There are three major factors which can yield unnatural facelift results. The first: incision placement. Where the incisions are placed and how they are closed might create scars that are highly visible, don't heal favorably or change the natural hairline and/ or shape of the ear lobe of an individual. Second, operations that pull too tightly on the mid-face may flatten the cheek and make an individual look different than they did prior to their facelift. Third, an over operated neck- over aggressive fat removal under the chin and over aggressive pulling of neck skin over the jaw line can also yield an unnatural result.