Advice for 43 year old considering facelift?

I am a 43-year-old (athlete) with facial volume loss, a turkey neck, and signs of jowls just beginning to form. I recently had a consult with a plastic surgeon who recommended a deep plane facelift, as it would give the best and longest lasting result. He also told me a facelift at this age would ultimately hold up better than not having it done, as the muscles and other deep facial structures would be fixed in place, thereby making them more resistant to the natural downward migration of tissue in the aging process. Is this true?

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8 answers to “Advice for 43 year old considering...”

A: 43 years of age may be a bit young for deep plane facelift

William Portuese, MD

At 43 years of age, it sounds as though you are a bit young to have a deep plane facelift. The goal of a face/neck lift surgery is to remove fat from the neck both above and below the platysma muscle, tightening the jowls, and removing any excess skin. Hollowness will not be improved with a facelift since it... more

A: Facelift in a 43 year old

Richard W. Fleming, MD

The selection of the appropriate facelift procedure does not depend on your age, but rather your individual degree of facial aging. Without seeing pictures, my best advice is to get a second opinion. You may ulimately choose to have the deep plane lift.

A: See a plastic or facial plastic surgeon who is a facelift specialist.

Toby G. Mayer, MD

 Get a second opinion and see what another experienced facelift surgeon says after he is able to examine your face. Also, a facelift resets the clock---it doesn't stop it. So you will continue to age.

A: Facelifts at 43 years of age

Richard P. Rand, MD

 A facelift is indicated if you have enough descent in the cheeks, jowl formation along the jawline and laxity in the neck regardless of your relatively young age.  The situation requires careful analysis though and it sounds like in your case, the only issue requiring surgery is the neck laxity.... more

A: Deep plane facelifts increase the risk of permanent motor nerve injury

Kenneth D. Steinsapir, MD

Dear Jenny One has to be careful what you look for.  The deep plane facelift is a technical tour-de-force.  The anatomic dissection is requires an in depth knowledge of the facial planes and the anatomy which requires intimate exposure of the facial nerves to carry out the deep plane dissection. The... more

A: Careful analysis

Robin T.W. Yuan, MD

Facial rejuvenation is dependent on careful analysis. I will usually have patients bring in photos from their part to see the changes brought on by aging, weight shits, environments as well as to deterine what their baseline anatomy is. We are have the same elements but are constructed differently to give us a... more

A: Facelift for a 43 year old skinny Athlete

Tanveer Janjua, MD

You have to be very careful with a facelift. You might still look gaunt because of lack of fatty tissue in your face. In fact sometimes facelift can make you look worst. Most of your face issues can be resolved with Sculptra injection. The only area where you might need surgery is the turkey gobbler neck... more

A: You are on the right Track

Kamran Jafri, MD

Hello Jenny, Without the benefit of being able to examine your facial and neck anatomy, I would say that you are certainly on the right track. Some things you may wish to discuss with your Surgeon: 1. Given that you are experiencing volume loss is he satisfied that a deep plane lift will accomplish enough... more

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