75 year old healthy woman who wants to look younger. Would I be better off with a lower facelift or fillers? (Photo)

I would like to add volume to my cheeks and fill in my nasolabial olds and lines on my chin and mouth. Would I be better off with a lower face lift and possible fat transfer or fillers like sculpture, radiuses or juvederm?

Doctor Answers 16

75 year old healthy woman who wants to look younger. Would I be better off with a lower facelift or fillers?

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In general, the best recommendations come during an in-office examination and discussion of your aesthetic goals.

Typically the aesthetic goals would come from a combination of surgery, volume augnmabntion with fillers ot fat augmentation and laser resurfacing.

The attached link provides more infomation.

I hope this helps.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 74 reviews

Face or Fill

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Hi Mima 10

Thanks for posting and your photo. Think you would benefit greatly from a facelift. However you could try PRP with fillers to start and see how you go.

Our Concept Facelift is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period. This innovative procedure combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. This is a combination of a SMAS lift and skin tightening that allows the procedure to have it's longevity without the trauma and invasiveness of a traditional facelift.

There is minimal bruising and swelling, especially when compared to traditional facelifts
As the procedure is performed under local anaesthetic, you can go straight home following the procedure
Full recovery in a matter of days rather than months
Significantly less risk than Facelifts performed under general anaesthetic
Fresh, youthful and long lasting results

PRP is an autologous procedure that involves using the patients own blood to extract plasma and growth factor which is then injected in to the target areas. The PRP stimulates and accelerates skin regeneration and collagen production by the injections of growth factors. PRP injections can also be used in conjunction with dermal fillers if additional volume is required. PRP is selectively and carefully delivered in to specific areas with a series of injections. Before the treatment you should be assessed by an experienced medical professional to see if PRP injections are the right treatment for you. Your specialist will then be able to talk you through he procedure and inform you of what the treatment can achieve.

Good Luck

What Age is Best for a Facelift

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A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift, individualized for each patient, that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Surgical or Non-Surgical Options for 75 Year Old to Look Younger

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Although a personal consultation would allow me to closely examine your face and be more specific concerning what is best for you to look younger, based on your photos, I would offer the following information.  Various fillers can plump up the nasolabial folds and scattered lines, softening them and making them less distinct.  Volumizer fillers can add bulk to you cheek bone areas and temples.  However none of these are permanent.  Fat grafting can add fullness to your cheeks but is a surgical procedure and more involved that just injecting fillers.  Although some of the fat may dissolve, whatever survives the grafting will last for many years.  So if you just want to add volume or soften some lines, then the injectables or fat grafting may suffice.  However, if you are bothered by your loose skin on the cheeks or neck, the bulges (jowls) near the sides of your chin, or even the loose saggy muscle bands I see on your neck, then there is no substitute for a lower facelift to create a smoother, firmer neck and lower cheek.  At surgery, you could always have fat grafted into the cheeks to add some fullness there if desired.  You really should have a thorough discussion with an experienced plastic surgeon to better understand which treatments will give you the improvement you are looking for.

Richard G. Schwartz, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 reviews


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Thanks for sharing.  Easily a lower facelift and possible fat transfer will get you the best results.  It does cost more with more recovery time but fillers alone will not get you the results that you desire.  Speak in person with several board certified plastic / facial plastic surgeon.

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 101 reviews

Facelift and Fillers

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You are a very attractive lady who could benefit from a combination of facelift surgery, fillers, and fat grafts.  You are the kind of patient we like to see.  As long as you are a healthy lady, you should do well with this.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 61 reviews

Facial Aging and Lasers like Fraxel/Clear + Brilliant, RF like VIVA, Peels, Fillers, Skin Care, Face Lift, Fat Injections

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you really ned a combination approach
1) face/neck lifting
2) resurfacing laser for improvement in wrinkles and sun spots/photodamage
3) fillers or fat injections to give volume and contour to the face

After which I would maintain yearly with skin tightening and microneedling/PRP/sculptra.  Please see an expert in facial sculping.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Fillers vs. face lift

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In the process of facial aging, loss of fat tissue from the cheeks, lips and around eyes, creates typical stigmata of aging. This is universal process that affects every face after mid-thirties. Loss of volume in the face results in deflation of the face (like deflation of balloon or breasts) and impression of drooping. Signs of aging  are mostly seen as tired eyes, flat cheeks, jowls and, in particular, heavy neck bands.

All of these signs are present in your face. In order to restore youthful anatomy you will need both lifting and filling. Surgery should include face and neck lift, upper and lower eyelid surgery and placement of fat grafts in multiple areas of your face to compensate for volume loss. You could do all of these procedures in one surgery or you may select to do it in several stages.

Botox and fillers will also achieve significant improvement  but not close to face lift. In the long run, considering cost of fillers, face/neck/eyelid surgery with fat grafts is much more economical, predictable and long lasting procedure. For a healthy person of your age it is relatively easy and very safe surgery.

You should consult a board certified plastic surgeon in South Florida with significant experience in facial rejuvenation to discuss your options in details. Good luck.

Zoran Potparic, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 22 reviews

The answer is facelift

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The best outcomes for you will be realized with a face and neck lift along with fat grafting.  For complete rejuvenation you would also need your eyes and brow addressed.  You appear to have good bone structure and should expect to have a very nice result with these procedures.  Relying on fillers alone for rejuvenation will likely result in a puffy or blown up appearance which is odd and unnatural.  Best regards.

Sean R. Weiss, MD, FACS
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Facelift candidate

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 A lower face and neck lift can address tightening loose facial and neck skin, tightening loose facial and neck muscles including the 2 bands in the neck, lifting the jowls, and removing any fatty deposits in the neck. For more information and many examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.