Is 40 Too Young for a Facelift? Doctor Answers, Tips
Facelift: Q&A
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Is 40 Too Young for a Facelift?

My skin and facial muscles have started to sag. I don't really have wrinkles, but I do have sever Marionette lines. My cheeks are sunken and my eyes look hollow. I've heard and talked to doctors about several lasers and fillers, but realized that at the end the tab would cost as much as a facelift, considering that I'd have to go back every year for more fillers and more laser treatments. They say though, that I'm too young for a Facelift. Any advice?

52 Doctor Answers | Asked by Amarine in Sunnyvale, CA
+1

The most common age for facelift surgery in my practice is around the 49-50 year mark.

The most common age for facelift surgery in my practice is around the 49-50 year mark.  The youngest patient I have performed a facelift on was 39 years old.  So, occasionally, it is appropriate to have this surgery at a younger age.  The disadvantage of having this procedure performed at too young an age is that, while you will always look younger and better than you would have if you didn’t do the procedure, you will continue to age.  As a result, you may be... more
+5

Many 40-year old patients benefit from skillful facelifts

20 years ago, this question would not have come up. It would have been considered inappropriate by most surgeons for a 40-year old to consider a facelift except perhaps in acne patients with skin laxity. Now, especially for patients in the entertainment industry who make their living on air, it is more common than not that they undergo cosmetic surgery, including facelifting procedures. 20 years ago the typical facelift patient would have had been offered a facelift with high lateral... more
+5

Facelift - Think physiological age, not chronological age

I am glad this question was asked because I answer it frequently in my practice. Some of my patients are "older" at 40 than others at 60 based on their lifestyle, health history, and other physical issues. In general, most 40 year olds do not yet have the indications which would necessitate a facelift, or are what would be described as "early" facelift candiddates . However, I have certainly seen many women in their early 40's with evidence of jowls, midfacial... more

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+4

It's anatomy, not age that counts with a facelift

Cosmetic surgery modifies anatomy. This may or may not translate into changes of aging. This is no operation that makes a person younger. An operation changes anatomy that may produce the perception of more youthfulness. Some things like typical blepharoplasty can actually make a person look older later in life. So all things being equal, age itself is not a qualifier for an operation. The anatomy is. You have to analyze your anatomy and determine why it is you look the way you do. It may... more
+3

40 Is Not Too Young For A Facelift If You Have Significant Aging Changes

Thank you for your question. You are correct, most non surgical facial rejuvenation methods require repeated treatments and in the end may cost you more than a Facelift. In addition, although non surgical options are very effective, if you have significant facial laxity none of them will achieve as good a result as a properly performed Facelift. If your only issues are sunken cheeks and hollow eyes then Facial Fat Grafting and Transconjunctival Blepharoplasty with Composite Fat Grafting... more
+3

Consider Autologous Fat Grafting

Facial soft tissues (and even the facial bones) actually lose volume and projection with age. The concerns you describe, sunken cheeks, hollowed eyes, and marionette lines can all be treated successfully , and permanently with autologous fat grafting by restoring youthful contours to the face. The contemporary approach to surgical rejuvenation of the face consists more and more of an attempt to restore facial volume and contour, in an attempt to emulate youthful facial features. My... more
+3

It sounds as though you are being given good advice and...

It sounds as though you are being given good advice and that much of your problem may be volume loss rather than loose skin, sagging tissue, or gravitational descent. While rarely a facelift is reasonable on a 40 year old, usually it is reserved for those over 45 to 50. It depends on the anatomy and what you describe are not typically why a facelift is done. Fillers and fat injections are probably best for you for now.
+2

Patients under the age of 50 get the best long-tern results from facelift procedures

According to a recent American Society of Plastic Surgeon’s report, patients under the age of 50 get the best long-tern results from facelift procedures. Mini facelifts or maintenance lifts in younger patients provide the longest lasting improvement with higher satisfaction rates ten years post-procedure. In the study, patients who underwent a facelift before the age of 50 showed “remarkable maintenance of their youthful appearance”. Younger... more
+2

Facelift at 40 is an option

While you are not too young for a facelift, it may not be your best option. The key is to find a facial plastic surgeon who performs a wide variety of procedures then sit down and discuss your goals for surgery. The surgeon can then guide you through your options and suggest the best procedure to get your desired results. At 40 you may even be a great candidate for a mini-facelift!
+2

Facelift at 40 years old

Forty is on the younger end of the spectrum for this surgery. However, we all age differently and certainly our expectations/preferences for our appearance also vary. Typically, if genetic factors conspire to make us develop jowls or neck skin laxity at a younger age, and if this is visible and bothersome, an experienced surgeon may evaluate you and agree that surgery is an option. It is important you find someone you trust who can give you an honest opinion, and tell you 'no' if it... more
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Comments (1)

Drvictim 30 Nov 2012
I had one session of infini radiofrequancy machine by lutronic company for rejuvenation done by imdad med reps mohamad refaat and ayman fahmy the distributor in saudi arabia ,now i have atrphic scars all over my face , cmeeks forehead, nose, chine sever volume loss session was 6 weeks ago

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