What is the best procedure to lift face and get rid of wrinkles and 11s? (photos)

Hello and thank you for your question. From what I can tell based on the pictures you have provided, going top down, you have some prominent horizontal wrinkles in your forehead. You do not appear to have brow ptosis. You also have the vertical glabellar rhytides (number 11's) that you mentioned. Regarding your eyes- there is some possible upper eyelid skin redundancy on both sides. I cannot really discern the details of your lower eyelids so cannot comment. Based on this, I would recommend a browlift, botox to your glabella, and possibly an upper eyelid blepharoplasty.
Moving to your mid/lower face and neck- there is some minimal/moderate jowling, prominent nasolabial folds, downturned mouth corners. This occurs with age as the soft tissues of the face start to descend and as we lose volume from fat atrophy and bone loss, resulting in the characteristic changes of facial aging. You also have some minimal excess neck skin. I cannot tell if there is any platysmal banding in your neck. I would recommend a facelift/necklift, as this would be the best way to address the soft tissue descent and jowls to improve jaw definition and restore a more youthful appearing face and neck. It would also help remove some of the excess lower face and neck skin. At the same time, facial fat grafting can also be done to address volume loss and help further improve facial balance and harmony. I would particularly focus on grafting to the cheeks to restore volume there.
With all that said, it is difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the two photos you have provided, both with only a frontal view. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Hello,
Thank you for your question. Based on your photos, treatment of forehead and "11s" are best treated with botox or Daxxify. To lift the face, a facelift is a great option. This can be done wide awake using local anesthesia and oral medications to help you relax. Patients do incredibly well with this and it avoids the side effects of general anesthesia.
Mark G. Albert, M.D., F.A.C.S.New York, NY

In my opinion for younger patients such as yourself botox can help with the forehead wrinkles , at a point later in life when these wrinkles are deepen and you have eyebrows drop a browlift can help with both .

Regarding the face and marionette lines , I would suggest a lower deep plane facelift , and depending on the status of your neck (if there are bands or skin laxity /fat) I also might consider deep neck lift since the lower face (jowls ) and neck are continuous I offer my patients to correct them both at the same times( same incisions and recovery/down time).

For some great information about these procedures you can visit my profile here or our social media platforms
Instgram: @realdoctoral

Thank you for your question and photos. The forehead wrinkles and 11 lines you’re referring to may be best treated with Botox or another neuromodulator. These injectable treatments relax muscle activity to reduce the appearance of lines and wrinkles caused by muscle movements. Dermal fillers are another injectable treatment that can minimize the appearance of marionette lines. You may also benefit from a mini facelift to treat subtle signs of aging, such as jowl formation and mild skin laxity. This procedure can rejuvenate the appearance of your face by tightening muscles and smoothing your skin for a youthful, natural-looking result.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to assess your concerns and determine the best treatment plan to help you achieve your aesthetic goals.

Hi there, thanks for the question, there are a couple parts to it:

Re: 11 lines and forehead wrinkles- these are best treated with botox/dysport

Re: cheeks and lower face/ marionette lines: these are best treated with a lower facelift +/- fat grafting