Facelifts. There are many different types. Which one suits my needs best?

Hi. Thanks for posting your questions.
Without seeing photos, it's hard to give accurate advice.
One advise I can give is that any facial rejuvenation surgery will have sub-optimal results if the starting quality of your skin is poor and not addressed. Compared with someone who has good skin, there is a higher risk of recurrence or persistence of poor face shape if a facelift is performed. My suggestion would be to optimise the condition of your skin prior to any surgical consideration.
All the very best.
Dr Ray Goh

A facelift is best for addressing sagging and laxity in the lower face, upper neck and jowls area, while a brow lift is better for significant signs of aging through the upper face. Because you have multiple appearance concerns, it's important to visit a board certified facial plastic surgeon who focuses exclusively on facial rejuvenation. Together, the two of you can talk about the ideal combination of surgical and/or nonsurgical treatments that would help you meet all of your goals.
Dr. E

The term facelift can be very confusing, however, a true facelift requires that the surgeon both lifts the deep layers and fills the central part of the face to allow for natural facial rejuvenation.  The surgeon must have an understanding of the science of facial aging.  Be sure to seek a board certified plastic surgeon or board certified facial plastic surgeon with experience and expertise in facelifting.

There are many types of face lift and I understand  that the patient can be very confused about choosing which type is the best but for four understanding   all face lifts con be divided in deep plane and superficial.  The deep plane uses  the fat and muscles in a separate layer to give support and reduce tension.  Normally has most  natural results since tension in minimized but also are more praise.   Btu most importantly for what you are referring to you need a help of a dermatologist  to treat your skin.  Working without the cooperation of a dermatologist be  like having a new house without painting. 

It sounds as though you may be a good candidate for a Upper and Lower Blepharoplasty, Mid-facelift and either Chemical Peel or Laser. If you would like to start on the road to recovering your appearance, it is also likely time to find one away from such intense sun. I recommend you speak with a Board Certified Plastic Surgeon. An in-person examination would be required to determine which procedures would be best. Start out your journey with heavy sunscreen and non-peak sun surfing.  Thank you for your questions and best wishes! 

Hi RachaelIt is difficult to give you specific advice without pictures but is sounds like you would be a candidate for a facelift and upper blepharoplasty.  There are different surgical philosophies regarding facelift surgery and techniques.  If you want a Hollywood style extreme facelift then a deeper plane facelift can achieve this but it has its own disadvantages.  I like a natural look which I achieve through a modified MACS lift.  All techniques have inherent pros and cons and the MACS lift is no exception which is why I have a personal modification to overcome the downsides.  It is a minimal scar technique which is safe and predictable.CheersDamien

Thank your for
the question. It's best to see standardized full face pictures from all
angles (front and profile). Facelift addresses the jowls and sagging skin
in the lower face/neck area and improves the jaw line and neck contour. It's
also common to do fat grafting for malar augmentation as part of the
procedure to get the youthful cheek back. Facelift is not a replacement
for skin care and it does not address fine lines/wrinkles.
I would start with a good skin care and
non-invasive facial rejuvenation methods, including fillers for malar
augmentation  and improving the nasolabial and marionette lines. Botox works great for forehead lines, vertical glabellar lines and crows feet. I
would consult with a plastic surgeon and discuss your specific concerns. Best of luck!
Pej Aflaki, M.D.
Johns Hopkins-trained Plastic Surgeon

Thank you for your question.  I think I would give my best advice after seeing a picture or seeing you in person.  However, it sounds as if you might benefit from a facial rejuvenation procedure or several procedures to achieve your desired result.  A facelift is a wonderful option to help address the loops and sagging skin around the midface and the jawline.  This procedure will elevate and tighten these tissues, along with helping sagging in the neck, as well.An endoscopic brow lift and upper blepharoplasty will address the hooding that you notice in your upper eyelids.  A lower lid blepharoplasty will help remove the puffiness under the eyelids and tighten the skin.  These are, of course, general recommendations and certainly your needs may be different from what I have recommended above.I would consult with a board certified facial plastic surgeon or plastic surgeon who specializes in facial rejuvenation procedures.  Here you will have a full evaluation and be able to discuss your goals for surgery.I hope that this helps!-David Gilpin

You are relatively young, probably the ideal age for what has become a popular 'style' of facelift called the MACs lift. The big advantages with this facelift are; shorter scar, relatively short down time, low risk to the facial nerve, good improvement in the jaw/neckline as well as the ability to smooth and tighten the skin of the lower face and neck.
You would almost certainly need some surgery to your eyelids as a facelift will not address this area. Upper blepharoplasty would correct the hooding of the lids. If you have huge bags below the lower lids then you would most likely need a formal lower lid blepharoplasty with some fat repositioning to smooth out the area between your lid and cheek. It's unlikely that a 'pinch' lower lid blepharoplasty will have the desired effect on the bags.
The sun damage in the form of pigmentation that you likely have, would best be addressed with laser.

Thank you for your question. Without a photo or physical examination it is difficult to say exactly what procedures I would recommend. However, based on your description, I think that an endoscopic browlift and upper and lower blepharoplasty could be indicated to help rejuvenate your eyes. I would also recommend a consult with an aesthetician to address general skin care and prevention of further sun damage. A consultation with a board certified plastic surgeon is the best place to start.
Best to you!
Dr. Zenn