Getting a Facelift in the Age of Undetectable Treatment

Dr Darren Mckeown

Published by Dr Darren McKeown

Date posted — 8.04.25

In today’s world, trends have shifted dramatically when it comes to aesthetic treatments. Gone are the days when a facelift meant a ‘tight’ look that gave away a patient’s age or history of cosmetic work. Modern approaches emphasize subtlety and natural enhancement. At McKeown Medical, we understand that our patients desire undetectable results—enhancements so refined that only you know you’ve had treatment. This article explores how facelifts have evolved, what to look for in both quality and less desirable outcomes and how our clinic is at the forefront of achieving naturally beautiful results.

The Rise of Invisible Enhancements

The allure of undetectable surgery is fuelled by the modern desire for authenticity. Our patients are typically successful women who feel confident in their own identity and who do not want to be defined by their looks. They want to look great and feel great for themselves – but they do not want others looking at them and judging them for having cosmetic surgery. Many are hesitant to undergo traditional facelifts due to the risk of obvious changes that can signal cosmetic intervention. Instead, a growing number are turning to what is often referred to as ‘invisible’ or ‘natural’ facelifts. These treatments focus on enhancing your natural features rather than drastically altering them.

At McKeown Medical, we believe in the art of natural aesthetics. Our approach is to use the most sophisticated and modern techniques – known as the deep plane facelift technique – to reposition the face back without any signs of tension. The deep plane facelift technique is the most technically challenging to perform, and we are the only clinic in Scotland that performs this. But, we have invested the resources to develop this procedure in our practice because we know it is the key to giving our patients the results they want – natural, effective rejuvenation without the tell-tale signs of surgery.

What Is a Facelift?

A facelift, medically known as rhytidectomy, is a surgical procedure designed to reduce signs of ageing by repositioning sagging facial tissues and smoothing wrinkles. The procedure typically involves the repositioning of the skin and deeper structures of the face to create a rejuvenated, more youthful appearance. However, it’s important to understand that there are many different types of facelifts – and not all of them were created equally.

Types of Facelift Treatments

There are many different types of facelifts available, and each surgeon will have their own specific technique that they prefer with their own individual variations. However, the types of facelifts can be grouped broadly into three groups:

Mini-facelift

The mini-facelift involves making incisions around the ears and then separating the skin from the deeper tissue layer of the face, known as the SMAS (subcutaneous musculoaponeurotic system). To tighten the deeper tissues of the face, the mini-facelift usually relies on a few stitches placed into the SMAS. The biggest benefit of the mini-facelift is the rapid recovery, however, the results can be quite underwhelming and short lived. The scars from a mini-lift also tend to stretch over time to become more visible because the technique relies on tension in the skin.

The standard SMAS facelift

This technique also separates the skin from the underlying SMAS. However, the SMAS is then elevated as a separate layer and pulled backwards, giving a more effective pull on the deeper tissues of the face. This is the most common type of facelift performed worldwide.

Deep Plane Face & Neck Lift

The deep plane facelift technique is similar to the SMAS facelift, except it goes much deeper below the SMAS to release the retaining ligaments of the face. The retaining ligaments are small fibrous bands of tissue that go from either the muscle or the bone to the skin, anchoring the skin in place. By releasing these ligaments, the surgeon can then reposition the entire face back the way – rather than relying on tension on the deeper tissues. The result is a much more natural and effective lift, although it takes a great deal of surgical skill for a surgeon to be able to go deeper into the face and release these ligaments. That’s why the majority of surgeons still perform a standard SMAS facelift.

Full Facelift

A full facelift is the most extensive option, which combines a deep plane face and neck lift procedure with other procedures like eyelid surgery or a brow lift for a more comprehensive rejuvenation of the entire face.

You can explore our full range of facelift treatments here.

What Are the Signs of a Bad Facelift?

Unfortunately, not every facelift leads to the natural, refreshed look that patients desire. A ‘bad’ facelift can result from outdated techniques or poorly executed procedures. Recognising the signs of a less-than-optimal facelift is crucial when you’re making your treatment decisions.

Common Pitfalls of Poor Facelift Techniques

Overcorrection

One of the most common issues is overcorrection, where the lift appears too tight or ‘pulled’. This is usually because a surgeon has performed a standard facelift technique but applied too much tension to the SMAS. Surgeons sometimes do this in an effort to give their patients more tightening, but there is only so much that can be achieved with this technique, and it’s important to recognise this limitation. Trying to push it too far, whilst well-intentioned, results in an unnatural outcome.

Visible Scarring 

While modern techniques have significantly reduced scarring, visible or poorly concealed incisions can be a telltale sign of a bad facelift.

Loss of Natural Expression

A natural facelift enhances your features while preserving your unique expressions. When the procedure compromises your facial dynamics, it can lead to a ‘mask-like’ appearance.

By understanding these pitfalls, you can better appreciate the importance of choosing an experienced, skilled surgeon who values natural results and has the technical skills to deliver the result you want. At McKeown Medical, we pride ourselves on investing in developing the most advanced surgical techniques to deliver the best possible results and ensure that your enhancement is as subtle as it is effective.

