Beverly Hills Face lift Scars Revision
Face lift scars are the signature of the plastic surgeon who performs the face lift, therefore it is very important that they are as imperceptible as possible. Too often, the scars are obvious and a tail tell sign of the previous face lift. It is shocking to see so many celebrities going around with bad scars. Even on screen you can see famous actors and actresses with the stigmata of a face lift. Of course, a lot has to do with the “pulled” “wind blown” look of the outdated horizontal vector technique that leaves a very unnatural result.
Aside from bad face lift techniques, too often we see just plain bad scarring which these days is completely unjustifiable unless the patient’s immune system decides to form a real keloid (which is very rare). Dark skinned patients have a higher risk of forming keloids, especially if they have a history of it.
Bad face lift scars are due to multiple errors in planning and executing the face lift closure. Planning of the incisions is very important. Some factors that influence the plan are the shape of the hairline, how much excess skin is removed, whether the patient is male or female, etc… An experienced plastic surgeon can predict the role these factors will play and adjust his technique accordingly.
The one factor that is the most determinant of all is the tension that is placed on the scar at the time of closure. The tension is directly proportional to how wide the scar is going to heal. This creates a dilemma: if you don’t place tension on the incision at the time of closure, there is a good chance that the patient will have a recurrence of skin laxity in as soon as a few months after the face lift. If you’ve invested time and money in having a face lift, you’re not going to be very pleased with a result like that. Your scars will look good but your face will won’t!
Tension is also necessary for other procedures, like volume replacement, to insure a long lasting result. That is the reason why I pioneered the Tension Free Closure. Instead of discarding the excess skin at the end of the face lift procedure, I use part of it as anchor points in two critical areas of the closure – the front and back – this allows the tension to be shifted from along the suture line to those two points. This technique insures that the scar will heal well without compromising the longevity of the face lift results.
Another tail-tell sign of having a face lift is the poor positioning of the ear lobes and the cartilage of the tragus.
Most of the time, the tragal cartilage gets blunted during a facelift and leaves an unnatural look.
In addition, the ear lobe is often left attached to the skin and pulled down (Pixie Ear) which is a dead give away that you’ve had a facelift. The simple fix of placing the axes of the ear lobe in a 10 degree posterior position will avoid that pitfall.
Often, these errors occur because the plastic surgeon is tired at the end of a long operation and sometimes leaves important tasks like that to an assistant.
I perform only one face lift a day and I never leave any part of the surgery to an assistant – I do everything from the first incision to the last stitch and place particular attention to the placement of each stitch.
Bad face lift scars are often avoidable with careful planning and execution. You don’t have to be a walking advertisement that you’ve had a facelift!