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?
September 24, 2016
Answer: Facelift Hello and thank you for your question. The simple answer to your question to carefully evaluate before and after pictures of the surgeon you are choosing and make sure you like what you see. If good technique is used, a facelift can be done with minimal scarring and can result in a natural look, not over-done look, with rejuvenation of your face. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful 1 person found this helpful
September 24, 2016
Answer: Facelift Hello and thank you for your question. The simple answer to your question to carefully evaluate before and after pictures of the surgeon you are choosing and make sure you like what you see. If good technique is used, a facelift can be done with minimal scarring and can result in a natural look, not over-done look, with rejuvenation of your face. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful 1 person found this helpful
September 24, 2016
Answer: Joker faces There might be many reasons for the overpulled look. These patient might be repetitively unhappy, and end up seeking multiple procedures and multiple revisions to their faces, or their doctors are doing a very tight skin closure or are doing more horizontal instead of vertical pull. You can't really comment on pain based on the look of tightness and it may not be painful. Lifts are marked pre op to determine proper pulls to deal with problem areas. True salivary submandibular glands can become more evident in thin liposuctioned necks but I'm not sure that's what you're looking at.
Helpful 1 person found this helpful
September 24, 2016
Answer: Joker faces There might be many reasons for the overpulled look. These patient might be repetitively unhappy, and end up seeking multiple procedures and multiple revisions to their faces, or their doctors are doing a very tight skin closure or are doing more horizontal instead of vertical pull. You can't really comment on pain based on the look of tightness and it may not be painful. Lifts are marked pre op to determine proper pulls to deal with problem areas. True salivary submandibular glands can become more evident in thin liposuctioned necks but I'm not sure that's what you're looking at.
Helpful 1 person found this helpful