Why do facelifts look so unnatural? What prevents plastic surgeons from making seniors look like they did when they were 30?

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When a 70 year old gets a facelift and plastic surgery, it looks like a 70 year old who had a facelift. Why is it impossible to convincingly reverse the effects of aging by tightening skin and re-sculpting?

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27 Answers

Anonymous 0 Comments

Have you seen Madonna? It’s honestly trippy. She looks like a 40yr old with too much plastic surgery with her $500k face. She’s 63

Anonymous 0 Comments

Supposedly J Lo had a ponytail facelift in her 30s. On someone that age it would not be as noticeable since she would have a lot less to correct or lift wyd she still had her fat pads in place, Probably a small accent of filler as well. I think that the more sagging skin one has, the texture has changed drastically as well as a dramatic loss of fat. To really combat everything it’s replacement of lost fat, lasers to retexture, and lifting of the skin

Anonymous 0 Comments

I’ve always thought that Tom Cruise has actually been getting small procedures done for years and years so that it’s never anything that’s real dramatic and this is what it’s allowed him to age so well.

Anonymous 0 Comments

I’m surprised nobody said it, but the skull age, the shapes of your face changes are you get older and we can detect it. One thing you can easily see and notice also is how the eyes starts sinking into the skull’s orbit – adding to the old face.

Anonymous 0 Comments

I’m trained as a plastic surgeon but I don’t do cosmetic surgery in practice.

1. You don’t notice well done facelifts, just overdone ones.

2. Old skin doesn’t have the same structure as young skin. It isn’t just hanging, it’s saggy and thinner. There’s no way to fix that.

Anonymous 0 Comments

Slightly off topic, but let’s not forget that plastic surgeons do more than just facelifts and boob jobs to fight off aging.
I had a plastic surgeon who grafted skin from the side of my thighs onto the 3rd degree burns on the other side of my leg. ie; he used a vegetable peeler to peel skin off my leg to cover the open burn wounds with skin.
They also help women who have had mastectomies rebuild breasts so they do not feel self conscious.

People who have been in disfiguring accidents can find a lot of relief when a plastic surgeon helps them reduce the scars, or rebuild a nose that’s not there any more.

They are a lot more than just “facelift and liposuction” doctors.
I just thought I’d throw that out there. Maybe they can’t make a every 70 year old look like a 30 year old, but they can bring normalcy to people who need are suffering too.

Anonymous 0 Comments

I just talked to a plastic surgeon.

Older methods of facelifts pulled the actual skin and restitched it in hidden locations like along the hair line. The problem with this method is it pulls on the skin too much and looks unnatural Also, over time, the skin stretches again.

Modern facelifts actually take the underlying muscle and pull it tight. She showed me how — they fold it over itself in in the middle and stitch it together. Then, they lay the skin back like a flap and cut it to fit. This allows the muscle to support the load so the skin is not pulled so tight. It increases the longevity and reduces the windswept look.

Anonymous 0 Comments

Similar: I am a professional seamstress. People often will say, “That’s so well made, I would have never guessed it’s homemade.”
First of all, it’s professionally made, not homemade. (I’ve been sewing for money for over 30 years)
Second, with so many clothes being made in factories with low/no quality control and with very cheap materials, most professionally made clothing is far superior to what it is sold in retail shops.
Thirdly, I often see clothes that are clearly homemade. It’s usually down to lack of skill/knowledge and using the wrong fabric for the garment.

Anonymous 0 Comments

There are changes to our facial bones as we age. A face lift is lifting and resetting, but over a vastly different structure.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/figure/Fig2/?report=objectonly

From here.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/#!po=0.694444

Anonymous 0 Comments

There’s a lot more to our perception of a person than just their face. One can get that stretched, filled, puffed up, covered in toner, etc. but the rest gives it away. Arms, hands, and the rest of the structure are tough to change.

That’s why you see and recognize what’s obviously 30’s something faces on [60’s something people](https://media-cldnry.s-nbcnews.com/image/upload/newscms/2019_09/2764361/190225-mar-a-lago-trumpettes-cs-916a.jpg).