Options for Minor Facelift? Doctor Answers, Tips
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Options for Minor Facelift?

I am 47 but feel that now I need a minor tightening. I see the jowl lines not deep yet and the lines over the lips especially when I am tired. I have developed the under eye circles and sometimes the bags and puffiness or else they look slightly hollow.

13 Doctor Answers | Asked by Dreamwitch in NJ
+2

Face/neck lift not needed yet

After reviewing the pictures that were posted online, it appears that the patient’s jawline looks excellent and is not in any need for any face/neck lift. A mini lift will give mini results, and it is probably best just to wait until there are enough issues of laxity in the neck and jowling before undertaking a lift. With respect to the eyelid circles and bags underneath the eyelids, these can be addressed through a lower blepharoplasty. Excess skin can be tightened and removed at... more
+2

Forget surgery for now

Please understand that you look great and you don't need surgery!  You don't have jowls or neck laxity or fat under the neck.  A mini-lift would produce scars around the ears that wouldn't be worth the very minor change you would get.  Stick with fillers, Botox and medical grade skin care for now!!
+1

Mini facelift

Without performing a full exam it is difficul to tell you what would be best for you.  Lines above the lips can sometimes be treated with fillers, botox or even lasers.  Minor jowls can be treated with a limited scar facelift and perhaps deep soft tissue work to improve the jowls.

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+1

Options for a Minor Facelift

It is very difficult to tell by your photographs.  Based on your comments of a small amount of aging, typically facial fillers can help serve as a starting point for addressing your face concerns.  Hold off on a surgical procedure until your face and neck are ready.
+1

No Operations Needed

Viewing your picture I do not believe your are a candidate for any operative procedures.  The puffiness of your eyelids may be due to allergies and if that is the case medical control is indicated.  Dr. ES
+1

Dark circles, jowls can be improved through different means

In terms of a facelift, you might be a little early to have one. It would really be beneficial to see a picture of you without smiling. A facelift can lift your jowls and improve your nasolabial folds to some degree. it won't help your dark circles, and bags under your eyes. Most surgeons would advocate a lower eyelid blepharoplasty, but this could cause hollowing under your eyes and appear unnatural. I would suggest filling your cheek and lower eyelid with some type of filler. With... more
+1

One cannot tell from the photo.

 You may only need fillers for now. See an experienced plastic surgeon to guide you. You can develop a report with him and learn his prospective for when and how to do surgery.   
+1

Very difficult to tell from this photo

Obviously you are beginning to have some concerns, (as would almost any 47 year old male or female!) living in this image conscious country! However, this is not the best photo. First of all, you look great. Second, don't feel bad for wondering waht you can do to stay looking great. Injectables, botox and skin care are the first line for most patients. One thing I have learned over the years is to listen to patients - when they are describing laxity, it is almost always the case with... more
+1

A Liquid Face Lift will address lower eyelid puffiness, jowls and upper lip lines without surgery..

Dear Dreamwitch, I'd love to meet you for an in-depth, Free Cosmetic Consultation, so I could help you look and feel your very best. You might want to consider non-surgical facial rejuvenation that could make you look years younger and better with no downtime. All at a fraction of the price of surgery. Lower eyelid grooves, upper lip lines, and indentations in front of the jowls respond very well to injectable fillers. If your jowls are getting you down, a Natural Lift, short-scar... more
+1

Seek a consultation with a Board Certified Facelift Specialist

Hello Dreamwitch, Your question is an excellent one and a very common one as there are many patients who are in your situation - noticing some early (mild-moderate) aging changes and wanting to seek a surgical option for their concerns. I think Dr. Teitelbaum has done an excellent job answering your questions but I would like to add a few comments: 1. Thank you for including your photo - however be aware that when going for a consultation your Surgeon will need to see your face in a relaxed... more
+1

You look good to me

I can't do a consultation over the internet, but my first reaction is that you don't need any surgery now at all. What I want to convey is that a "mini-lift" is not necessarily the answer for someone that is just "sort of in need" of a facelift. So-called mini lifts can often require the same scars as a regular lift, yet may not last as long. Sometimes the scars can even be worse. Don't get caught up in words like mini lift, lower facelift, or a lunch hour lift. Most... more
+1

Any major lifting procedure not for you

You look wonderful for your age! Really! That being said you are not ready for any major lifting procedure. The areas of concern that you mention are best suited with a mini-lift. I like to to the MACS lift which is a short-scar Facelift (the incision is just in front of the ear). This has minimal down time, can be done under twilight anesthesia and is very safe. Anything more than that would be overkill for you. You lower lids would benefit from a trans-conjunctival bleph. This will remove... more
+1

Minimally invasive techniques for face lift

Several years ago we published an article on the use of endoscopic techniques in face lift surgery. The idea was to use smaller incision and the scope to acheive results specialy in younger patients with mild facial aging signs. The study showed a clear benefit in younger patients with less skin problems. This technique could be an option for you. However, I think that you might benefit from other techniques: Lower bleph and cheek lift for the midface, skin tightening and fillers for jowl... more
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