Is Facelift Too Premature for a 45 Year Old Woman?
- Asked by vickifa7 in Connecticut
- 3 years ago
I'm 45 and have under eye bags and nasolabial folds that really bother me. I've gotten 3 different recommendations on what I need, ranging from lower Blepharoplasty with Juvederm for the folds, to uppper/lower bleph with a Forehead lift plus a midface deep plane facelift.
The doctor who recommended "the full monte" is highly regarded and his work is outstanding, but I don't think my face is that bad "yet," and I'm wondering whether I should do everything now or only the most urgent items. A Facelift seems premature to me. Looking for opinions/recommendations. Thanks!
Surgery or Not at 45?
Your question is a good one because many women of your age group ask the same question. How do we measure the right time for a Facelift, by chronology or by aging changes?
From looking at your pictures, you do have the aging changes that would benefit from a Facelift, and Lower Lid Blepharoplasty. However, you may not want to consider surgery and it is not unreasonable to consider fillers and Botox. The important point to understand with the minimally invasive route is that you will not receive the same results as you would with surgery. You should weigh what results you want with the cost and downtime associated with surgery. Are you a surgical candidate (assuming good health)? Yes. Are you prepared for it? You must decide.
Facelift in 40's
The only person who can answer if you are ready for a facelift is you; nobody else including doctors can answer this question for you.
Once you inform yourself about the recommended procedures, you will have to decide whether it is worth it or not.
Technically speaking, there are many procedures including a facelift, necklift, cheek, eyelid, volume augmentation and brow surgery that would benefit your appearance and make you look younger and prettier.
Web reference: http://drbrent.com/360facelift-procedure.php
Right age for Facelift
Without giving you a very long-winded answer, the important issue here to consider is that this is purely elective. Your surgeon should provide you with the information you need to make the best decision FOR YOU. This means providing you with information about the procedures (injections, peels, surgery) that are possible and the risks, benefits, recovery period, and cost of each. You must weigh this with what you think bothers you most, your timeline for recovery, and what you want to spend. Importantly, remember that physicians may be biased towards their own expertise (no fault of their own), so seek a few opinions (as you have done).
Appropriate age for a Face Lift depends on degree of facial aging
I have seen 40 year old patients with premature jowling and neck changes that would benefit from a face lift and 60 year old patients who do not. According to a patient's genetics some people will age differently. Having the surgery done at an early age has no drawbacks, other than the patient will likely want to repeat the surgery again in 10 years when things relax in order to continue to look great.
Anatomy is the defining thing and never age. Value also counts.
You need a well done facial reuvination which must include your neck and as little injections as possible to get longevity and value. If you can afford it the eyes should be done at the same time. This will not only make you look younger, but the face will be better balanced.
A well done neck-face lift which includes repostioning of your facial fat and tightening of the muscle (platysma) in your neck will give you the most durability as well as cost effectiveness.
I do a lot of injectables, but do not agree with those that have recommended injectables for your type of face.. In the long run at your age their maintenance will cost more than the surgical approach and not be as effective or pretty.
Facelift at 45
Chronological age is not a factor in deciding on facial cosmetic procedures. Physical aging definitely is a factor in deciding when to do cosmetic facial procedures.
Facelifts can be tailored to the specific needs of every patient. Some need more some need less. Its a matter of how much physical aging has occurred.
Web reference: http://www.sluplift.com
You would be a great candidate for any or all of the aforementioned procedures. tHE DIFFERENCE IS THAT A MORE INVASIVE PROCEDURE WILL GIVE YOU A LONGER LASTING AND MORE REMARKABLE RESULT BUT YOU MAY NOT BE READY EMOTIONALLY FOR A MORE INVASIVE OPERATION. IT IS REALLY YOUR CHOICE.
What do I Need?
First of all, you don't "need" anything. The real question, is what bothers you the most. You have mentioned your nasolabial folds, and your lower lids/tear trough. Once we have identified the issues you are concerned about, we can address them.
As for your nasolabial folds, yes they can be addressed with fillers such as Juvederm. In your case, I would recommend re-volumizing your malar area. By filling in this area just a bit, it will help return the youthful heart-shaped shape to your face, and help reduce the depth to your nasolabial folds. I would only use a very minimal amount of filler in your actual nasolabial folds - just enough to break it up. A completely filled in nasolabial fold is unnatural, and comes across as such. As for your lower lids/tear trough, I would have to examine you to adequately examine the pathology. From your picture, it appears like your could benefit from some fat or filler being placed in your tear trough. It doesn't appear like you have much excess skin in your lower lids. Any minimal excess skin you do have here would become taught when this area was filled with some fat or filler.
Overall, you could treat the areas that bother you by replacing the volume you have lost. You can either use fat from somewhere on your body like your abdomen, or a dermal filler like the Juvederm line of products.
You do have excess skin in your upper lids, but if they don't bother you, then leave them alone.
I hope this helps.
Asif Pirani, MD, FRCS(C)
Facelift at 45?
Certainly you are not too young to have a limited incision facelift (which unfortunately goes by many, many names, some of which are trademarked). This will help your lower face, jowl, and neck. Other things that you might consider are a small incision browlift or eyelid surgery or skin rejuvenation procedures. It depends what bothers you most!
Web reference: http://www.kassmd.com
Best Age to have a Facelift
This is a very common question. The best age to have a facelift depends on: anatomy, expectations, and surgeon.
First of all, if you like what you see when you pull in the mirror, there is a good chance that you are a candidate for a facelifting procedure. My younger patients are starting earlier as a maintenance and prevention strategy. They are not waiting until they have a lot of sagging or they look like an older relative.
When you start younger, your results may not be as dramatic. Rather, a younger, more refreshed appearance can be attained with subtle changes in before and after pictures. And, a scar tissue layer is created under the skin that makes the skin less mobile and more resistant to gravity in the future.
So, if there is sagging, a lift may help you achieve your goals.
Realistic expectations are key. Everyone wants perfection, even the surgeon. Keep in mind, perfection is not attainable, the goal is to get significant improvement that looks natural.
And, the most important decision you will make is the artist/surgeon that you choose. Some surgeons like to focus on the more traditional facelifting procedures, while other surgeons like to focus on smaller procedures. You should find a surgeon that is very well experienced performing all three procedures as this will allow you the most versatility in your outcome.
Best of luck, and let us know if you have any other questions!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.