Can an 21 Year Old with a Fat, Drooping Face Benefit from SMAS Facelift?

I have a herreditary fat, drooping face. I'm in good health aside from depression over how I look, but my face never improves. I've got TMD, acne, and plain ugly; it's no good. I usually lift up my SMAS and tuck some behind my ears so that I can see my smile, my cheeks, and my jawline. In addition to botox injections to the masseter muscles, I'm wondering if I should get a consult for a facelift. Facelifts reverse signs of aging, but don't they also fix hereditary "inferiorities"?

Doctor Answers 5

SMAS facelift is less effective on a full plump fat face

The benefits of SMAS facelift rely on tightening the underlying fascial structures then pulling the skin over the restructured face with the results to be seen.

If there is a thick layer of fat beneath the skin in my experience it is often difficult to see the improvement.  In addition you're too young to be considering facelift.

Facelift and SMAS

It is unlikely that a Facelift would provide benefit for a 21 year-old.  There are many options, many non-invasive that can help.  Seek the opinion of a board-certified Facial Plastic Surgeon for your best plan.  Also, as with any plastic surgery patient that is depressed over their looks, you would need to see a therapist before surgery.

Good luck!

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

21 year old and SMAS Facelift

     In a 21 year old, a SMAS facelift will likely only produce scars without much benefit.  However, there are some patients with certain laxity disorders who may benefit from surgery.  In addition, there are some massive weight loss patients who may benefit as well.  Kenneth Hughes, MD facelift Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Can an 21 Year Old with a Fat, Drooping Face Benefit from SMAS Facelift?

 This seems very similar to a question asked by an 18 year old, so I'll share the answer with you as well.  Honestly, that's absurd. Eighteen year olds or 21 year olds do not have loose facial skin and muscles and as such do not require facelifts.  Aesthetically, excess facial fat can be removed using micro-liposuction and the face shaped using facial implants but certainly not a facelift.  Choose a plastic and cosmetic surgeon that understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Can an 21 Year Old with a Fat, Drooping Face Benefit from SMAS Facelift?

I agree with Dr. Palmer that based on age alone you are likely a poor candidate for a facelift. Without seeing your photos or meeting you, it is impossible to know what procedures might benefit you. However, procedures such as neck liposuction or chin augmentation are often more beneficial for young patients like yourself. An honest board-certified Facial Plastic Surgeon can meet you, evaluate you and present you with the type of procedure (not a facelift) that will benefit you.

I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.