Especially with Asian patients, elevation up and to the side of the face (the direction of pull with the Endotine) can cause increase in the distance between the cheeks, the intermalar distance. This can cause a flattened appearance to the face.
In general with plastic surgery, it is a bad idea to perform surgery for a "preventative" reason. Surgery has many minuses with it (scars, cost, potential complications or alteration in appearance) and should be done only when an actual problem is present, not to prevent one from developing.
Younger patients often benefit from hyaluronic acid fillers, in your case perhaps in the nasolabial folds.
Many patients, sometimes celebrities, do have plastic surgery frequently. This tends to become very expensive and the changes tend to be very minimal. For patients OK with that paradigm, it is acceptable to have relatively early plastic surgeries provided the doctor thinks that the benefits will outweigh the risks of the surgery. The burden on the surgeon in such a case is increased, since surgery is now being performed on a patient with a minimal problem. It is incumbent on the surgeon to provide a real service and benefit to the patient, not just perform the surgery because the patient thinks they need it.
It is not uncommon for patients who are very attentive to their appearance to have 3 or 4 skillfully performed facelifts in their lifetime.
"Just a ribbon lift" is not an accurate statement. Permanent material left in the face may cause real problems, as the many blogs on threadlifts on this website attest.
You should feel after your consultation that your doctor has your best interest in mind. Be careful with your health and your appearance!
