lid scars (and I assume some of these scars go onto the cheeks).  Even fillers may be risky in the lower lid skin itself, but not on the cheek.  You may consider some form of peel or better yet the Fraxel laser... more

A: Pulling Skin for a Facelift

Christopher L. Hess, MD

It's interesting that you should bring this up.   I think that most people believe that this is what we do during a Facelift.  In fact the first facelifts were just tightening of the skin.  These were okay for the time but plastic surgeons learned that if you don't correct the underlying... more

A: Facelfit Procedure

Farbod Esmailian, MD

A face lift ideally treats the neck and jowl area.  It really does not come close to the lower eye lid region as far as removing skin.  Skin is tightened and removed as is the deep layer called the SMAS, which is tightened as well.  The skin that is removed is the excess skin around the ears, so... more

A: Face lift versus midface lift for removal of lower eyelid skin

Otto Joseph Placik, MD

Generally a facelift does not pull up the eyelid skin. A midface lift, however, can significantly lift up the eyelid skin and facilitate removal of the lower eyelid redundancy.

A: A facelift is much more than pulling skin

Sam Jejurikar, MD

Modern facelift techniques place much more emphasis on re-shaping, tightening, and adding volume to the deeper layer of tissue below the skin.  This layer is called the SMAS (superficial musculoaponeurotic system) and is made up of the muscle and fatty layers of the face.  This layer is pulled up and... more

A: Does facelift involve literally pulling the skin to tighten?

Michael Kulick, MD

 Hello This topic is one of my areas of focus.  Take a look at my other facelift questions.  If you have more questions, let me know directly.  

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