Is there a male facelift that doesn't displace the beard towards the ear?

Is there a male face lift that doesn't displace the beard towards the ear? For example, one with a pure vertical vector of pull, especially if the neck line is not a concern. The beard line is of great concern to most men, especially nowadays when wearing beard is so ubiquitous and accepted in all professions. Before and afters never show what happens to the beard, and when they do I find the results unacceptable.

Doctor Answers 26

Is the beard the problem when I want a face lift?

Short answer, no. Usually when men need a facelift to correct excess skin in their face and neck they have to deal with the ascent of their lateral beard pattern. Luckily by this
time most beards are light colored, (or grey). There are lasers to remove eliminate hair growth in inappropriate areas. But, you may have to learn to strategically shave.  The oldest man I have done a facelift on was 91. Today our older generations do not look their age.    

Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

The real tension should be under the skin, at the layer of the muscle (SMAS), not on top.

In general, displacement of the ear should not happen or should happen very little.The real tension should be under the skin, at the layer of the muscle (SMAS), not on top.However if there is a lot of excess skin, there will be displacement of the beard.If the focus of the surgery is in the SMAS layer, deeper layers, there will be very little beard displacement.All skin techniques will have more displacement.

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Great question.

Clearly you asked a great question based simply on the number of responses it elicited. Though we all likely have variations on how we perform a male facelift I think we would all agree that men can get a terrific result that looks very natural. One of the keys to handling the beard line is knowing that we can affect it even under the skin with the hair follicles themselves. Even if the hairline is moved into an undesirable location, the follicles can be disrupted under the skin so as to prevent hair growth where there was none before. The beauty of this technique is that it results in no additional scar at the surface. I have performed thousands of facelifts under local anesthesia including many men who are able to achieve a great result in a safe and natural looking way. So be reassured that you have many great options. 

Ravi Dahiya, MD
Washington Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

Male facelift

There are a number of options to deal with a man's beard during a facelift procedure, including a  more vertical vector as you suggest. Your best bet is to obtain a consultation with a board certified plastic surgeon so that you can be examined and these options thoroughly discussed.

Is there a male facelift that doesn't displace the beard towards the ear?

There are various incisions that can be used to avoid shifting the beard or the skin can be thinned to eliminate hair growth in areas where it is undesirable. The only way to know for sure is to book a consultation with a board-certified plastic surgeon near you. Best of luck! 

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 21 reviews

Side Burns and Male Facelift

Depending on the desired outcome there are various incisions that can be used to minimize the change in position of the side burn.  A consultation would give you a better idea of one of these incisions would work for you!

Is there a male facelift that doesn't displace the beard towards the ear?

There are a couple options for incision placement. One is a straight line incision in front of the ear so that the sideburn is not placed in the ear during redraping of the skin. As the scar fades, the incision becomes imperceptible. Good luck!

Male vs Female Facelift and facial hair options

Dear avon35:

This is really a terrific question not often asked! 

Without a in-person consultation we can only speak of generalities. Yes, there are ways to masculinize or feminize, ie individualize YOUR facelift. 

Most facelifts today are performed suspending the superficial muscle and fascia (SMAS and platysma) in a vertical direction and redraping the skin in a upward-lateral direction.

Feminizing the face, neck and forehead include discussions regarding:
  • Near total reduction and line-less forehead with continued brow expression
  • Arched brows beginning at the level of the orbital ridge medially and ending 1 cm above the orbital ridge laterally
  • Upward redraping of the skin with only enough upward lateral lift to drape the skin firmly
  • No loss of side-burn but small elevation okay. 
  • High SMAS suspension with full cheek "apple" and highlight across the lateral cheek bone
  • Shadow to no shadow under the medial cheek and cheek bone
  • Tight jawline and neck line
  • Total reduction in the tear trough nasojugal, nasolabial and marionette folds. 
  • Smooth transition of the neck muscle hiding the "Adams apple" down to the collar bone
  • Well hidden scars over the tragus and along the back crease of the ear.
  • Small hanging earlobes
Masculinization of the face, neck and forehead include discussion regarding:
  • Diminished but evident forehead lines and expression
  • Fuller and more horizontal brows at or just above the orbital ridge
  • Upward and lateral redraping of the face skin with no temporal incision scar
  • Upward and lateral suspension of the SMAS with tight, crisp jawline and neck line
  • Reduction in the tear trough nasojugal fold
  • Reduction in the nasolabial fold
  • Total reduction of the marionnette fold
  • More prominent chin and jawline
  • Show of the "Adams Apple"
  • Reduction of hair on the tragus and behind ear using post-operative laser hair reduction.
Women tend to have "peach fuzzy" vellus hair which is not noticeable when redraped onto the ear but some women and most men have courser hair. 

There is a crease and a hairless strip in front of the ear. The incision for facelift may be made along this crease but will leave differing color and texture but not carry hair onto the front of the ear as does a tragus incision (the small cartilaginous protrusion). Usually a facelift is done to redrape and remove skin excess. This will occur under the earlobe and behind the ear as well , carrying hair there. For this reason, and to better "hide" the scar, I prefer the tragal incision followed by laser hair reduction to remove hair on the ear and IPL / fractionated erbium or CO2 to improve scar quality. 

Consult with a well experienced Board Certified Plastic Surgeon acquainted with all nuances of surgical care. 

I hope this has been helpful! All the best!

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 70 reviews

Male Facelift Beard

The incision design is different when performing a male facelift compared to a woman. Men, like you described in your post do not want their beard hair transposed onto their ear. For that reason the incision is typically made in the crease in front of the ear. The vector or direction of skin/SMAS pull is both surgeon and anatomy dependent. I suggest you consult with an experienced board certified plastic surgeon.  

Jason S. Cooper, MD
Jupiter Plastic Surgeon
4.8 out of 5 stars 28 reviews

Male facelift

Thank you for your question.  The beard hair is always a consideration for facelift surgery.  Typically, in men, the incision is placed towards the back edge of the beard to prevent the issue you are asking about.  Some men prefer to have it placed as we do in most women and deal with the hair  afterwards (laser removal, etc).  If the hair issue is important to you, then yes, a facelift can be done keeping the beard hair from migrating over the tragus of the ear.  See a facelift specialist who can show you the design of the incisions and make a collaborative plan for facial and neck rejuvenation.

Sirius K. Yoo, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 27 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.