Facelift: Q&A
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Do I Need a Facelift, Skin Tightening or Fillers? (photo)
I am 54-years old, single and professional so I'm super busy. I'm noticing many signs of aging like sagging jowl lines, sunken cheeks and I've been using Botox and fillers to keep aging at bay but now my neck is sagging so I'm not sure if I could get by with a "mini-lift" and fillers and/or skin tightening or is it time for a full face/neck lift?
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40 Doctor Answers |
Asked by
catherinemaley
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Face lift and neck lift at 54
A lower face and neck lift will best to treat the jowls, facial and neck laxity. The cheek area can be best treated conservatively with injectable fillers or more permanent basis with a small Silastic cheek implant. To see other patients with similar results please see our photo gallery.
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Facelift vs. Ulthera for sagging neck skin
For most patients in your age group the most long lasting and significant change would be with a facelift, which includes the neck. That is the best way to keep the results looking balanced as opposed to just doing the necklift, although there are some cases where just doing the neck makes sense. Ulthera is a better option than fillers for nonsurgical improvement of the neck, but results are not the same as a facelift.
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Face and Neck Lift for Longer Lasting Results
You would get the best results with a full face and neck lift because the deep muscle of the lower face and neck would be tightened, resulting in a longer lasting effect. One way to determine whether a face lift would be helpful is to lie completely supine (flat on your back) and look at your face in the mirror. This will help to give you a general idea of how your face would most likely look after a face lift.
Seattle Plastic Surgeon
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Better candidate for non surgical procedures
Your photos suggest that you would get a good improvement from non surgical procedures. Thermage for the neck and jawline, and judicious use of dermal filler. At most perioorbital fat transfer would give you a great facial rejuvenation. The main question is where are you re the menopause as that would guide my strategy and your options?
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Facelift
You are in a good position for facial rejuvenation surgery at your age. In my experience, the patients do well with composite surgery ( face, eyes, brows) in your age group with a high level of satisfaction. get a consult and exam from a board certified plastic surgeon in your area. All the best
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Full facelift or mini-facelift
While I am usually not a huge fan of a mini-facelift, in your case, it will probably give you a very good result. You have good bone structure, mild laxity and are not heavy-set. As a result, a mini-lift that is done by an experienced facelift surgeon should give you a good result.
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Face lift or fillers
Thank you for your question about a face lift. You have lovely bone structure.
SMAS flap face lifts look better, last longer than mini-lifts,
Consider tretinoin skin care and a TCA peel or non-ablative laser such as ND Yag for fine lines of your face and neck,
if the right temporal atrophy doesn't bother you, leave it alone, if it does, consider a filler at surgery. Hope this helps!
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Facelift or fillers
In my practice, you would likely be seen in the non-surgical side of the office. I think Sculptra and Ulthera would be a good start. A visit with a plastic surgeon who does facelifts only may not be ideal as you may not have all your options outlined. Make sure non- surgical alternatives are offered as your schedule may not permit recovery from surgery. Best wishes!!
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Choose a local anesthesia facelift
Fillers are short term and not indicated for the problems visible in your neck. The difference between a mini-lift and a full facelift is a matter of degrees. An experienced facelift surgeon will simply do the amount needed to make you look great...no more no less. Looking at your pictures you are closer to a minilift in degree of work than a full facelift. The area above the oral commisure (corner of the mouth ) pretty much looks fine already, most of your problems are the...
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Aging requires a multifactorial approach
Analyze your face by regions: Upper third (from hairline to "radix" bridge of nose) is remarkable for highly arched brows and is kept smooth with Botox. You may consider Sculptra to fill in the temporal hollows ( the right volume loss is greater).Middle third (from radix to the base of the nose) also shows some lipoatrophy (volume loss), again more on the right, particularly around the orbital floor. If you elect the nonsurgical approach, tear trough augmentation with hyaluronic...
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Facelift vs noninvasive tightening
You look well for your age. Of course things can always be improved pending how far you want to go at this time in terms of recovery and cost. Facelift would address all parts of the face and neck involved. You might not need a full lift thogh. The cheeks and submental laxity could be addressed by so-called minilifts. You might also consider the lower lids. Temporizing procedures, such as fillers or "skin tightening" like Thermage, IPL, radiofrequency, could also be considered.
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Facelift for Someone in their Early 50's
At 54 with the early signs of aging, you are an excellent candidate for a short scar real facelift like the MACS Lift or a similar procedure. These procedures, unlike most Mini Facelifts, actually correct the problems and last like a standard facelift. They have significant advantages, however. They lift the tissue back to where it came rather than pulling it backward. They prevent many of the other stigmata of older lifts. The scar is shorter. The recovery is similar to the "Mini...
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Highlands Plastic Surgeon
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To treat skin laxity of the face and neck, there is no substitute for a facelift.
