Type of facelift best for a 56-year-old woman?

I am currently investigating facelift and lower eyelid surgery. I have two doctors that I've narrowed down to perform different types of lifts. One uses a more traditional SMAS type lift (45 degree vector) and the other an ENT Dr. suggested a deep plane lift (60 degree vector). What is your opinion of which lift might be better for a 56-year-old woman with a very saggy neck? Both doctors said they would place a suture under my neck.

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19 answers to “Type of facelift best for a...”

A: Best to select a surgeon with experience and before and after photos you like.

William Portuese, MD

The 45- or 60-degree vector will not effect a change in the facial structure. The most important thing to do is to make sure that your surgeon has lots of experience doing the facelift procedure and you have looked at many of their before-and-after photos and like the results. It is important that not only... more

A: Facelift Technique for a 56 year old woman

Christopher L. Hess, MD

There are many different facelift techniques because there are many different issues that need to be addressed.  The important things to consider are: 1. How much skin needs to be removed.  If its a lot then a short scar lift will not do. 2.  Jowling.  Significant jowling is well treated by... more

A: Facelift Techniques

Richard W. Fleming, MD

You have become too technical in trying to make your decision. Surgeons use different approaches to accomplish the same results. See before and after pictures of patients who look like you, and ask what tecniques where used. Ultimately, the result is important, not the technique.

A: Composite facelift

Vincent N. Zubowicz, MD

Without seeing your picture, I cannot be unequivocal. However, most 56 year old patients benefit most from a thorough facelift that addresses the malar fat pad, the cheeks, the jawline, the platysma muscle chin to sternum, excess neck fat and excess skin. I use a composite facelift (skin and SMAS are not... more

A: The MACS-Lift short-scar Face Lift is a preferred Face Lift for most people.

Eric M. Joseph, MD

I've been very pleased by my results with MACS-Lifting, which rejuvenates the neck, jowls, and midface with a small incision. The unique feature of this particular Face Lift is rejuvenating your face with a purely vertical repositioning of skin and SMAS. Several purse-string sutures are placed in the SMAS, and... more

A: Facelift

Farbod Esmailian, MD

The best type is the type that works.  You have to evaluate the before and after photos of the surgeons and see what looks best to you.  I would not concern yourself with the type as it is not the type but the surgeon that will get you the results.  There are surgeons out there that will argue... more

A: Facelift for a 56 year old

Steven Wallach, MD

A specific age does not require a specific face lift.  Different facelifts lift different things.  And no one operation is the best.   I wouldn't get bogged down with 45 or 60 degree vector,  but would be more concerned that you get a natural looking result with good concealment... more

A: The name of the facelift isn't as important as the results that doctor gets

Richard P. Rand, MD

The exact name of the facelift isn't as important as the actual photos of many of that doctor's patients showing what kind of results they get.  Each doctor is different and so are their results.  Personally, I use a SMAS lift with a directly vertical vector on the SMAS because I believe... more

A: MACS Lift provides 90° lift.

Robert T. Buchanan, MD

There is no one right answer to your question. Both SMAS and Deep Plane facelifts give acceptable results in expert hands. The trick is for the surgeon to individualize the procedure so that he/she corrects what bothers you. I, personally, use neither. Instead, I use a modification of the MACS Lift. This was... more

A: Best facelift for a 56 year old woman

Sirish Maddali, MD

There is no good answer for you. The most important part of your decision should be the choice of your surgeon. If you trust the surgeon and like some of their results then you should be happy with their technique. I can guarantee that if you see a couple more surgeons, you will end up with a couple more... more

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