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

September 22, 2016
Asked By:PersimmonFrost in Richmond, VA

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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September 26, 2016

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

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Timothy R. Miller, MDBoard Certified Facial Plastic Surgeon
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VOTED MOST HELPFUL
September 26, 2016

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

3 people found this helpful
Timothy R. Miller, MDBoard Certified Facial Plastic Surgeon
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MOST RECENT
October 21, 2016

Answer: Facelift results

Kouros Azar, MDBoard Certified Plastic Surgeon
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MOST RECENT
October 21, 2016

Answer: Facelift results

Kouros Azar, MDBoard Certified Plastic Surgeon
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September 25, 2016

Answer: Natural, tightness

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September 25, 2016

Answer: Natural, tightness

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September 24, 2016

Answer: Poor technique

1 person found this helpful
Gregory T. Lynam, MDBoard Certified Plastic Surgeon
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September 24, 2016

Answer: Poor technique

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Gregory T. Lynam, MDBoard Certified Plastic Surgeon
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September 24, 2016

Answer: Facelift

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Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
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September 24, 2016

Answer: Facelift

1 person found this helpful
Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
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