Botox and commercial fillers are fine, but you need something more at this point. I would recommend a facelift and fat injection. The issue of minilifts is a long one to discuss. Bottom line: if you are going to go to the trouble of having a facelift, have a proper facelift. Fat injection is great (and you need it). I rarely perform a facelift without doing at least some fat injection. Time to learn more about facelifts. I've attached a link to this...
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Facelift, Skin Tightening, of Fillers?
You are like many women in their 50's who have been slowing the signs of aging with filler and Botox but are now reaching the point where those products are no longer sufficient to keep you looking good. At that point, most people would get the greatest benefit from some variation of a facelift. I recognize that it is difficult if you are a busy professional to carve out the time necessary to have a facelift procedure, and the usual downtime for recovery, but at a certain point that is what...
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A facelift re-suspends sagging facial tissue such as jowls and neck skin
But those are only two of the ways that faces age. We also lose facial fat/volume. To treat volume loss we use fillers or fat injections. The other area is changes within the skin such as wrinkles and color changes (red and brown). Everyone eventually suffers all of these. What is most important is what bothers you most. If it's sagging tissue then you are correct, a facelift would be the best treatment.
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Do I Need a Facelift, Skin Tightening or Fillers?
From the pictures provided, your face shows signs of aging that can be reversed with a minimum invasive Face Lift. These Facelifts take about 90 minutes and have a very rapid recovery that's measured in hours.
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Facelift questions
You are an absolutely great candidate for a facelift, mini lift, neck lift or whatever your surgeon decides to call it. They are all basically the same. They involve incisions around the ears, and tightening of the muscles and skin. Go with an experienced plastic surgeon and keep it simple. Do not bother with things like fat injections or facial implants. They increase the cost of the procedure with no real benefit.
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No substitute for the best
The purpose of a cheek-neck lift (ie facelift) is to restore the V shape to your face and tighten the area under the neck. The only way, in my opinion, to deal with your early jowls is with surgery. Now is a good age for the procedure. You will probably need fillers from time to time and might benefit from a laser resurfacing at the time of surgery, but you need a tighter palette so to speak.
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Let your level of concern guide you
The facial features and changes that you describe are fairly subtle and you are in an early stage of showing the stigmata of aging. They are, however, enough to prompt you to consider treatment, so I believe you would be well served with a short scar face lift to provide tightening of the jawline and upper neck. You appear slender, but if you have some available body fat, I believe the softening of some of your facial contours and restoration of some fullness in the upper...
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Facelift and fat grafting is an excellent combination for facial reju
Based on your photos, I'd recommend a facelift with a relatively 'short scar', which would also improve the neck. You would also benefit from some volume in the mid face area, and fat grafting is a good way to achieve that endpoint.
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Facelift for a younger patient
For many patients requesting improvement of their facial aging the best option is a modern face-neck lift. With current techniques and with an experienced and talented surgeon, the recovery time is significantly shorter than in the past. The results obtained with this type of facial surgery is dramatic and yet natural. On the other hand, when fillers and Botox used to the extreme, the results can look disfiguring and strange. A look at photos of some of the overdone celebrities attest to...
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Face and Neck Lift with Facial Fat Grafting
I would recommend a face and neck lift with facial fat grafting. The combination of fat grafting with SMAS plication and resuspension of falling tissues is a powerful technique. I perform a short scar variant of this technique wherein the scar does not extend into the sideburn or the posterior hairline. Find a plastic surgeon with ELITE credentials who has performed hundreds of facelifts. Kenneth Hughes, MD Los Angeles, CA
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Do I Need a Facelift, Skin Tightening or Fillers? (photo)
Thanks for the posted photos. I might consider a midi face/neck lift, fat grafts with PRP, and skin tighteners in a combination. But only in person evaluations are appropriate.
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Facial rejuvenation, which is right for me?
Great question.
I think the best way to go about this is to determine what bothers you , what you wish to accomplish, and what you are willing to go through to accomplish your goals. Also know that you don't have to do everything all at once.
In my opinion, I think that you would get the best bang for your buck with a cheek lift which will tighten the lax skin of the cheek and upper neck, fix the jowls, fix the hollow cheeks. You may concurrently transfer fat to the cheek...
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Fill the temples
A deep plane facelift and fat transfer is the best solution. Wherever you end up I think it is pretty critical to fill in your temples. Recovery to functioning for this should be about a week.
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Lower facelift and neck lift to correct jowls and neck laxity
You would be an ideal patient for lower face and neck lift to help the laxity in your jowls and neck area. Some fat transfer to the mid face would be helpful in providing some fullness which will add a further youthful appearance. At your age and with your busy schedule these procedures would provide the best long term results allowing you to return to your busy schedule without waisting money and time on procedures that will be short term bandages to your aesthetic needs. I hope this...
