45-year-old man treated with Facelift.

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This 45-year-old male was disappointed after having a facelift elsewhere 2 years previously. The original surgeon had reoperated without appreciable benefit. His earlobes were distracted downward causing a pixie ear deformity, and he had scar tissue along the right jawline. His facelift was redone, taking care to elevate the deep tissues and avoid skin tension. The patient elected to have his eyelids treated simultaneously. A jowl implant was used to accentuate his jawline. This case illustrates the importance of elevating the deep tissues and avoiding skin tension to prevent an "operated on" look after surgery. Procedure: Secondary facelift, submental lipectomy, upper and lower blepharoplasties, jawline implant, revision of scar of right jawline, and pulsed dye laser treatment of neck.

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