Jon Perenack, MD, DDS

There is no single filler that is best for everyone or for both areas. An in-person examination and review of your medical and treatment history are needed to determine whether filler would be appropriate for your concerns. Neck lines and folds around the mouth may require different approaches. Your provider can assess each area and explain the potential benefits, limitations, and risks of filler or other options. The goal is improvement suited to your anatomy, rather than promising complete removal of every line.

A neck lift may improve jawline definition by addressing fullness and loose tissues beneath the jaw. However, when the concern involves jowls or sagging in the lower face, a lower facelift may also be considered. An in-person examination and review of your medical history are needed to determine which approach would best address your concerns. Your surgeon can explain whether a neck lift alone or a combined procedure would offer the most appropriate improvement, along with the limitations and recovery involved.

Thank you for sharing your concerns. Age alone does not determine whether a facelift is appropriate. An in-person examination and review of your medical history are needed to assess your concerns and discuss whether any treatment would be beneficial. A consultation can help you understand your options, their limitations, and realistic expectations. Since you mention that your appearance is causing significant stress, share those feelings with your provider as well. Take your time making a decision—you do not need to rush into surgery.

Thank you for sharing your photos. An in-person examination and review of your medical history are needed to determine whether a less invasive treatment or a face and neck lift would best address your concerns. A facelift primarily addresses sagging facial tissues; lip lines and under-eye concerns may require separate evaluation and treatment. A consultation can help clarify what each option can realistically achieve, along with its limitations, risks, and recovery, so you can choose an approach that fits your goals.

Thank you for sharing your concerns. An in-person examination and review of your medical and filler history are needed to determine whether a mini facelift would be appropriate. Age alone and photographs are not enough to establish candidacy. Since you mention being underweight, your overall health and any recent weight changes should also be discussed during the consultation. A surgeon experienced in facial rejuvenation can assess what is contributing to your concerns and explain whether surgery or another approach would offer a worthwhile benefit.

Thank you for sharing your photos. Photographs can provide a starting point, but an in-person examination and review of your medical history are needed to determine whether a mid-facelift, blepharoplasty, or another approach would be appropriate for you. A consultation with a surgeon experienced in male facial rejuvenation can help clarify which options address your concerns, what results are realistic, and the risks and recovery involved. Ask to see examples of patients with similar concerns and discuss your goals before deciding on a procedure.

A brow lift is not automatically required when having a facelift and neck lift. These procedures address different areas, and each recommendation should be based on your anatomy, concerns, and surgical plan. Without an examination, it is not possible to assess the concern about bunching or whether additional eyelid surgery would be appropriate. Ask your surgeon to explain specifically why each procedure is recommended, particularly given your recent eyelid surgery. If the explanation remains unclear, a second opinion is reasonable before proceeding.

I’m sorry you’ve been dealing with ongoing discomfort. Persistent pain and tightness a year after a facelift deserve a thorough in-person evaluation. Your symptoms alone cannot establish the cause or whether any damage is permanent. A second opinion from a surgeon experienced in facelift surgery, including a review of your operative records, would be reasonable.

There is no single standard order for upper and lower eyelid surgery, facelift, and neck lift when performed together. The sequence depends on the techniques used, the patient’s anatomy, and the surgeon’s operative plan. The order alone does not determine the quality of the result. What matters is careful planning, appropriate surgical and anesthesia time, and how the procedures work together. Your surgeon can explain the sequence they recommend and why it fits your individual plan.

It may be possible to perform a facelift and neck lift without directly dissecting the areas where silicone was injected. However, that depends on the location and depth of the silicone and the extent of the planned surgery. Avoiding direct treatment of the lips and nasolabial folds does not guarantee that those areas will remain completely unaffected by repositioning nearby tissues. Your history of silicone injections is important, even after 25 years without symptoms. An examination and review of any available injection records would help your surgeon assess the tissues and explain whether the surgical approach should be modified. A successful outcome cannot be assured from this information alone. Your overall health and suitability for anesthesia also matter when considering surgery at 75.