Face/ necklift, any concerns for underweight patients? (Photo)

Question

Hi doctors. Im 65 yo, 98 lbs, in the process of choosing a surgeon for neck/face lift. One dr declined me due to my weight with no other explanation , while two other doctors didn’t mantion any concern . I have Hashimotos and thyroid is stable. Haven’t found research on this . Your thoughts ? Thanks

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment, we need quality information.
Ideally, that should include a full set of facial pictures, including profile pictures.
From the picture you didn’t include it appears you have significant loss of skin, elasticity, and facial volume depletion.
I’m guessing some of the aged appearance is due to sun damage. Some of it is age and the low amount of subcutaneous fat is also contributing.
 A facelift combined with volume restoration would give the best results.
Volume restoration can be done with fillers, but it will require a substantial amount of product and this needs to be maintained.
Fat transfer is also an option that my experience has been that facial fat transfer can be inconsistent and doesn’t have the best overall patient satisfaction long-term.
there is also a form of neck lift often called a cervical plasty where the skin is removed under the chin.
The procedure is more commonly used on men, especially those with facial hair because it can camouflage to potentially visible scar.
You have fair skin with some wrinkles.
This may be an option because scars will blend and fade out nicely and not be very visible long-term.
Have a complete set of facial pictures.
I think mug shots.
Bring those pictures with you to use as a reference during every consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics.
 While each face is unique, they should be able to find some representative pictures so you can get a better understanding of what your results are likely to look like.
After surgery, you may want to also consider a chemical peel or laser resurfacing treatment.
These procedures do have some drawbacks and asked with everything else Who you choose as a provider or how the procedure is performed has a major impact on what the results are going to look like.
In the end provider selection is the most important variable to focus on finding the best surgeon for your needs.
Best,
Mats Hagstrom MD

Face/ necklift, any concerns for underweight patients? (Photo)

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Face/ necklift, any concerns for underweight patients? (Photo)

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Our mission is to create a world where every investment in modern beauty is Worth It.