What are the chances the skin on the face will pull unevenly after a lower face and neck lift? (Photo)

I have a concern not about continuing to age after a lower face lift, that's inevitable, but what are the chances that my skin will age *unevenly*? Perhaps I will have a touch up in 10 years after, but my primary concern is if there will be a stretch mark across the cheekbone line or some other kind of unnatural effect from the lower face lift so that I will *have to.* I am 47 and have thinner skin due to many years of prednisone, which I have since stopped.

Doctor Answers 13


I understand your concern.  Choose your surgeon wisely.  Consult only with board certified highly experienced plastic surgeons for a natural result.

Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews

Facelift candidate

There  is facial asymmetry before and after a facelift procedure. The amount of skin that is tightened during facelift can vary from side to side depending upon the pre-existing laxity of the skin itself.   The aging process will continue. Just look for a surgeon who performs a very natural  Facelift results, so that you do not look over tightened and wind tunneled.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Uneven skin and irregularities after lower facelift

Given the context you provided of thin skin plus history of prednisone use I'd say it's a little higher than normal but low enough that it's probably safe to proceed.  That being said get a number of consults with board certified facial plastic surgeon.  Describe your concerns in some detail and I think an experienced surgeon would be open and say they've seen this issue before and maybe the risks are higher but here's a plan to avoid that best we can.  If you get nothing but vague reassurances and promises of perfection I'd say that sounds a little like fluff.

Chase Lay MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 76 reviews


Asymmetric pull after a face lift is unusual.  We do a fair amount of revision referrals and asymmetrical pull is one of the less common complications we are asked to fix.  Everyone has some facial asymmetry that will persist after a facelift.  The thin skin after prolonged steroid use will change the surgery technique somewhat.  Best wishes.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

What are the chances the skin on the face will pull unevenly after a lower face and neck lift?

I can certainly understand and appreciate your concerns. Your skin will continue to age evenly. The bigger concern is your statement about having the uneven result from poorly done surgery and that is a possibility. Choose your surgeon wisely for both their experience and sense of artistry and you will love the results. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Facelift without uneven results.

this can be achieved if you go to a very experienced facelift surgeon to remove the excess skin with natural results. Look at many before and after photos. I would not advise any  other procedure than a facelift to remove your excess skin. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Getting The Best Results After Lower Face Lift--VASER/ThermiRF/Thermage/Ultherapy

This is really tough to answer because it's impossible to predict. That type of scarring wouldn't be typical but can be improved if necessary. There are many great options to improve symmetry and maintain shape after your procedure including VASER/ThermiRF, Thermage/Ultherapy, Botox and lasers and fillers. I suggest seeing a cosmetic dermatologist for an in person consultation to discuss long term goals and concerns. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

The Lasting Effects of a Facelift

On average the surgical #results last between 4 and 7 years. However, people vary so much from one another, an exact time is difficult to provide. If you wish, you may repeat the procedure at that time. There is always an improvement compared to not having the procedure as the #aging process continues to progress throughout the future. Patients, with very loose skin will occasionally experience #sagging earlier and it may be seen as soon as one  year later. Such may require a secondary procedure to tighten the loose skin. 

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Uneven Pull After a Lower Facelift

Thank you for your question and picture, please make sure you find a reputable and qualified plastic surgeon who has expertise in facial surgery, this should not be problem.  All The Best 

Natural Aging After Facelift

Thanks for your question.  This is a wise question and one that should be considered when interviewing your board certified plastic surgeon.  Choose wisely and ask all of your questions.  Best of luck in your search.

Anna I. Wooten, MD, FACS
Pittsburgh Plastic Surgeon
4.7 out of 5 stars 47 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.