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Best Options for Aging Face, 65 Year Old Woman? VIDEO

Please see attached video about my face!

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30 Doctor Answers | Asked by fullofhope

Doctor Answers (30)
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Jowls and Nasolabibial Folds

Hi, Thanks for the video, its nice to actually hear and see someone rather than just answering questions in a vacuum. As far as your jowls and neck go, a lifting procedure such as a lower facelift or minifacel lift can address those issues nicely. These procedures can be done under local anaesthesia with minimal sedation. This reduces all risks associated with general anasthesia. Mini-facelift simply implies less surgical dissection which in turn results in less swelling and... more

A full facelift is likely your best option.

Thank you for your question and the photos. A full facelift is likely your best option. If you do not wish to have surgery, aggressive fractionated laser resurfacing with some strategic botox and injectable fillers can give you partial improvement. If you go the nonsurgical route, multiple treatments would be necessary and these costs add up over time. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure... more

Best Options for Aging Face, 65 Year Old Woman?

Thanks for posting your question and video. Your face show the typical signs of aging as does the neck. A minimal incision Face Lift with shaping of the cheeks anteriorly (front) would rejuvenate the face making it appear more feminine and naturally attractive. This can be performed using smaller incisions in about 90 minutes with a quick recovery time. The neck is the issue that would need to be determined as it constitutes the majority of the excess skin,... more

Your face and neck.

Thank you for the question. You video was very helpful. I think the other surgeons have done a nice job of describing your options so I'll just run down the practical aspects for you. To achieve what you're looking for I do think surgery would be your best option. Very frankly speaking you can expect 10 to 14 days before you would want to return to work/social activities. Now this isn't 2 weeks of suffering but simply put it's unlikely your swelling or... more

Chase Lay, MD

18 reviews

Bay Area Facial Plastic Surgeon

www.chaselaymd.com

Facelift

There are lots of nonsurgical options offered, but none of them will give you the results you want so it is best not to waste your resources in that way. Rejuvenation in your case means repositioning the tissues, especially the deep tissues, to take away many of the changes due to gravity. If you simply lay on your back and hold a mirror directly over your face you will get a good approximation of the changes you can get from a good facelift. There are no shortcuts to that. You mentiioned a... more

Full Face and Neck Lift

I would recommend a full face and neck lift to address your concerns. This can be performed with a short scar facelift. Find the plastic surgeon with ELITE credentials who performs hundreds of facelifts each year. Kenneth Hughes, MD Los Angeles, CA

Numerous options..

Thank you for your video. Your desire to avoid surgery is natural however the issues you are concerned about when you lifted your cheeks and neck can only be addressed surgically. That being said, there are numerous options for the kind of surgery you can have. I have specialized in facial aging procedures (non surgical and surgical) for about 20 years and wrote a book "The Fine Art of Looking Younger". There is no shortage of gimmicks in the field of Cosmetic Medicine. Non surgical... more

Filling instead of face lifting is possible and could even be better than traditional facelifting

You don't have to have a facelift to look rejuvenated. But sometimes a facelift can help with your jowls and neck. You should look into filling your face in just the right way. If done thoughtfully, you can make your face smaller and more youthful at the same time. see video

Philip Young, MD

6 reviews

Bellevue Facial Plastic Surgeon

The Best procedure addresses your desires with the least risk.

Thank you for the photos and the video was fantastic. You will see a variety of procedures advocated or even promoted on the internet. No one procedure is best. In general the surgical procedures with a shorter downtime often have a less dramatic result. You need to let your surgeon know which is most important to you. Most patients will not have the dramatic improvement that surgery can offer with non surgical "fillers" . Fillers however can most definitely add to the results of... more

Thomas Buonassisi, MD

28 reviews

Vancouver Facial Plastic Surgeon

www.8west.ca

My best choice

A full facelift is your best choice by a board dertified plastic surgeon. I agree with all the other doctors.

Facelift and options for an aging face

Although there are nonsurgical options that can improve the aging face, such as botox and injectable fillers, from your video, it appears the treatment that would give you the best result would be a full face and necklift. The branded facelift you mentioned is a type of mini lift and may not give as good or as long lasting results as a formal face and necklift.

Best option for Aging Face

Provided you are in general good health, a properly performed facelift would correct all of your concerns and last a reasonable amount of time. LSL is no more than a minilift that doesn't last very long. Most of the advertising shows a patient with a early result who also had a neck lift and in many cases laser resurfacing. No long term results of patients a year or two out are used. obviously, they only include their best results. See several board certified experience plastic surgeons... more

Best options for my face

The video was very helpful. You expressed that the sagging in your neck and jowls was one of your main concerns. The most effective treatment for the jowls and laxity in the neck is surgery. There is no other treatment option that can accomplish what surgery can. In fact, many patients spend their hard earned money on gimmicky treatments that have very little effect and end up ultimately having surgery. Regarding the deeper folds in the cheeks there is some controversy regarding how to... more

Todd C. Miller, MD

10 reviews

Orange County Facial Plastic Surgeon

www.toddmillermd.com

Surgery

Dear Full of Hope, Your wishes and desires are very normal, as are your expectations. Botox and fillers are going to be a waist of your time and money. Face lift type of surgery is the only thing that will give you what your want. For best results I recommend you see a board certified plastic surgeon, not just any board certified surgeon. I recommend 2 and probably 3 different interviews to get different opinions and find a surgeon that gives you a... more

Options for aging face

Thank you for your questions and the video. Assessing the face and neck and determining the type of surgery depends to a large extent on direct examination. The evaluation begins from the hairline down to the lower neck. In general from the video yo provided, you are a good candidate for face and neck lift. A short scar face lift may achievable in your case.

