I think having a facelift that's natural appearing and not too pulled is really important and it really has to do with having a facelift that's not skin only. I think that we learned in the '90s that doing a skin only face lift, one, it doesn't last very long and two, when you are relying on the skin to basically hold the tension from the face lift, you start to look little bit like Joan Rivers, start to look a little pulled or wind-blown like you are in wind tunnel and that is clearly not a good luck and so you want to have a face lift where we are dividing the components where we are basically lifting the skin and then using that skin only to re-drape over the deeper structures of the face that we are really moving upwards and re-suspending either with suture techniques or with excising some of that tissue and basically adding that movement in a superior direction, then also augmenting that almost always these days in my practice with fat grafting. When we age, the volume descends with gravity but we also loose volume and so we see loss of cheek projection. We see nasolabial fold formation. We see Marionette lines. We can add that volume back and give you that appearance because then if you look at a younger woman or if you look at a baby, they are all cheek and so as we age, we loose volume and we have descended that volume creating the nasolabial folds and creating that older look where the bone becomes more prominent and so, repositioning the deeper structures, fill them back and then gently lay the skin on top of it and it oftentimes not even really as much skin as you would ever expect.
The Key to Achieving a Natural-Looking Facelift Is Using This Technique
Dr. Mahlon Kerr explains that a proper facelift should be performed by pulling the muscles beneath the skin, NOT the skin by itself.