I was presented W.B. who is a 56 year old man who had a facelift by a different doctor 1 year prior to his visit with me. He was not happy with his results and was looking for better definition to his neck and jawline as well as improvement to his scars around his ears.
He has a tell tale sign of a bad facelift called a “Pixie Ear” which is where the earlobe is stretched towards the angle of the jaw and this deforms the appearance of the ear and looks very unnatural. The reason that people will develop Pixie ears is because there is too much tension on the skin. This is a common problem associated with the older style facelifts that don’t tighten the SMAS layer which is the deeper muscle layer under the skin. I was able to significantly improve his neck and jawline as well as correct his Pixie ears with a revision “deep plane” facelift that placed all the tension on the deeper layers such that there was no tension on the skin layer upon completion of the surgery.