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It is possible to have skin color or skin tone changes after a facelift. This is would be very rare. Normally, a properly performed SMAS lift will give the appearance of better skin tone due to the tightening of the skin and underlying muscle layer, but skin tone itself is not affected. Skin tone can be improved through other means such as laser resurfacing, a good skin care regimen, proper use of sunscreen, and a good diet. As for bunching around the incision site, this should not happen if the skin was draped properly. I hope this helps.
A facelift procedure should not affect the skin tone or color. Bruising after a facelift is common and typically lasts two weeks. Excess skin is removed from the face during a facelift procedure by using an incision placed in front, and behind, the ear. There is no visible bunching of the skin after a facelift procedure.
A properly executed facelift will improve skin tone. There should not be excessive tightening which makes the results unnatural. Sun damage will not be improved and might benefit from auxiliary treatment (laser, peel, etc.)
Skin tone depends on your genetics and lifestyle. Good genes, no smoking, good nutrition, sun avoidance will all maximize your skin tone. A SMAS plication/resection facelift will elevate and tighten the deep tissues of your face so the skin can be smooth over the top of the improved contour and rejuvente your appearance. This smoothing of the skin will make your skin tone appear better but the true quality has not changed. Improved skin tone can be helped with a good skin care program, chemical peels, laser treatments or Retin - A cream. Done correctly, with proper tailoring of the skin, there should be no bunching of the skin where the incisions are. This may occur if one tries to do a short scar lift on a patient needing more skin resection.
In general, skin tone and color will not be affected by a SMAS facelift technique. Bunching of the skin is also avoidable by proper tailoring and not trying to do too much with a short scar if it is not indicated. The skin itself will be less redundant, but fine wrinkles that remain may have to undergo a resurfacing procedure to restructure and tighten the skin itself (Laser or peel). A naturally done SMAS facelift lifts the deep tissues that have fallen and the native skin redrapes over the new contour.The 4 modalities I use to improve the face are lifting (facelift), skin resurfacing (peels), injectable volume (fat), injectable paralytics (Botox).