Lower facelift in 66-year-old

Donn Hickman, MD answers: Lower Facelift and other options for a 66-year-old?

At 66, what would be the best treatment for lower face? I have read so many negative articles about thread lift. Fillers will not be enough; I need a lift. Do I need a lower face lift or is there an easier way to fluff this area up?


Donn Hickman, MD
3 months ago

While it is said that the full impact of a facelift in general, is in the neck and jaw line, the added benefit of restoration of cheek fullness using newer suspension and fat filling techniques, makes a full face lift more satisfying for someone over 60.

The limited scar methods, thread lifts, quick lifts, lifestyle enhancement lifts all attempt to provide a nice smoothing with suspension alone, but most of these cases that are presented have suspension with other treatments including muscle tightening, cheek restoration, eyelid and brow procedures, and skin resurfacing.

A classic neck lift called a Cervicoplasty is a good operation which addresses everything you could possibly do for a sagging aging neck. For those patients opting just for this, they often return pleased but say, oh I wish we did more in the cheeks as you mentioned  in the consultation. Some patients have nice cheek fullness and good skin, so that other things like laser, chemical peels, cheek implants, etc can be done at the same time or if further enhancements are desired later, after a well done neck lift.

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A: Lower facelift options and alternatives

Brent Moelleken, MD
3 months ago

With any surgical procedure, patients make choices. One of the most important is how good a result the patient wants. Most of our patients want to achieve the best result possible.

In almost all 66 year old women, there are many changes in the appearance that cause the face to appear to sag, the jowls to form, the face to lose volume, and neck to appear indistinct.

The most effective way to rejuvenate these areas, and to do so with the least amount of.artifact (the "done" look) is with an expertly done facelift and necklift. To do just the neck alone makes it impossible to do the beautiful restructuring of the face. It can also create a bizarre if the neck but not the face are rejuvenated.

Statistically, many patients are in a position where they cannot spend money on an initial surgery, then pay even more to redo unsatisfactory work.

So my advice to all patients is to do it right the first time. Choose an experienced facelift expert whose board certification, reputation and results you have researched.

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