What would you recommend for a natural looking enhancement? Realistically how long is downtime? (Photos)

Good morning fellow Marylander,
Your list of questions hits what's on 99% of patient's minds when they are considering this surgery. The top concerns I hear are #1: I want to still look like myself, just refreshed #2 How quickly can I get back to my normal life.
I would advise you to find a surgeon who's results appear consistently natural. I would recommend finding someone you can trust to guide you on the best option for your primary areas of concern. Find someone that really listens to your concerns and not just suggest a menu of surgical procedures to add on. If your neck and jawline are your primary concerns, go for the deep plane lift. If you are bothered by your lower lids, maybe fat grafting will help soften the lid-cheek transition. Allow your primary goals to guide the decision making. Computerized morphing can also be helpful to see what your result should look like.
As far as recovery, when I am operating on out of town patients, I prefer them to stay within an hour of my office for 7-10 days. That way, if there are any concerns about the healing process, I can see my patients more frequently to ensure the very best result. At two weeks, most patients would feel comfortable going to their neighborhood coffee shop with their hair down. At three weeks, most patients can go to their favorite restaurant feeling great about how they look.
After sutures are removed (1 week), I give my patients the green light to start longer walks. At two weeks, most people can return to moderate exercise. At three weeks, there aren't any restrictions on physical activity. In the early stages of healing, I ask my patients to listen to their bodies - if they do a hard workout and notice the next day their swelling is slightly worse, maybe take it easy for the next couple of days.
In my opinion, going Botox free is only of concern if you are doing your brows. I would not advise doing filler in the lateral face/jawline for 3-6 months before surgery.
I hope that helps! As always, an in-person consultation will help you find the best surgeon for you.
I wish you all the best,Dr. SitaparaChevy Chase Facial Plastic Surgery

I would recommend seeing a plastic surgeon with 6 years of plastic surgery residency training and a year of aesthetic fellowship training to ensure that you find an individual with adequate training in this very important area of the body. Any well-trained plastic surgeon in this area would be able to answer all of your questions extremely well. I would recommend a facelift, necklift, facial fat grafting and chemical peel. This tends to require 1 week of downtime. I would recommend seeing a surgeon that you like and are willing to start this journey with.

Dear rexyboy,

As per your pictures, you need to choose an expert to who does not deal with artificial and unnatural appearance postsurgery. In my practice we utilize vertical facelift in order to give that naturally young appearance without the pulled apearance. Additionally, I recommend you to have full face lift procedure starting from necklift and then onto midfacelift and then the upper part of the face to help to reduce the saggyness in a stepped way which targets the whole face. Consequently, fat injections into the deep wrinkles to fill in lack of volume and treat smile lines cases.
In addition, for my patient they are presentable post surgery after 2 weeks and they can actively exercise 2 months later. You can be approx 6 months filler and botox free before the surgery.

Best Regards,
TAS TEAM