Achieving Natural Facelift Results

How To Create A Natural Facelift Result With Dr. Kulbersh, Facial Plastic Surgeon

Dr. Kulbersh: Hi this is Dr. Jonathan Kulbersh from Carolina Facial Plastics. Today we’re going to be talking about what I do during a facelift to make the result look natural. When patients are undergoing a facelift, their one concern is they don’t want to look done; they want to look very natural. And so there are subtle things that we do to ensure the most natural and best results. There are some things that are telltale signs that people have facelifts.

The first thing we do is the proper placement of the incision. For people – sometimes they have the incisions done in such a way where it actually cuts off the hair tuft. So, when they look at the hairline, the hair is cut off really high across the ear So, what I do is make sure to make the incision below or in front of the hair tuft, or hair tuft if they have a high hair tuft already – therefore ensures that the hair tuft is left in place after the surgery. Then using the incision, I’ll actually carry it down behind this part of the ear  – and when the incisions carry behind the ear. Some people make the mistake and they carry the incision across the low back on the neck. This incision can become very visible. Especially in women, when they’re putting their hair back into a ponytail. So I make sure to take the incision and take it up very high in the highest part of the ear; where the ear meets the hairline and bring the incision back this way. So, the incision is hidden and not that obvious.

Thirdly, we have to talk about the pull of a facelift. When thinking about a facelift’s tendency for some surgeons to actually pull the face sideways. And that’s not a natural result. That actually gives you the pull look when you pull your face to the side. The correct pull is actually in 2 different vectors. It’s actually up – so one veckor in the face is actually up, to help define the jawline. The other one is back along the neck. So this way, it creates the best jawline, and lifts the low part of the face and the marionette lines. So those the few ways that I go about to ensure that my patients have the most natural results and ensure that their hairline is in their natural position, that their scars are not visible, and that the pull is in the proper direction. Thank you.