Can a lower facelift at age 43 cause volume loss?

Question

I am 43 and considering a lower facelift. I have good facial volume but mild sagging. The improvement I seek will be subtle because I don't have prominent jowls. My concern is that a facelift could disrupt vascularity in the tissues, leading to volume loss that could cause my face to sag again after the FL. Is this something that can happen? I see a lot of people saying their FL results didn't last long and I wonder if this could be why... thanks!

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your concerns about a lower facelift.

At 43, you are at an excellent age to consider a lower facelift if you are seeking to improve facial contours. In general, facelift interventions, particularly the deep plane technique, have a tendency to produce lasting effects. The deep plane facelift, in particular, has shown relatively good longevity across a variety of facial features, making it an effective and reliable option.

Regarding your concern about blood supply and its impact on volume loss or sagging after the procedure, I would like to reassure you that the facelift does not disrupt the blood supply in a way that would compromise the quality of the results. The techniques used in modern facelifts are designed to protect the integrity of the tissues, including their vascular supply.

One factor that could affect the quality of the results is significant weight loss after the procedure. Dramatic weight changes can alter the facial contours and potentially lead to sagging. For this reason, it is ideal to stabilise your weight or achieve any planned weight loss before undergoing a facelift.

For maintaining the results of your facelift over the long term, it is also important to avoid smoking and to protect your skin from sun exposure. Smoking can impact skin elasticity and healing, while sun damage can accelerate the loss of facial tissue elasticity, potentially affecting the longevity of your results.

Jacob Tower, MD · Answer

Hello, hope you are well. You do not need to be concerned about experiencing volume loss as a result of facelift surgery. Unless lipocontouring (liposuction, bipolar RF, etc) is done at the same time, the fat remains intact.

Cheers,
Dr. Tower

Cheers,
Dr. Tower

Gurkan Kayabasoglu, MD · Answer

hello. You have touched on a very good point. Many people have question marks in their minds in this regard.

The vascular structure of the tissues is not gonna damaged with lower facelift or any facelift surgery. What causes earlier sagging can only be the wrong choice of technique in the surgery or the chosen technique is not being suitable for  the patient. If the correct points are not intervened with the correct determination during the surgery, sagging can of course be seen. Choosing the right and experienced surgeon will eliminate this risk.

You can see the long-term results on my instagram page and surely you may always contact with my assistant Dila with this number +90 533 015 95 95 via WhatsApp  to ask all your questions and book consultation appointment with me.

hope this helped

Zoran Potparic, MD · Answer

It is unlikely that patient would have a volume loss in the face after face lift. Volume loss is a part of facial aging and it develops naturally in the years after face lift. It would be very difficult to say whether volume loss many years after surgery is result of natural aging or a face lift. Hope this helps.

William Portuese, MD · Answer

No, a facelift does not cause volume loss. In our practice, the goal of a lower face and neck lift procedure is to accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck with liposuction and surgical extraction of the fat deposits (when present) underneath the platysma muscle. This also includes a platysma-plasty to significantly improve the jawline. A full set of facial photographs from all angles are required to make a determination about being a candidate for the procedure.

Can a lower facelift at age 43 cause volume loss?

Answers (5)

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