I am 36 and considering a mini facelift (Photo)

Question

hi im 36 and wondering if im 2 young to have a mini lift i have allways had big full cheeks but as im gettinh older they are drooping i am having my nose done on a few months as it was broken and was thinking of asking about my bottom half of face not interested in fillers as it does not solve the issue and costs a lot of money ongoing would love honest opinions thank you

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Sam Speron, MD, FACS · Answer

A mini facelift is a great option for many people. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day, there're no scars behind the ears and you can wear your hair up anytime and most patients take no pain medicine. The result is usually the same in selected patients as a full scar facelift but it really depends on your exam.Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the neck and jowls.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of mini facelifts and neck lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and thanks for your question.

Robert M. Tornambe, MD · Answer

Riley. You are a bit young, but It sounds like you may be a candidate for a Mini-Facelift. My favorite technique is the MACS short scar Mini-Facelift. Developed in Europe, it is the ideal approach for the younger patient, not ready for a full facelift, or patients who desire a less invasive procedure with a shorter recovery time. Consult with a board-certified plastic surgeon to explore all options for you. Good luck.

Konstantin Vasyukevich, MD · Answer

Thank you for your question.  It brings up a very important point.  Many plastic surgeons, who specialize in facelifts, recently started to move away from using patients' age as a selection criteria for a facelift.  Often times early aging changes, such as sagging cheeks and facial skin laxity, begin at an early age and become quite bothersome to the patients.  Many people today choose to get a facelift in their 30s rather than wait until the signs of facial aging become more noticeable.  A relatively small minimally invasive facial rejuvenation procedure, such as mini facelift, can reverse early signs of age on one's face with minimal downtime and with very few risks.  To determine weather a mini facelift is the right procedure for you, I would recommend scheduling a consultation with a facelift specialist.Best wishes!Dr. K.

John Michael Thomassen, MD · Answer

Your concerns are the descent of your malar fat pad.  There are several ways to address this.  You could have a mini lift with a high SMAS technique that will address the midface, lower face (jowls) and neck.  Or you could have a midface lift which would involve only small incisions in your temple area.  This would not address your lower face but then again at 36, you shouldn't need much of a facelift.

Mark Murphy, MD · Answer

Hello, and thank you for your question. In general, I am not in favor or such terms as “mini”,“weekend” or other marketing terms that undermine the importance of choosing the rightsurgeon and procedure to achieve your desired results. Of the facelifts I perform, 30-40% ofthem are revisions of previous work. The recovery time for a patient of your age is 7-10 days. Ifyou are considering an operation on your face don’t allow a couple of days of recovery makeyou choose a lesser procedure that you will likely regret for months to years.
You are not too young to undergo a facelift. That being said surgical intervention at your agehas multiple benefits as the level of correction you need, and thus the extent of your surgery, isoptimal at younger ages. My preferred age range for facial rejuvenation surgery is in the 40’s,though I have had excellent results with patients in their 30’s. If your concerns are located inthe middle and lower third of your face and include loose skin, wrinkles and fine lines, then afacelift may be a good option for you.
If you are truly uninterested in using nonsurgical means to achieve your desired results andwould prefer a longer-lasting option like a facelift, then schedule a consultation with a board-certified facial plastic surgeon to learn more. Best of luck to you!

Patrick Flaharty, MD FAACS · Answer

Based on your photos there are a couple of options to consider.  Fillers are great to restore the lost volume to your cheeks, lifting the midface and creating a more youthful shape to the face. Although temporary midface fillers give an immediate improvement which can last one to two years and are very effective for the changes your seeing in the mirror. Secondly, neck liposuction could help reduce the neck fullness, improve the jaw line and even tighten the neck skin. This would be a easy add on to the nose surgery. Good luck.

Laxmeesh Mike Nayak, MD · Answer

While it may sound unusual, it is sometimes perfectly appropriate to recommend and perform a neck lift, or even a lower face and neck lift, in younger patients.
Most of these patients never had a sharp neck/jawline, or have a genetic tendency toward a falling neck.
Getting the prettiest and most natural results in cases like yours requires an experly-done deep neckilft. Liposuction, Kybella, Coolsculpting, mirconeedling, etc will not create a similar result.I would advise you to choose your surgeon carefully – creating a natural lift at a young age requires great surgical judgment and skill.  Considering you will likely have at least one more lift as you age, it is very important that the foundations for that future surgery are laid during your first procedure, as well.

Melanie L. Petro, MD · Answer

you aren't too young- but I don't think you need a facelift!  Consider adding volume to your cheeks- this will lift your mini "jowls" also you may have some extra fat under your chin- which could be coolscultped or kybella may be an option- I see you are having a rhinoplasty- but don't have more surgery than you need even though fillers are not permanent they can be used to avoid a facelift you will want in several years- and with most facelifts the lower eyelids need to be done & that is something you want done as little as possible- each time weakens the lower lid support which is vital for your cornea's health- think long term...

Carmen Kavali, MD · Answer

Thank you for your question.  Something to understand is that a facelift does not eliminate the need for fillers.  Not at all.  A facelift will tighten loose skin, but it will not give you fullness in areas that you've lost it over the years--cheeks, nasolabial folds, lips.  Those will all require fillers of some type.  Filling hollows also lifts the skin a bit, as that same skin has to stretch over a greater surface area.  As much as you don't want fillers right now, that's exactly where I would encourage you to start.  Once the fillers are done, if you still have more loose skin than you like, then I would consider something like Ultherapy or RF devices to smooth and tighten the skin a bit.Every skin treatment requires is non-permanent and requires maintenance, including facelifts.  Overall facial rejuvenation requires a full toolbox of options, not just one--they all work together to get you great results, but there isn't one singular treatment that can do everything.I hope this helps.  Warmly,Dr. Kavali

I am 36 and considering a mini facelift (Photo)

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