42 years old. Is it time for a facelift?

Hello,The short answer is 'yes,' it is time for a face lift.  Years ago, facelifts were reserve for patients in their later years (50s and up) but today, many patients are requesting procedures to rejuvenate their faces at a younger age, all with the goal of maintaining (rather than restoring) a youthful appearance.  I recommend a "maintenance" face lift for you to address your concerns of jowls and to soften your "lid-cheek junction" which will improve the appearance of dark circles. I would also recommend facial fat grafting to restore volume and contour through your mid-face. My approach would be less aggressive (albeit very meticulous as always) because you have focal areas of laxity and descent.  I also collaborate with my wife, Board certified dermatologist Dr. Noëlle Sherber, to perform laser resurfacing and advise on results-oriented skincare regimen, since surgery is good at lifting but poor at improving skin surface texture, tone and radiance.  Combining the best of plastic surgery and dermatology helps our patients achieve superior results for the long term. All my best,Dr. Rad

From your photos it appears that you have looseness over your lower cheeks, jowls and neck area. You are a very good candidate for a S-Lift procedure that specifically addresses these areas. This procedure has a quick recovery, gives a natural look and can be performed without general anesthesia.  It can be very effective in treating your areas of concern.

No longer is 42 considered too young for a facelift. It's common to have the first lift at your age or even younger. Once the face begins to sag and you notice sagging cheeks, the beginnings of jowls and loose or sagging neck skin, you will benefit from a facelift (rhytidectomy). I would also suggest resurfacing your skin with laser therapy to stimulate the production of collagen. This will give your lift a real “wow” effect. Regular laser treatments, plus a medical grade skin-care regimen and sun protection could help your facelift last 10 years or more. A facelift, lasers and skin care will give you a more satisfactory and long-lasting result than continually re-administering dermal fillers. I hope this helps.