I am 36 years old. Do I need a facelift? (Photo)
Doctor Answers 15
an endoscopic mid face lift would be an ideal procedure at this time. It will have no telltale signs and look natural.
At your age, you are probably too young for facelift surgeon. Try and find an experienced surgeon in your area who can assess the benefits of a non-surgical facelift with fillers (injectables). While they are not a direct replacement for surgery, when done effectively, they can provide a lifted appearance which may help significantly.
36 years old facelift?
Everyone ages at a different rate. Some patients at 36 have more aging than those much older. It depends on numerous factors including: heredity, history of smoking, lifestyle, sun exposure, excessive exercising, underlying medical health, and significant weight loss. There are numerous options to address early aging: fillers which are temporary, micro-fat grafts which are long lasting but don't significantly elevate drooping , limited facelifts plus filling of the depressed areas produce the most aesthetically harmonious and longest lasting result. Each has benefits and drawbacks.
It really depends more on the extent of aging than chronological age, although 36 is certainly young for a facelift.
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
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Facelift at age 36
Do I need a facelift?
Face lift at age 36?
I am 36 years old. Do I need a facelift?
36 year old Facelift
Thanks for sharing your photo. You have described yourself well and may consider surgical, non-surgical and minimally invasive options. It is not your age that is so important in which option is best for you, it is the combination of many factor including your heredity, weight loss / gain cycles, environmental exposure. Each, of course, has their advantages and disadvantages and so it is best for you to consult with a Board Certified, well experienced Plastic Surgeon or ENT Facial Surgeon to discuss what is best for you.
Various options for facelifting, minimally and non-invasive facial enhancements and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. Both surgical and minimally invasive / non-surgical options are listed below.
Surgical lifts would be likened to pulling the bedspread and or top-sheet of your bed up to the head-board and removing the excess material.
Minimally invasive procedures such as fillers provide volume such as adjusting a pillow under the bedspread. Botox and Dysport act by pulling the top-sheet which drags the bedspread upwardly. If the bedspread (or skin) continues to fall to the foot of the bed despite fillers, Botox or Dysport you will need to consider a facelift.
Non-invasive options such as laser and light therapies, skin tightening products and technologies perform their tightening and smoothening of the skin similar to sending your bedspread to the dry cleaners. A more refreshed, even colored, glowing smoother and tighter spread covers the surface of the bed.
The most popular of the fillers, Restylane and Perlane, a jelly-like clear skin filler is used to fill lines, wrinkles and folds. Juvederm and its longer lasting "cousin" Juvederm Ultra Plus are similar skin fillers, used to soften and fill the nasolabial ("parentheses") and marionette folds, the brow ("number 11") lines and fill and lift the cheeks and lateral brow or chin.Voluma is the longest lasting, up to 2 year duration HA filler. Each one is used to expand or volumize the loss of tissue associated with expression, weathering or aging. All the fillers come with numbing anesthetic!.
Non-surgical facial contouring is possible with fillers such as Radiesse, a bone mineral for the nose or cheeks, jaw and chin as well.
Scuptra is the latest of the injectibles stimulation collagen at different levels of the skin adding volume but primarily firming and adding resistance to the formation of wrinkles, folds and descent.
Botox andDysport too have been found to rebalance excessive facial expression, provide a non-surgical brow lift and lip lift and reshape the nose, as well as reducing wrinkles!
Dr. Obagi's new, second generation ZO Skin Health programs may be added to personalized chemical peels, light and laser resurfacing and tightening and will, smoothen and even the color of your skin.
IPL and fractionated lasers such as CO2 and erbium and now RF (radiofrequency) are additions to smooth the texture of the skin, tighten and reduce red and brown uneven pigmentation.
If you can pinch more than an inch of skin along the jawline in front of your earlobe, you should consider a surgical option to redrape and remove extra skin. You may consider: a traditional face and neck lift, short scar face and / or neck lift.
Other areas of skin laxity or fatty excess such as the eyebrows and eyelids should also be discussed with your surgeon in consultation for your best and longest lasting options.
I hope this was helpful. All the best!
Face lift at 36
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.