Most expensive facelift doctor says he makes literally invisible facelift scars by letting incisions heal without tension. How?

Its cost is over $300,000 minimum.  Many famous people drive Rolls Royces.  Is a Rolls Royce the right car for you?  It might be.  Some might choose to buy a Mercedes instead.  It is also a very nice car and possibly even more reliable.  Likely just as many famous people drive them.  The savings are undeniable.  This is often a personal choice.  Should you go to a particular famous plastic surgeon? Even if money is no object, it is hard to know.  I assure you that no surgeon has an exclusive on careful tailored technique resulting in inconspicuous scars.  Facelifts from highly qualified surgeons practicing in Beverly Hills do tend to be more expensive but can be found for less than $20,000 including anesthesia.  The money you save will allow you to buy a used Mercedes. The choice is yours. 

Lifting and suturing the SMAS layer to minimize tension on the skin is an advanced technique used by the most expert facial plastic surgeons around the world — with much variance in price. I studied with world-renowned plastic surgeons, such as Dr. Paul Nassif of “Botched,”  in Beverly Hills. My patients in North Carolina get an expert level of work without undue costs. If you have the resources to pay top dollar, you might want to add more value by traveling and taking a restorative vacation during the healing phase after your procedure. Feel free to contact my office for a Skype consultation.

Hi muoldbidy,
It's possible that this surgeon was describing a technique that moves the soft tissue (SMAS) under the skin to change the framework of the face, and then he redrapes the skin over with 'no tension'. In reality, you can achieve this concept with most facelift techniques, and certain suture techniques can also minimize scarring. I think it's more important to examine where on the face and ear the surgeon routinely places his incisions. Take a close look at his before and after photos and compare them to other surgeons'. Thank you for your question.
Mark G. Albert, M.D.
NYC Aesthetic Plastic Surgeon

Very hard to detect facelift scars should be average in the hands of a busy Facial Plastic Surgeon.  This is partially related to skill relating to incision placement, minimizing wound tension, and partially related to the unique vascularity and wound healing ability of facial skin.  A facelift is a procedure that utilizes the layer under the skin, but on top of the facial muscles as the tension bearing layer; the skin should never be used as the tension bearing layer.  Results can vary from Surgeon to Surgeon, but easy to conceal incisions should be a general expectation from a busy facelift surgeon. 

I have no doubt that doctor is a good surgeon, but there’s an old saying out there.  Everyone puts their pants on one leg at a time.  In other words there is no magic way of doing things that only one person has figured out yet has remained a mystery to others, yet many surgeons will try to make you think that.  If you ask such a surgeon why they are so expensive they’ll tell you they are worth it. Well I’ve been doing surgery for over thirty years and seen work from many plastic surgeons including high priced ones.  Good work ? Sure.  Magic?  Not so much,

When performing a Face lift, the key point of a minimally detecatable scar is avoiding tension whit the skin closure. The tension will be in the deep layer tissues (SMAS) so the excess of skin is removed and is closed without tension and using a very detailed closure of the wound. In many patients the scar blends with the contours and texture of the face, so the scar is almost invisible. Very few patients may heal with white (hypopigmented) scars and then the scar may show, others heal with darker (hyperpigmented) scars. So the most important factor in the result of the face lift is the surgeon, who should be precise and artistic, so great results are delivered. The cost will be different from surgeon to surgeon, from city to city, etc.