Botched Facelift: What You Need to Know Before Your Surgery
EEstetica IstanbulJune 7, 20249 min read
Why "botched" is a useful word, not a scary one
Most botched facelifts are not the result of catastrophic malpractice. They are the cumulative result of small, boring decisions made by inexperienced surgeons — slightly too much tension on the skin, the wrong incision placement, failing to address the deep muscle layer, or over-aggressive fat removal. The result is a face that looks "done": pulled, shiny, asymmetric, or strangely wind-blown.
Knowing what can go wrong gives you the right questions to ask before surgery. That is far more useful than fear.
The five most common botched outcomes
First: the "wind tunnel" look. Skin pulled horizontally instead of upward and backward, creating an unnatural stretched appearance. Cause: wrong vector of pull, usually a surgeon who addressed only the skin and not the SMAS layer underneath.
Second: the "pixie ear" deformity. The earlobe appears stretched and attached too low on the face because of excessive tension where the incision meets the ear. This is a classic sign of a surgeon who removed too much skin.
Third: visible or widened scars around the temple or in front of the ear. Skilled surgeons hide incisions in the hairline and the tragus (ear cartilage); bad ones leave them in plain sight.
Fourth: hairline disruption. Poorly planned temporal incisions push the sideburn backward, exposing bald scalp and making the facelift permanently obvious.
Fifth: facial nerve injury. The most serious complication — weakness or paralysis in the lip, brow, or cheek on one side. This is rare (under 1% in experienced hands) but devastating. Most cases recover within 3–6 months; a small percentage are permanent.
The red flags to spot before you book
Avoid any surgeon who cannot show you 20+ facelift before-and-after photos with the same lighting and angle in each. Avoid any surgeon who offers a "thread lift" or "mini lift" for patients who clearly need a full deep plane procedure — this is a sign of skill limitation dressed up as patient choice.
Avoid any clinic that does not show you a written surgical plan describing which tissue layer will be addressed, where the incisions will be placed, and how the tension will be distributed. A surgeon who cannot explain the plan in five minutes is a surgeon who has not made one.
Avoid anyone who promises a "no scars" facelift. There are always scars — they should just be invisible unless you are looking for them with a flashlight.
What "deep plane" actually means and why it matters
The deep plane facelift repositions the underlying facial muscles and ligaments rather than just pulling the skin. This is the technique used by top facelift surgeons worldwide because it creates a natural lift, preserves facial expression, and lasts 10–15 years instead of 5–7.
A surgeon doing SMAS plication or skin-only lifting on a patient who needs deep plane work will produce a "botched" result even if technically nothing went wrong. Make sure the surgeon you choose has deep plane facelift as their primary technique, not as an upsell.
Can a botched facelift be fixed?
In most cases, yes — but revision is much harder than the original surgery. The tissue planes are scarred, the anatomy is distorted, and the surgeon has to work around mistakes instead of starting from clean anatomy. Revision facelifts are generally 40–60% more expensive than primary facelifts and have a higher complication risk.
At Estetica Istanbul we perform revision facelifts for patients who were unhappy with procedures done elsewhere. Most revisions can significantly improve the result, but realistic expectations matter: a revision makes things better, not perfect.
How to interview your surgeon
Ask these five questions in your consultation and listen carefully to the answers. First: "What technique will you use, and why that one for my face?" A good surgeon explains vector, layer, and tension. Second: "Can I see before-and-after photos of patients with my facial structure?" Not just any patients — your kind. Third: "What is your personal complication rate, and what was the last complication you had?" Honest surgeons have honest numbers. Fourth: "How many facelifts have you done in the last 12 months?" Volume matters; below 50 per year is a red flag for complexity cases. Fifth: "What happens if I am not happy with the result?" The answer should involve follow-up, not refund.
Frequently Asked Questions
How common are botched facelifts?
Serious complications (nerve injury, major asymmetry, skin necrosis) occur in under 2% of facelifts performed by experienced plastic surgeons. Minor dissatisfaction (subtle asymmetry, residual jowling, scar issues) is more common — around 10–15% — but most of these can be improved with minor revisions.
Are facelifts in Turkey more likely to be botched?
No, but the same rule applies as everywhere: surgeon matters more than country. A top Istanbul surgeon with 20 years of deep plane experience produces better results than an average surgeon anywhere in Europe. The risk in medical tourism is not the country — it is choosing on price without checking credentials. Ask for ISAPS or EBOPRAS certification and 20+ same-angle before/afters.
How long does a good facelift last?
A well-executed deep plane facelift lasts 10–15 years before patients typically want a refresh. Skin-only or SMAS plication facelifts last 5–7 years. Thread lifts and "liquid lifts" are not in the same category — they last 12–18 months at most.
Can I fix a facelift from another clinic?
Yes. Revision facelifts are a specialty at Estetica Istanbul. Bring all documentation from your previous procedure (operative notes, before/after photos, any complications reported). The surgeon will assess whether a revision is possible and what realistic improvement you can expect.
What is the typical cost of a revision facelift?
In Turkey, a revision deep plane facelift typically costs €6,500–9,500 compared to €4,500–6,500 for a primary procedure. In Italy or the UK the same revision is €18,000–30,000. The price difference is operating costs, not surgeon skill.
