Age 50, 180lbs - what's wrong with my face & how do I fix it? (Photos)

Question

Im 50, 180 Ibs. I was 155 Ibs 18 months ago but due to a thyroid illness I stopped working out and became house bound and ill. I had a jowl/midlift 10 yrs ago since then botox and a few filler appts. Last one in 2018. I always looked decent now I look like this. One side of jaw is more defined than other and when I am on zoom call I can see my lumpy face. I look like an overdone version of sylvester stallone. What can I do?? A lift? Help me please! Ive had referels and docs say just do filler. Thanks depressed.

Barry M. Weintraub, MD, FACS · Answer

There is nothing wrong with your face:  you are simply experiencing the natural effects of ageing and, frustratingly, it is something we cannot stop. However, we can improve it with plastic surgery. It is very common for some patients to feel like overnight they witness the onset of jowls, marionette lines, vertical lipstick lines, and sagging cheeks and necks. Harsh environmental factors such as sunlight exposure, ill health, diet and exercise also impact how we look, as do our genetics. I would not recommend fillers, which will distort your anatomy as well as stretching your skin. In your case, you might benefit from a secondary face- and neck lift, but an in-person consultation would be needed to confirm this. You would also need to be medically cleared before proceeding with surgery, which would entail your thyroid illness being under control.  I recommend you consult in person with a board certified plastic surgeon who has decades of experience with facelifts and secondary facelifts to determine if you are a good candidate.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. It is not uncommon to have facial asymmetry –we all have it, and we all go through the natural aging process as well. Based on your photos, you do appear to have mild signs of aging and some skin laxity on your lower face. However, the specific cosmetic procedure you will need depends on your aesthetic goals and whether you are willing to consider surgery to achieve them.

For a more conservative and less invasive approach, you may consider dermal filler treatments to  restore volume and enhance your facial features. Laser and energy devices, including RF microneedling (Profound RF), all promote collagen production and help rejuvenate your skin as well. Facial fat transfer can enhance your jawline and provide longer-lasting results compared to facial fillers.

If you prefer more dramatic results, you may undergo another facelift or mini facelift procedure. To know for sure, I highly recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon will assess your skin and facial profile, recommend the best procedure or combination of procedures, and ensure the best possible results.

George Volpe, MD · Answer

When one undergoes consultation by a plastic surgeon, one's concerns should be clearly articulated to the physician and the physician will perform inappropriate exam in addition to asking numerous questions to determine if you are a candidate for a procedure. The photos provided are insufficient to fully address the question. At a consultation, it would also be wise to bring records from one's previous procedure including the operative note. This will also help a plastic surgeon at consultation determine what has been done and what can be done. We do age. Our 50s and 60s are times of more rapid changes as we go through the aging process. If one has a procedure at any age, the moment the surgeon stopped operating, the aging affect continues. It is not uncommon to undergo secondary lifting especially if one had a lifting procedure at an earlier age.

Pedy Ganchi, MD · Answer

Hello,

I hope you're feeling better now!
It is quite normal to have asymmetry of the face and to notice one side as more tight and defined.
You appear to have some mild aging and laxity of the face and neck along with loss of mid face volume. There may also be edema or swelling under the eyes (difficult to see in images) that may be a result of your thyroid condition. This is very difficult to treat if present.
The best option for facial rejuvenation will depend on your goals.  For modest, less invasive improvement, fillers or fat grafting to the mid face will help restore lost volume and create a lifted appearance. If you desire additional correction of the neck laxity and early jowls a secondary facelift with fat grafting is advised. Additionally a steady weight will help avoid fluctuations after such procedures.
It's best to visit an experienced, Board Certified Plastic Surgeon for a thorough assessment and determination of your goals in order to offer you the best options.

Warm regards,
Dr Pedy Ganchi
Village Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @blah in dc thank you for your question and showing your picture. Without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Age 50, 180lbs - what's wrong with my face & how do I fix it? (Photos)

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Answer: Age 50, 180 lbs - what's wrong with my face & how do I fix it? (Photos)

Answer: Age 50, 180 lbs - what's wrong with my face & how do I fix it? (Photos)

Answer: What's wrong with my face & how do I fix it?

Answer: What's wrong with my face & how do I fix it?

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Age 50, 180lbs - what's wrong with my face & how do I fix it? (Photos)

Answers (7)

Answer: Age 50, 180 lbs - what's wrong with my face & how do I fix it? (Photos)

Answer: Age 50, 180 lbs - what's wrong with my face & how do I fix it? (Photos)

Answer: What's wrong with my face & how do I fix it?

Answer: What's wrong with my face & how do I fix it?

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Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.