Getting the Right Treatment Option for You

Selecting the appropriate facelift treatment requires an honest conversation about your expectations, your facial anatomy, and the realistic outcomes of procedures. While the promise of a ‘new you’ can be enticing, the goal should be to enhance your natural beauty rather than reinvent your appearance completely.

The Importance of Realistic Expectations

It’s essential to set realistic expectations for any cosmetic procedure. No surgery can stop the ageing process, but a well-executed facelift can significantly enhance your natural features and help you look as refreshed as you feel. At McKeown Medical, we take the time to understand your personal goals and provide expert advice on which treatment option will best suit your needs. Our consultations are designed to educate you about all available options – including non-surgical alternatives – ensuring that you make an informed decision.

Customized Treatment Plans

Every patient is unique, and so is every face. This is why our approach is entirely personalized. We consider factors such as skin type, skin quality, history of sun damage, nicotine consumption, and individual aesthetic goals before recommending a treatment. Whether you’re interested in a non-surgical facelift or a full surgical intervention, we’re here to guide you through the process. To learn more about the specific treatments we offer, visit our detailed pages on the non-surgical facelift and deep plane face & neck lift.

Expertise Makes the Difference

The quality of a facelift is highly dependent on the surgeon’s skill and experience. With decades of combined expertise, the McKeown Medical team is committed to delivering natural-looking, undetectable results. Our clinic leverages state-of-the-art techniques, the most sophisticated laser technologies and a team of experts with their own niche specialist interests to collaborate and produce the best treatment plan for each individual patient – one that delivers results that are both aesthetically pleasing and subtly refined.

Enhance Your Features, Not Change Them

The modern facelift is not about dramatic changes or turning back the clock in an obvious way—it’s about subtlety, balance, and enhancing your natural features. With the right treatment, you can enjoy a youthful appearance that still feels like you. Trust in the expertise of McKeown Medical to guide you through this transformative journey with care, precision, and a commitment to natural results.

Take a look at our facelift gallery to see plenty of examples of our work here.

An example of a patient who underwent a deep plane face and neck lift with a deep neck reduction.

An example of a patient who underwent a deep plane face and neck lift with a deep neck reduction.

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

Our reviews

Summer is almost here! If you’re putting off wearing your favourite summer dresses and shorts because of varicose veins, now is the time to think about treatment.

Varicose veins aren’t just a cosmetic concern - they can ache and throb, as well as make us feel self-conscious, especially as the warmer weather approaches. 

With so many treatments available, it can be difficult to know where to start. Here’s our lovely Dr Alex with a quick overview of how we can help reduce discomfort, improve appearance and boost your confidence in time for summer. 

If you, or someone you know, have been thinking about treatment, now is a great time to explore your options with plenty of time to feel the benefits before summer - check the link in our bio for more details.
Yesterday we announced that we’re the first clinic in Scotland to have the CoolSculpting® Elite so today I wanted to show you an example of the kind of results we can achieve with this treatment.

We’re so grateful to this patient for allowing us to share her results before and after CoolSculpting®. As you can see here, she had a stubborn area of fat around her belly which she was finding difficult to shift with diet and exercise alone. 

She’s absolutely delighted with the result - what do you think? 

For more information on CoolSculpting® and to get booked in to be ready for summer, check out the link in our bio.
Introducing CoolSculpting® Elite!

We’re delighted to announce that we now have the CoolSculpting® Elite, modelled here by our lovely nurse Niki! We’re excited to be the first clinic in Scotland to take delivery of the latest technology from CoolSculpting®, which has new and improved applicators to improve the contact between the machine and the skin, for even better results than before.

Now is the perfect time to have this treatment in time for the summer. To find out more about CoolSculpting® check the link in our bio.
As everyone knows, the lack of protections in Scotland for patients having cosmetic procedures is something I have campaigned on for years. 

It’s an issue that I feel very passionately about and will not stop campaigning on until we have meaningful change from our government. I have written to the government many times over the years and during the recent consultation I wrote to the minister for public health, Jenni Minto, on behalf of 20 of the most experienced doctors in aesthetic practice from all across Scotland explaining why - in very clear scientific terms - she has got it wrong with her current proposals to allow beauty therapists to continue injecting medicines and administering medical devices. 

We have asked Jenni Minto to meet with us, to hear our perspective, but she continues to refuse to sit down and talk to us. In tonight’s STV news Donna has been exceptionally brave to speak on camera about the harm she has suffered as a result of a beautician, and the NHS care she has required, but sadly she is not alone. 

There are so many Donnas who have been harmed in Scotland and we hear about it every day in our clinics across the country although the majority are too scared or embarrassed to speak out publicly and the government don’t want to listen to the professionals.

 Whilst people like Donna continue to be harmed by the diabolical lack of regulation in Scotland, I will not stop campaigning. The government needs to act now to make injectable toxins and dermal fillers medic-only, bringing us in line with every other country in Europe, every state in America and every state in Australia. 

Why don’t our government believe people in Scotland deserve the same protections as all of these other countries?

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