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Posted under Facelift q&a

Why do some facelifts appear "Joker-like" and show large salivary glands sticking out on the side of the neck?

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PersimmonFrost
Why are some patient's faces pulled back so tightly during a facelift that their mouths tend to stay open or have a "joker-like" expression? Is the surgeon simply inexperienced or is the surgeon compensating for more sagging that will occur naturally with age? I have see photos that look painful due to the "tight" appearance of the skin; do some clients request this look or is is most likely due to inexperience on the surgeon's part in calculating the facelift? How is the lift calculated?

Answers (14)

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Timothy R. Miller, MD profile photo
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Richard G. Reish, MD, FACS profile photo
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Brian K. Machida, MD, FACS profile photo
Dr. Brian K. Machida, MD, FACS
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Matthew Bridges, MD, FACS profile photo
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Arthur Dean Jabs, MD, PhD, FACS profile photo
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Dr. Michael Law, MD
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Dr. Kouros Azar, MD
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Dr. Jan Zemplenyi, MD
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