Are all facelift incisions and their results the same?


One of the most tell-tale signs or stigmata of facelifts are obvious scars.  Many potential candidates who would achieve excellent, natural and refreshed results become hesitant about having a facelift or similar procedure because they have a friend, family member, or maybe seen a passer­-by with obvious scars around the ears or temples.

The pictures below demonstrate unfortunate results (performed elsewhere) with “pulled-down” ear lobes and very obvious scars.  These types of scars are preventable and the techniques I use ensures they do not occur.

Obvious scars post facelift
Obvious scars, post facelift. Procedure NOT performed by Dr. Miller


To achieve results without obvious scars, the astute facial plastic surgeon should perform at least these four steps.

1.     Design the incision correctly to maximize the incisions invisibility.

2.     Tighten the so called SMAS (“muscle layer”) after releasing it properly.

3.     Tension free closure of the skin, using two layers of sutures.

4.     Take the time to suture the incision properly, using magnification.


Incision design
Incision design


No obvious scars
No obvious scars


4 weeks after facelift.
4 weeks after Facelift.
4 weeks after Facelift


The pictures above illustrate how incisions for a facelift can be made and later closed with a resulting scar that is imperceptible, even on very close inspection.  To learn more about facelifts and other facial rejuvenation procedures click here to jump to our section that discussing facelifting procedures in more detail. And click here to see more post-operative facelift incisions.

Timothy R. Miller, M.D.


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