Best Age for First Facelift?

I notice most people get their first lift at around age 60..but isn't that really too late? It seems the younger the better as the sagging and deep lines can be targeted early and prevent them from developing and getting worse. Do any surgeons find this to be true? Thanks!

Doctor Answers 81

Best Age For Facelift

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Thank you for your question. You are absolutely correct. Waiting until facial aging changes are severe will reduce your chances for the best result and starting facial rejuvenation procedures early is best for several reasons:

  1. Facial aging changes start to become noticeable in the late 30's for most people. As these changes progress through the 40's and 50's deep facial lines caused by skin folds and loss of facial volume from fat loss create permanent skin changes that are difficult to correct with a facelift alone. Taking action early, in your 40's or 50's by having a Facelift or Volume enhancement by Fillers or Fat will help prevent these permanent changes.
  2. Generally speaking, people in their 40's and 50's are more healthy with fewer medical issues than people over 60, and younger people are generally better candidates for elective surgery such as a Facelift and recover more easily.
  3. Younger people in their 40's and 50's today are typically more socially active and pursuing careers where looking fit and young, whether it is fair or not, is very important. Correcting facial aging changes in your 40"s or 50's will allow you to enjoy the results for many years at an important time in your life.

When I began my Plastic Surgery practice 30 years ago the average age of my Facelift patients was in the mid 60's. Today the average facelift patient is 50.

The most important factor is not really your age but whether or not you have facial aging changes which can be corrected with a Facelift.

Today there are so many new non surgical options that many facial aging changes can be corrected without the need for a Facelift. Fillers like Restylane, Perlane, Radiesse and Sculptra can plump the cheek and improve Nasal Labial Fold Lines and rejuvenate the mid face. Botox and Dysport can reduce Crow's Feet, Frown lines and Worry Lines to rejuvenate the upper face.

The lower face-Jowls- and Neck are still areas that usually require surgical Facelift and Neck Lift, but these changes tend to occur later than the mid face and upper face aging changes.

Having a Facelift is a very personal decision. It is a decision that you should make  in consultation with an experienced reputable Board Certified Plastic Surgeon. The issue should be whether you have significant facial aging changes that can best be corrected with surgery, and whether you want to have the procedure and whether you are healthy enough to have the procedure. Your age is a secondary factor.

No Perfect Age for Facelift

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You're right to suggest that waiting to undergo facelift until physical aging is advanced is not ideal. However, it's important to note that each person is different. Genetics and a host of lifestyle factors can determine the rate at which we age -- so while 60 may be too late for some, it may be right in the "sweet spot" for others. I hope this answers your question.

Best age for first facelift

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There is no specific age as to when patients should have their first facelift. The goal of a facelift is to tighten up the jowls, remove the fat in the neck both above and below the platysma muscle, tightening the muscle cords in the neck, and facial skin laxity is also tightened. Some patients have earlier signs of aging; say in their late 40’s, while other patients remain rather tight into their early 60’s. It really depends on when the aging process begins to show and when the patient is emotionally and physically ready for a facelift. Patients can undergo a facelift in their 70’s, however the skin tone is somewhat loose and will not last as long. For many examples of a comprehensive facial rejuvenation in our practice, please see the link below to our facelift photo gallery

Timing for a facelift

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The degree of aging change in each person varies significantly. So while one person may still look young at 60, another person may look quite a bit older. This and the patient's desires are what I usually use to help patients decide the issue. However, with many years of experience, I believe most people benefit from a facelift at an earlier age (say 50ish rather than 60ish). That being said, I also believe the result is more dramatic at age 60 than at age 50. In the end, this all needs to be discuseed with your surgeon. A person is a candidate for a facelift or minilift at any point in time when they have significant aging changes, and this can occur at a variety of ages.

Deason Dunagan, MD
Huntsville Plastic Surgeon

What Age is Best for a Facelift

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A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.
During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.
If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.

The best candidates for #LiteLift are patients 35-60 years old with early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.
Lite Lift™ surgery is individualized for each patient. The best candidates for Lite Lift™ surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined and do not smoke.

Best age for a facelift

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The ideal age for a facelift ( if the person shows signs of aging) is between 48 to 55 years of age. During this age, skin usually has adequate elasticity.

Best Age for First Facelift

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Have you ever noticed the celebrities, or perhaps even people you know who never seem to age? Today, many people take advantage of the many non-surgical treatments for rejuvenation like Botox, fillers and lasers. The, perhaps might have an upper or lower eyelid lift at early signs of aging. Or, one might consider a necklift when neck banding starts and or minimal jowls appear. Sometimes people start with small procedures at regular intervals to keep them looking young. Other people may have a "wow" moment when they see a photograph of themselves, or when they see their reflection in a certain light. 

I have heard of preventative surgery, which I do not recommend. But, surgery at the early signs of aging can be right for many people. On the other hand, people shouldn't feel like it's "too late". Great plastic surgery will make people look fresher and younger. It will make them look like themselves. often patients tell me after a facelift that they look the way they feel. 

The important thing is to find a plastic surgeon with excellent credentials, and consistently beautiful results. Look at many, many before and after photos and spend a lot of time researching your plastic surgeon. Find a plastic surgeon who listens to you and understands your goals. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

At What Age to Get a Facelift

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Unfortunately, there is no "textbook" answer for that. It really depends on the individual patient. Our faces age according to genetic and our environment. I have seen grandmothers with amazing skin and barely any wrinkles, while some women in their 30s look 50. For me, the goal is to perform the surgery safely and for my patients to be happy with the results.

The process requires me to analyze each individual, pinpoint what bothers them and realistically explain their surgical options. My recommendations can range from doing nothing to injectables to a complete facelift. Ultimately, the right age for any procedure is when you need it, when it can be done safely and when the results will provide the patient with an improved appearance that makes them happy.

Age for a facelift

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There is no real age for a facelift.  When you feel that you need it, it is then time to visit a certified plastic surgeon to evaluate you.  When consulting be sure to ask all of your questions, and have all your doubts answered.  Make sure to ask for your doctors credentials as well.  See some before and after photos as well

Alberto Arguello, MD
Costa Rica Plastic Surgeon

Age for First Facelift

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Timing of the first facelift should be based on need, which is influenced by genes and lifestyle, not chronological age. You are correct when suggesting that it is advantageous to have rejuvenation surgery before aging is severe. Patients prefer to have treatment earlier and maintain a rested, refreshed look throught life. Even with today's excellent  techniques, there are limitations on how much can be achieved with a facelift.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 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.