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42 - is it time for a facelift? (Photo)

42 years old and was advised to start sculptra and RF microneedling. Would rather not dump money into short lived/minimal results if a facelift/lower bleph would be better. Tired of looking tired.

Answers (26)

From board-certified doctors and trusted medical professionals
Dr. Andrew Miller, MD
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Dr. Andrew Miller, MD
Board Certified Facial Plastic Surgeon
4.9 | 535 Reviews
Answered on May 28, 2026
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Dr. Burhan Demir, MD
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Dr. Burhan Demir, MD
Plastic Surgeon
5.0 | 20 Reviews
Answered on Nov 4, 2026
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Dr. Tevfik Sozen, MD
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Dr. Tevfik Sozen, MD
Facial Plastic Surgeon
4.8 | 44 Reviews
Answered on Oct 12, 2026
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Dr. Gurkan Kayabasoglu, MD
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Dr. Gurkan Kayabasoglu, MD
Facial Plastic Surgeon
4.6 | 117 Reviews
Answered on Oct 5, 2026
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Dr. C. Carson Huynh, MD, DMD, FACS
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Dr. C. Carson Huynh, MD, DMD, FACS
Board Certified Oral & Maxillofacial Surgeon
4.7 | 52 Reviews
Answered on Sep 14, 2026
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Dr. Anil R. Shah, MD
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Dr. Anil R. Shah, MD
Board Certified Facial Plastic Surgeon
4.6 | 375 Reviews
Answered on Jul 20, 2026
Answer
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Dr. Octavio Gonzalez, MD
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Dr. Octavio Gonzalez, MD
Plastic Surgeon
5.0 | 6 Reviews
Answered on Jul 15, 2026
Answer
Dr. Serdar Bora Bayraktaroglu, MD
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Dr. Serdar Bora Bayraktaroglu, MD
Plastic Surgeon
5.0 | 34 Reviews
Answered on Jul 13, 2026
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Dr. Ali Sajjadian, MD, FACS
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Dr. Ali Sajjadian, MD, FACS
Board Certified Facial Plastic Surgeon
4.9 | 296 Reviews
Answered on Jun 18, 2026
Answer
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Dr. Natalia Vidal Laureano, MD, FACS
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Dr. Natalia Vidal Laureano, MD, FACS
Board Certified Plastic Surgeon
4.8 | 113 Reviews
Answered on Jun 18, 2026
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Skin laxity and volume loss in my face post menopause and weight loss - Lower facelift candidate? (Photos)

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I. Nick Vial, MD

I think the biggest mistake here is not pulling the trigger on a full face and neck lift. High SMAS face and deep plane neck lift. Getting less work done now and will lead to more work down the road and you will have a better result with a more aggressive procedure.

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Kadir Berat Oyur, MD

We have reviewed your photo. A face and neck lift may help address the midface sagging and downturned mouth. An in-person consultation is recommended.

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Muhsin Yilmaz, MD, FEBOPRAS

At your age, persistent fullness and loose skin beneath the chin may require more than skin tightening alone. Depending on the underlying anatomy, a deep plane facelift combined with a neck lift may be worth discussing with a surgeon experienced in facial rejuvenation. This approach addresses...

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Burhan Demir, MD

Hello, A facelift can certainly be an appropriate option for you, as it is for many patients with skin laxity. However, looking at your face overall, you have thin skin, and both your jawline and neck contour already have reasonably good definition. Although a face and neck lift may be suitable,...

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28, female, lower face drooping - Should i get a face lift?

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Muhsin Yilmaz, MD, FEBOPRAS

At 28, I would be cautious about simply adding more filler if your main concern is a drooping lower face and deeper nasolabial folds. If you have true early tissue descent, a midface or limited lower-face lift may be more appropriate than adding volume. However, at your age, it is especially...

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Muhsin Yilmaz, MD, FEBOPRAS

Based on what you've described, you may be reaching the stage where it's reasonable to start considering a facelift. Mild jowling and early neck laxity are often among the first signs of facial aging that surgery can address more effectively than non-surgical treatments. The best timing isn't...

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