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Neck/facelift
As you can see, there are many ways to approach facial rejuvenation. For the neck, the non-surgical approaches will not be effective so, at minimum, you will need a necklift/lower facelift. Fortunately, you are thin and appear to be an excellent candidate for surgery. I would combine that with fillers in the midface. If your eyebrow arching is the result of Botox, then I think this is unnatural and contributes to the appearance of aging but it may also be a matter of...
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The Fisher neck and mini-lower face lift
Like many of my female patients in their 50's, you seem fit but are complaining of sagging skin, especially of the neck. Unlike standard mini facelifts that use full facelift incisions, the procedure I have deveolped uses incisions in front of the earlobe without extending up the ear into the temporal area. In combination with standard neck lift incisions, I can pull the superficial muscle of your jowls and neck tight and then trim excess skin. Then you would benefit from Total Fx laser...
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Facelift for early sagging and jowls.
A conservative facelift and fat or soft tissue fillers would help restore a more youthful look. You do not need a full facelift.
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Facial rejuvenation
Based on these pictures , a combination of a facelift (perhaps a limited one) along with fat transfer could give a very nice result.
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Face lift or fillers
Dear Caherine Maley,
Thanks Catherine for submitting your pictures. Your questions are very common in my practice. The answers depends on you goal. From your pictures it appears that you have the following : tear trough and cheek groove, long cheek - eyelid junction, naso labial folds, perioral wrinkles and mild laxity of neck skin. Fillers can help with tear trough, cheek groove , naso labial fold and peri oral wrinkles . The imrovement is modest and...
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Mini facelift and fat to fill and rejuvenate
Opinions will vary depending on just what your concerns are, though you will most likely do best with a mini face lift to correct the neck and jowl, and fat grafting to the cheek and lower lid hollows. Hyluronic fillers just will not have the volume and staying power of skin tightening and fat to rejuvenate. Best luck,
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Facial Rejuvenation - What Treatments are Best for Me?
Dear catherinemaley,
Rejuvenating the face is extremely popular and a great way to look and feel refreshed.
As we get older, a number of changes related to aging occur:
1. Our skin and underlying support tissues thin, stretch, and sag
2. Our soft tissues atrophy
3. Our skin accumulates surface damage from various factors including intrinsic aging, repetitive facial muscle activity, sun exposure, smoking, etc.
These changes result in signs of aging including sagging...
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Do I Need a Face lift, Skin Tightening or Fillers?
You have a thin face and I think you should start out with fillers. fillers can be placed in several areas that will give you a rejuvenated look without surgery and the down time. In the future you may wish to have a full face lift with a neck lift and fat injections.
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You would need both procedures/ ud requeriria de ambois procedimientos
I think the best procedure for you according your age and weight both procedures would greatly improve your face and neck
pienso que de acuerdo a la calidad de piel y su peso ud. requeriria de ambos procedimeintos para una resultado espectacular
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Minifacelift and Fat injections
Hi,
For the jowling and neck excess I would suggest a minifacelift. You would probably benefit from some fat inections around the mouth area.
Best,
Dr.S.
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Fillers, Mini-Lift, or Facelift for 54 year old professional woman
Thank you for the great question and for posting your pictures (including all the right views!). This question is at least as much about your philosophy and current scheduling demands as it is about facial aesthetics. You are thin and it appears that you're starting out from a good place in terms of contour and skin health. Fillers can be used to build up the sunken area under the eyes or even augment the cheeks. In some cases, skillfully placed fillers can be used to hide early jowls, too...
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Facelift vs. fillers for women in thier 50s in Los Angeles
Facial laxity and lack of volume in women in early 50s can be addressed differently depending on patients needs and ultimately their budget. reviewing your face pictures it is evident that you have neck raxity and wrinkles. You also have joweling and mid-face hollowing. A facelift which includes tightening of the neck muscles, removing excess skin, lifitng facial smas, and rejuvinateing the upper and lower face would be ideal.
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Facelift vs. other treatments
Thanks for your question. This is a common one.
Ultimately the decision for you what procedure will have to do with your budget, and threshold for downtime. The neck and jowls are best addressed with a facelift. It is important to consider what layers of the face and neck are addressed. To get lasting natural results the underlying structures of the face and neck must be treated. A facelift/necklift can last 7-10 years and make the most difference. They will treat the jowls,...
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Facial Rejuvenation
The choice of treatments will ultimately be yours depending on your goals and the amount of time and money you want to invest in your rejuvenation. I would not recommend fillers because they will not effective correct the laxity and sagging along the jawline and in your neck. If you have the time I would recommend a full facelift because the improvement will much more significant and will last about 10+ years before considering a touch-up. This is a frequently asked question; the...
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