53 & re-entering the workforce, would mini-facelift or fillers help lines, neck, & general facial drooping?

Thank you for submitting your photos. Your photo from a few years back that you shared shows that you have lost facial volume and skin tone so I recommend both be addressed.

1. Surgical options: You can restore lost volume and lift loose skin thru a deep plane face lift. A vertical deep plane facelift repositions all the fallen structures. A mini facelift will not accomplish your goals. The only issue is that a deep plane facelift will exceed your budget.

2. Non surgical options: If you have to choose between a deep plane facelift and fillers, as I do not think that a mini facelift would look natural I would recommend restoring lost volume with a biostimulant like Sculptra or hyperdillute Radiesse. Skin tightening with fractionated RF or Ultherapy. This will give you natural results and reverse the clock about 5 years. You can always elect to have surgery down the road.

Good luck

A mini facelift primarily helps the jawline, so if that is your main concern, you will see a nice result. If your neck bothers you, a more advanced procedure would be needed. At the same time as the mini facelift, you could have fat transfer done to fill hollows in your cheeks and folds. Be sure to see a facial specialist for consultation.

In person exam is essential. Based on posted photos- it appears that you would benefit from facelift/ neck lift with muscle tightening. Fillers alone will not tighten your skin. I suggest that you seek an experienced Board Certified PS

You would benefit from a facelift which will include the neck, will improve the jawline and nasolabial folds. You may also benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. A facelift can cost between $7,000-$10,000 and a lip lift costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

Dear Kittypower70,
Congratulations on re-entering the workforce. Your pictures show me regular aging changes for a 53- year-old. I don't know if you will find a mini face/neck lift in your budget, which would be your best and longest-lasting result, although fillers or fat transfer go hand-in-hand with that surgery.
Fillers alone will give you some nice changes, but they are temporary and will eat away at your budget.
You might be wise to raise your budget and get the surgery out of the way while you have many years to enjoy it. Please be cautious about the surgeon you choose; look at before and after photos, and talk to references. Best wishes to you!!