How do you avoid that sharp unnatural angular look after face lift with neck lift?
Doctor Answers 19
Facelift and Necklift results: how to avoid a sharp angular look?
Athena, one of the three beauties in Greek mythology (Aphrodite and Hera being the other “fairest of them all”) is often shown as a classically beautiful face. She has a fullness to the face with gentle angles along the jawline and a blending in of the face into the neck: not the “puppet on a stick” you note.
Nefertiti from more than 3000 years ago, one of the two famous queens of ancient Egypt (Cleopatra, of course, being the other), is regarded in cosmetic surgery as being “well-good” as the saying goes. She is put up as an example, not only of perfect proportions (of the face), but also desirable angles and sharpness of the neck (cervico-mental angle). I am afraid, she may, rather, unfortunately, to you, look like a puppet on the proverbial string!
If you were going to gather all the cosmetic surgeons you know who do facelifts and neck lifts, you will find that most will find both these faces pleasing and desirable.
Depending upon the wishes of the patient and the aims of the surgeon, by using techniques and modifications, one can endeavor to achieve an Athena-like or a Nefertiti-like result. Preoperative discussions and expressions of likes-and-dislikes are vital.
I have put these two beautiful ladies in a brief video for you to digest. At the end of the video is an example of the Duchenne smile, which is where we smile with our eyes but people call them crow’s feet. However, preserving them gives one a much more approachable and genial facial appearance. Another example of how variable tastes and perceptions can be.
In other words, horses for courses, each unto him or herself, or there is no accounting for taste! Take your pick.
A very useful and astute observation on your part: gives many of us in the teaching and operating profession an opportunity to discuss and learn. Thanks.
Prof. Bhupendra C. K. Patel MD, FRCS
It's all in the surgeon's aesthetics
I promise this is avoidable by finding a surgeon who can describe to you the things that he/she find troublesome in facelifts and how they avoid those looks. Don't just tell them what you don't want; listen to them describe their aesthetics and you are sure to interview a plastic surgeon who has your taste.
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The two secrets for a natural look of the neck after a facelift
Secret N°2: is not cutting the platysma muscles (the large muscles under the skin of the neck). Cutting these muscles gives an unnatural angular look to the upper neck.
Natural looking facelift results
How to get soft neck lift result
- The sharp look of a neck lift is from removing all the fat under the skin and removing tissues at the angle of the neck, under the jaw, down to the hyoid bone.
- This gives a long lasting result but definitely a sharp and angular one.
- To avoid this look - and not every one does want to avoid it - more fat is left under the skin and the natural angle under the chin is preserved.
- But the more angular ones hold up very well over time - which not all neck lifts will do.
- Discuss the look you want with your surgeon to be sure the surgical plan fits what you have in mind.
Always consult a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Newest techniques avoid this result
I, like a few other colleagues offer online consultations where you send us your photos and we can estimate the cost. Find a Board Certified Plastic Surgeon and discuss what will be the proper treatment to achieve the result you desires.
Dr. Luis Redondo
Avoiding the "operated, pull look"
I believe on what I call "natural give of the tissues" that every person at different stages of their life have up to some extent. When this normal "give" or "excess" increases and starts to look as excess skin and droopiness, that is when we as surgeons need to address the problem. By returning the patients to a "normal state of appearance" with no unnatural tightness around the cheeks and neck is only when the look of a patient will have a natural un-operated flow and look. The structure of the face/cheeks/neck are not solid structures, they are dynamic, they must move, glide, and have a natural hang. When facial structures are tight, stressed or pulled, that is when an un-natural operated look originates.
The eye is very unforgiving, it is able to detect very easily both edges of the spectrum, To much sagginess and you look old, to much stretched/tight look and you look odd. You want to be in between.
Hope this helps,
Dr. Gus Diaz
Double Board Certified in Facial Plastic Surgery.
How to avoid an unnatural outcome from facelift surgery
Be healthy and be well,
James M. Ridgway, MD, FACS