Best time to invest in a facelift? (Photo)

Question

I have seriously been considering a lower facelift bc the square face shape, lack of jaw tightness & saggy/crepey skin around my mouth is really starting to bother me. I'm just wondering, if I do get it done, would all these issues start forming once again immediately since my collagen production, etc are still declining with age, or does the surgical intervention actually make things much more "secure" for lack of a better word, so that it can put these things off for years?

Timothy Ortlip, MD · Answer

What a wonderful question and more of a hot topic now a days. You may start seeing the trend of younger people looking towards more surgical options. As we age we start losing volume in the face. This happens at multiple levels including the bony platform that provides structure for fat muscle and skin to drape. Fat pads start to atrophy, the skin can thin out and the muscle becomes more noticeable leaving static and dynamic wrinkles in the skin. People age differently due to genetics, social factors as well sun exposure. Filler augmentation is a great option to help provide the volume necessary to give a youthful appearance. It can also help build underlying infrastructure to help re-drape the soft tissue. Once the skin laxity and descent becomes more severe you are really looking at lifting procedures (facelift, necklift etc). You should be very careful about "over filling" the face, especially in the lower face. In general, Filler is "camouflaging" the underlying issues, and not necessarily addressing the problem. Many practitioners rely on filler too much to inflate the face to the point where it "lifts" the skin. If not done carefully this can lead to a heavy, un-natural appearance. Because of this, a newer/educated/younger cohort of patients are seeking surgical options earlier. They heal alot faster because they are younger and they can enjoy their surgical results for a longer period of time. You will always look younger than if you did not get the procedure, but aging will still continue after the procedure. You can expect results to last 10-15 years. Skin maintenance with neuromodulators, select fillers and skin tightening procedures may be required to make your surgical results last longer, but microneedling and radiofrequency will not fix jowls or neck bands. They offer a good skin plump, some mild to moderate tightening and collagen formation. From a cost analysis, many years of filler, botox and microneedling procedures will often add up and exceed the cost of surgery. Hope this helps!

Randal Haworth, MD, FACS · Answer

Plastic surgery reverses time but time still marches on even though it’s quoted that facelift last between 7 and 13 years in reality, they last a lot longer with modern technics.

I hope this helps, good luck !

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Ronald J. Edelson, MD · Answer

I don’t see the benefit of a facelift in your case. Probably not worthwhile until after 50 but you’ll have no problem finding a surgeon who will gladly do it

Zoran Potparic, MD · Answer

Based on this single photo, you do not seem a good candidate for face lift right now. Other , mostly non surgical options should be considered at this time. In person consultation with a board certified plastic surgeon with reputation in facial rejuvenation, is recommended. Good lack.

Darryl J. Blinski, MD · Answer

with only 1 posted photo my response is very generalized. Best to start with skin care regime and non invasive options; ie laser peels, micro derm, HA filler, Botox injections. If still not satisfied then consider mini face/neck lift with SMAS plication and fat grafting. Best to virtual consult with....

Richard P. Rand, MD, FACS (retired) · Answer

Nothing is permanent and all surgery is a balance of risk and cost vs benefit. In a facelift, the risk is basically the same no matter how much you need or don't need the surgery. So, the benefit better be worth the risk. The photo you sent shows someone who is years away from needing a facelift as the benefit from the surgery would be so very small. I would advise you to continue with excellent medical grade skin care, ABSOLUTE sun protection, fillers and Botox. Try to be less critical of yourself as well because you look excellent as you are.

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