Recognising the Signs of a Bad Facelift and How To Avoid Them

Dr Darren Mckeown

Published by Dr Darren McKeown

Date posted — 10.05.25

Facelift techniques have significantly advanced over recent years, providing impressive, natural-looking results when performed by skilled surgeons. However, concerns about unnatural outcomes or complications can leave potential patients feeling hesitant. Understanding the signs of a poorly executed facelift and knowing how to avoid them can help you confidently pursue your desired look.

What are the signs of a bad facelift?

Recognising the indicators of a poor facelift can help you avoid unsatisfactory outcomes or address them promptly if they occur:

  • Stretched or overly tight skin: Placing too much tension on the tissues creates a tight, stretched or lumpy appearance that looks anything but natural.
  • Pixie ears: Earlobes that appear to stick onto the face and are stretched or pulled downward.
  • Displaced sideburns: Sideburns moved or eliminated due to improper incision placement. Katie Price is a good example of this, following her most recent facelift.
  • Altered hairline: Incorrectly placed incisions can disrupt your natural hairline, moving it backwards, creating an unnaturally large temple and forehead.
  • Highly visible scarring: Poor surgical technique resulting in obvious scars.

These issues typically arise from either inexperienced surgeons or surgeons who still use outdated surgical techniques.

Medical complications

Bad surgical techniques or inadequate aftercare can lead to significant health complications, including:

  • Infection: Can be caused by improper sterilisation or poor aftercare.
  • Haematoma: Blood collecting under the skin, leading to significant swelling and discomfort.
  • Skin necrosis (dead tissue): Resulting from excessive tension or poor blood circulation.
  • Nerve damage: Potentially causing muscle weakness.

How can a bad facelift be fixed?

If you’re experiencing issues following a facelift, revision surgery or other corrective treatments can help. An experienced surgeon will thoroughly assess your case, discuss your desired outcomes, and suggest the best approach. Treatments may include:

  • Revision Surgery: Carefully correcting previous mistakes, repositioning tissues, or adjusting skin tension.
  • Non-Surgical Treatments: Dermal fillers or Botox can help smooth irregularities or asymmetries when appropriate.
  • Laser treatments: lasers can help to revise poor scars resulting from surgery.

A qualified surgeon will tailor treatments to your unique needs, helping you regain confidence in your appearance.

How to avoid getting a bad facelift?

Preventing disappointing results starts by choosing the right surgeon and preparing adequately. Some of my tips for avoiding a bad facelift include:

Choose a qualified surgeon

Always verify credentials, training, and experience.

Attend consultations

Use consultations to assess your potential surgeon’s approach, clarity, and care.

Review Before-and-After Photos

Evaluate real patient results to ensure the surgeon’s aesthetic aligns with your goals. Do not accept the excuse’ my patients don’t consent to sharing photographs’. Whilst it’s true that most patients do not consent to sharing their photos, most experienced surgeons will have at least a number of patients who do consent. If your surgeon doesn’t show you photos, it’s either because he’s not experienced enough yet to have the photos or he’s not confident you will like the look of his work.

Maintain open communication

Clearly communicate your expectations and concerns throughout your treatment journey, especially at the initial consultation. It’s better that your surgeon understands your expectations from the outset. An ethical surgeon will say no to surgery for you if they do not believe they can achieve your expectations.

Follow pre- and post-operative instructions

Adhering strictly to your surgeon’s guidance improves your outcome.

Manage your expectations

Understand realistic results, ensuring you and your surgeon share a clear vision.

 

Choose the right surgeon at McKeown Medical

At McKeown Medical, natural-looking, undetectable facelift results are our speciality. Our highly qualified and experienced team offers both surgical and non-surgical facelift treatments, including:

We understand that excellent results start with expert care. Our team is dedicated to guiding you through each step, ensuring exceptional outcomes. Check out our gallery to see the transformative results we’ve achieved for our patients.

Book a consultation today to discuss our available treatment options and get advice on achieving the look you want.

