Best FaceLift procedure for thin saggy face? (photos)

Hi,In my mind facial rejuvination is two fold - elevation of tissue and restoration of volume.A facelift will address the tissue/Skin laxity , and I feel fat grafting will be key to achieving the restoration of youthful volume you will need to attain the optimal result. The facelift will likely be performed at the same time as a neck lift( as per your preference) and the the fat grafting.  This will achieve one procedure that rejuvenates the upper and lower face as well as the neck. Regards the fat, I find there is always fat to harvest and if the the tummy is insufficient then the thigh is the next stopI hope that is of some helpJeremy Hunt

I would consider you an ideal candidate for a facelift, with relaxation both in the neck and around the mouth that would be greatly improved with surgery. I do incorporate some fat grafting around the mouth where fat is lost with age in all but the thinnest patients, and I find it is helpful — but not essential. I have combined facelift and rhinoplasty in the same patient many times. With both, I would expect you to feel comfortable socially within about 2 weeks.

Platysmaplasty ( commonly referred  as a neck lift, is a form of cosmetic plastic surgery involving tightening and removing skin from the human neck) together with Macs Lift.Usually we combine neck liposuction,eyelid blepharoplasty with Macs Lifting procedure to achieve a better result.Pls consult with a board certified member.

The lax, sagging skin that is evident in your photos is best treated by a traditional face lift. A facelift will also tighten your neck skin and give definition to your jawline. Fat grafting can help fill out your cheeks, which have lost volume with age. As long as you are healthy and follow your surgeon's post operative guidelines, you should be back to most of your normal activities approximately 2 weeks after receiving either a facelift or rhinoplasty. Both will take approximately year to fully appreciate the final results. Good luck.

I agree that procedures short of surgery will not work well in your case.  Fat grafting can be added to a face-lift procedure though, and may help the cheek contours as well as the nasolabial folds.  Recovery should not be a big challenge if you are otherwise healthy.  The lip lines can benefit from other procedures, such as laser, fat injection or fillers.  Each has pros/cons that you may wish to consider to enhance your overall result. 

From the photos you posted you are an excellent candidate for a facelift and can expect good correction of sagging skin, jowling and neck laxity.  Your nasolabial folds may benefit from volume augmentation, which could be performed concurrently.  As long as you are in good health, you should heal well from nose surgery or facelift.  I tell patients to expect two weeks from time to surgery to resume normal daily activities.

Hello!Based on your photos, you certainly have deflation and descent of your facial tissues and this makes you an excellent candidate for a full face lift (to address descent) and full facial fat grafting (to address deflation).  I must say that I disagree with the assessment that you're a poor candidate for fat grafting.  On the contrary! Fat grafting is ideal for those with thin, or even gaunt, faces and I use it routinely for restoration of soft facial contours.  While having sufficient fat volume in the face certainly allows more fat graft volume to "take," those with sufficient volume are not the ones who need it!  So, like you, I'm also befuddled by the notion of discouraging you from undergoing fat grafting.  My experience with fat grafting has been nothing but fantastic for my patients (take a look at my face lift and fat grafting results) and I very often combine it with face lift surgery in order to address the deflation and the descent together.  Two weeks of social down time is typical, anesthesia is "twilight" (light general). Results should last 15 years before a revision may be needed, and even in very thin faces you can expect up to 70% of the fat graft volume to remain permanently.  Overall I think you're a great candidate!All my best in your search!- Dr. Rad

You would do well with face and neck lift and laser resurfacing to the lines around your mouth .Fat grafting would be great if there is enough fat elsewhere in your body to steal .If not one could use fillers .Reshaping your nose would involve having a splint on your nose for a week and probably black eyes for about 7-10 days .CheersTS

You are an excellent candidate for a lower facelift. If you do not have sufficient fat for grafting, fillers can be used. Treatment of peri oral lines with fractional laser is also an option.

Hi.  No-one can tell you the quality of the fat that you have for grafting until after you have had it done. Just because you are thin does not mean that the results are not as good.  With respect to quantity you would only need about 10 mls which is a tiny amount.  Fat grafting alone will not give you any significant results.  You need a proper facelift which in my opinion would include the midface.  This will address the neck, jowls, marionette lines, nasolabial folds and the cheek region.  I would use fat injection to replace some of your lost volume and soften some of your features. There is a lot more information on my websiteRegardsDamien