Sometimes cosmetic work is obvious and other times it’s trickier to spot. After all, the results of good plastic surgery should appear natural. With seemingly perfect bodies on red carpets and A-list faces that don’t seem to age, it’s hard not to speculate. Scottsdale, AZ, plastic surgeon Marc Malek, MD, told us just what to look for to spot the telltale signs of cosmetic surgery.
Creases: For a natural looking facelift the amount of tightening has to be consistent throughout the face. If there are creases around the outer eyes separating the cheek from the temples, it usually indicates someone had a lower facelift without a transition to the brow.
Scars: There are hairline scars that may be seen in front of the ears or thickened scars behind the ears. The hair of the sideburns may be dramatically elevated to a height near the top of the ear.
Pixie Ear Lobe: The ear lobes may be unnaturally attached or tethered to the lower face where the usual notch below the lobe is missing.
Eyelid Distortion: The lower eyelids may be over tightened or malpositioned creating a distortion of normal lid tone.
Pug Nose: The best nose job is the one you can’t detect.The classic pug nose, which has been overdone, has very evident footprints. The top of the nose, or bridge, may be shaved or rasped down excessively leaving a dipped or overly sloped appearance. Sometimes an uneven or bumpy appearing slope is seen if it is not smoothed adequately.
Nostrils: The nostrils are at times cut down to make them smaller and that may cause them to appear more vertical or slit like. In some, the tip of the nose may look too thin or pinched-in if the tip cartilage is shaped excessively.
Proportions: When it comes to breast surgery it is all about proportions. The easiest way to detect a breast augmentation is to see breasts that are over-sized for their surroundings.
Shape: Next we can look at the upper pole of the breast, which is the part above the nipple. If it is too round, high or projected then it is likely a saline implant (high profile or overfilled). Real breasts have a natural slope and a gentle outline that is not as crisp or well defined as in a breast with an implant.
Movement: If the breasts don’t move as readily or appear rigid or stiff they are likely to be fake.
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