Dr Darren Mckeown

Dr Darren McKeown

Our founder, Dr Darren McKeown, is renowned for his expertise and artistry with dermal fillers. As a peer-reviewed medical author, he is passionate about treatments that stand up to scientific scrutiny. Above all, Dr McKeown believes in a global approach; delivering flawless results – and rejuvenation that lasts.

Related Articles

Laser season continues!

Thank you to this lovely patient who has kindly allowed us to share her results. She was particularly concerned about the fine lines and creases around her mouth, and underwent full-field laser resurfacing to target the deeper layers of the skin.

This is just two months after treatment and you can already see a significant improvement in the fine lines and overall skin texture. She’s still a little red and got some more healing to do, but she is already very happy with the improvement. This patient was a bit anxious about having the treatment done, so chose to have it under sedation which means she slept throughout and woke up when it was over! 

What do you think?
It’s been six months since we launched the new toxin Relfydess in the clinic so, how is it going? 

We’ve undertaken a survey of all of the patients we treated with the new toxin in the first month, who are now around six months since their first treatment, to find out more about what they thought of the results over the longer term - whether it kicked in faster, whether it looked better and whether they felt it lasted longer than the previous toxin. 

Here are the results, and the feedback so far is really encouraging with the majority of patients reporting that it kicked in faster, looked better and lasted longer. 

If you’d like to see more detail and analysis of these results, check out the link to the blog post in our profile.
Aesthetic interventions are never far from the headlines and this week the media have been focused on comments made by the make up artist Bobbi Brown about her view of cosmetic procedures. I was on BBC Radio Scotland today talking about the issue. 

My own view is that we should all age in the way we feel comfortable with - if you are happy with grey hair and wrinkles, then I absolutely admire you just as much as  I admire those who feel differently and want a little help to keep the signs of ageing at bay. There is no right and wrong and there is no room for moral superiority. Just you be you! 

Have a listen to the debate and let me know what you think in the comments!
We often talk about the deep plane facelift being the gold standard technique for facelift, and we’re proud to have the talented @bramhallplasticsurgery performing it in the clinic. 

Here’s Russell explaining how the deep plane facelift offers longer lasting and more natural results than other techniques. By lifting and repositioning the deeper facial structures rather than just tightening the skin, this advanced approach creates a result that looks natural, moves naturally, and continues to age beautifully over time.

If you have any questions about the deep plane facelift just send us a message, or you can see more about the procedure at the link in our profile.
Our 5ml protocol is designed for patients looking for a general refresh - perfect at the earlier stages of the aging process or a gentle start for those further into the process. 

This lovely patient came to us with concerns about her nose to mouth lines, some lost volume in her cheeks and her jowls. We used the 5ml protocol to give her an overall  rejuvenation which gives her a really natural result that we can build on in the future. 

You can a see video of this patient’s treatment at the link in our profile. 

What do you think?
This patient had deep lines and folds in her face which she wanted to address as naturally as possible, so went for our signature volumetric facelift - a fully non-surgical approach but can have significant results.

With this, we want to restore natural lift, structure and definition to her face and by carefully rebuilding volume where it’s been lost, we softened her folds and lines while maintaining a completely natural expression.

The patient is delighted is really pleased with her result so far - what do you think?
Here's another fabulous result from our amazing consultant vascular surgeon, Dr Alex Vesey. 

This patient was bothered by visible varicose veins around her knee. After treatment with foam sclerotherapy the veins have been cleared, leaving behind smoother, and healthier-looking skin.

If you have varicose veins that have been bothering you, now is a great time to have them treated. We use the minimally-invasive techniques to treat both the cosmetic and medical aspects of varicose veins, and can offer effective treatments with little to no downtime. 

If you’d like to know more about how we can help with varicose veins, check the link in our profile.
This error message is only visible to WordPress admins
There has been a problem with your Instagram Feed.

Join us on Instagram to keep up with the latest results and expert insights from the clinic team.