I am 62 years old, need a facelift plus pin hole acne scars on my cheeks. which should be treated first?

In most cases, a facelift can be performed at the same time as an ablative laser resurfacing for the treatment of acne scars. This is not always the case but assuming the scarring is limited to the inner portion of your cheeks this is usually not an issue. Seek a consultation with a plastic surgeon highly experienced in both facelift and scar treatment procedures. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

I suggest you do the facelift first, which may alter the appearance of your acne scars. Then, you can address the scars after you've recovered from your surgery.

Deep pits from act the scars are generally excised enclosed to exchange a depressed scar for a flush scar. This can be done concurrently with a facelift.

Patients considering facial rejuvenation with a facelift and
facial skin improvement with acne skin management could be undecided on what
procedure to undergo first. Patients with this kind of dilemmas should undergo
consultation with a board certified plastic surgeon specialized in the face.
Expert medical advice may allow the patient to choose the best next step to
follow based on his/her priorities, availability of downtime and expert opinion.

I would recommend getting your facelift first. After you see the results of that procedure, it will be easier to release the pitted acne scars. I also recommend volume augmentation to boost your cheek area, then proceed with fraxel laser resurfacing treatments to smooth out your skin.

Dear polinterest,The acne scars will likely require multiple treatments and may be able to be done at the same time as a facelift depending on the location and depthPost-operatively, you will likely need a few (2-5) microneedling sessions to break up the scars and improve their appearanceBest regards,Nima Shemirani