Life Style Options

The video was very helpful, FullofHope. Frankly, you would benefit most from a facelift and you would almost certainly be disappointed by the alternatives. Choose a Board Certified Plastic Surgeon who has a manner you relate to; and who is someone you feel you can trust. While anything is possible, patients rarely look 'over done' after their first facelift. It takes a lot of time, energy and expense to make people look like that!

Facial issues

Thanks for the video. I think that a combination of facial fillers or fat grafting along with a facelift will give you the best results. The loose skin in your neck and jowl area can not be improve significantly in my opinion without an excision procedures and soft tissue mobilization.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Best facial rejuvuination procedure for you

Dear FullofHope, Thanks for the video question. I would caution you to follow your intuition about entrusting your face to a provider whose credentials and training you are not sure of or that you may not meet prior to the day of surgery. I would recommend you search for local board-certified plastic surgeons and research their training, credentials and then look through their before and after images which should represent what they believe is their better results. This is a purely... more

Best Options for Aging Face, 65 Year Old Woman? VIDEO

We hear this repeatedly with patients wanting a natural not over done face lift. We really listen to our patients and try to achieve what you want. Be sure to consult with a Board Certified Plastic Surgeon to go over what options are best for you.

Natural looking face and neck lift is best for you

I completely understand that you want a simple procedure to improve your lower face and neck. I think you would benefit most from a lower face and neck lift performed by a Board Certified Plastic Surgeon who does a lot of facelifts. You do not want to look overly pulled, with your mouth or eyes looking distorted. Make sure you see plenty of before and after photos before deciding on the surgeon.

Options for Avoiding A Facelift

Dear Fullofhope, Thank you for the video. While the desire to avoid a surgical procedure is certainly understandable, unfortunately there are some situations in which a surgical approach is the best choice. Also a reminder, the LSL is a surgical procedure as others have commented earlier. From your video, you have a number of issues that you asked to be addressed including laxity of the face and neck tissues, loss of jawline definition, Nasolabial fold... more

Facelift for the aging face with excess skin and platysma bands.

Facelift for the aging face with excess skin and platysma bands by an experienced facelift surgeon is what would make you look the best. Minilifts only give mini results and based on what you said in your video you would not be happy. There are no short cuts to a good result. Choose wisely and good luck.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Face Lift Options

First, Great posting in a "video" format. Second you speak in confusing terms. You said non surgery than mention the LSL. The LSL is a poor preformed mini mini facelift, so there are incisions done. Here on RealSelf the approval rating for LSL is 53% of 411 postings, not very good! So looking at your video you need at least a expertly done mini facelift to begin with. But you really need in person examination and discussions with a boarded PS in your area. Seek a few out and go get the... more

Your would get better results with surgical treatments

Your desire for the maximum results with minimal invasive procedures is understandable and we do our best to do that but it is not possible all the time. Your video shows that you have excess skin over the neck and jaw lines. I offer Exillis, Thermage, laserlipo and regular lipo and none will help you. You need to get a personal consultation with at least two board certified plastic surgeons to discuss your options (facelift, mini-lift, neck lift, S lift and....)in person. Just remember that... more

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Facelift

Assuming you are in good health, you are the ideal candidate for a facelift, the operation that tightens the skin of the face , lower cheeks and neck and their underlying structures. Anything less would give partial improvement and be a waste of your time and money. Many surgeons and corporate practices try to minimize operations to make them sound like they are not even surgical operations. Get a good facelift no matter what it may be called. If it makes the patient feel... more

Can you avoid a facelift?

Be very careful with branded operations the majority of surgeons performing these have no true plastic surgery training. they may be Otolaryngologists, dermatologists or general practitioners. In reality you should seek out an honest ethical plastic surgeon with good judgement to guide you and help achieve your goals. Your thoughts and desires are very common in patients in my practice. While I do offer noninvasive skin tightening and facelift alternatives, all these... more

Facelift for jowls and neck

Your areas of primary concern, the jowls and neck, can only be addressed by a facelift. The down time for this procedure is from two to three weeks and is well worth the investment. I would suggest that you meet with a few plastic surgeons in your area before making your decision. Do not be led astray by anyone promising a quick fix. Good luck..

Facelift options

First of all, I would like to complement you on a video question. It would also be great, if you took a video of your face on the profile view. Your face has several characteristic signs of aging, such as prominent nasolabial folds,marionette lines and lower facial laxity. But the most noticeable of all, and probably the most bothersome to you, is your neck laxity. It seems that you may not have a significant amount of fat excess there, but your neck skin is very... more

Surgery Will Give You Big Results, Nonsurgical Treatments Give Less

There are two concerns that you bring up: Loose skin along the jawline and neckline, and wrinkles that extend between your nose and corner of the mouth. The only effective treatment for the loose skin of your jawline is a facelift, pure and simple. There are a lot of minimally-invasive facelifts that are marketed to patients, however, making the decision of having a facelift very confusing to the consumer. I strongly recommend that you avoid any television-advertised... more

A properly done facelift is for you

I would avoid any "branded" mini lift as there are many unhappy patients from those procedures. What you need is a beautifully done facelift done by the best plastic surgeon you can locate. Check the photos and you will see that you CAN have what you want in the neck and jawline and cheeks without an operated look. But you need to carefully select the right surgeon. Good luck!