32 years old. I want to know why not to do a mini face lift? (photos)

I can see your concerns on your pictures; however the changes needed are minor.  A faceliftcan be considered; however, I would think that its a lot of surgery for a very minor change.I would still recommend non surgical methods over surgery at this point.

A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are patients 35-60 years old with early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.Lite Lift™ surgery is individualized for each patient. The best candidates for Lite Lift™ surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined and do not smoke.

Good Morning Nehal_dhowayanThanks for your post and adding your pictures. It is always helpful when we have these to look at.You are quite young, however everyone has ideals of what they would like to look like and sometimes this is not achievable with diet and exercise. (well done by the way, for loosing weight, that is a great thing to achieve). Our procedure is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period. This innovative procedure combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days.This is a combination of a SMAS lift and skin tightening that allows the procedure to have it's longevity without the trauma and invasiveness of a traditional facelift. So if you want to go ahead with surgery then just make sure you find a qualified and experience surgeon, with whom you feel comfortable.

Even a mini facelift is still a facelift.  At 32 I believe it would be premature to consider surgery when non invasive alternatives are so effective for your age demographic.  On excellent option in my opinion would be Bellafill which is a very smooth collagen based filler with an FDA indication for 5 years.  One kit of Bellafill injected into key areas such as temples, lower lid/cheek junction, nasolabial folds, and marionette lines would lift and fill your face in a very natural way with long lasting results.

Numerical age is not the major factor in determining whether non-surgical vs. surgical facial rejuvenation should be performed. Your facial anatomy and physical signs of aging are really at the forefront of that recommendation. It is always best to see you in person for the best determination. One way to battle aging is with fillers. Structural type fillers actually last 12-24 months. You are referencing the timeline of Botox in your question (3-4 months).  Sculptra is actually a collagen stimulating particle and its effects last 5 years.  Nevertheless,the problem with fillers is that the cost over time may be more pricey than surgery, which has a longer lasting effect. The plus side of fillers is that they are minimally invasive and require little down time.Another way to battle aging is with surgery. Surgery would have longer lasting results, and, in the right hands, scars are well camouflaged and minimal. On the other hand, surgery requires more healing time and more upfront money. Certainly, surgery could address the jowling that has started, but I think that fillers could get you to a great place without making you look too plumped or puffy like you are concerned about.In the end, I would suggest consulting with a facial plastic surgeon or plastic surgeon for an evaluation in person. A doctor that only does fillers would bias you in that direction. The decision on which route you will combat aging is up to you, so you should weigh the pros and cons of each option. I wish you well!Dr. Velargo

Facelift and/ or mini facelift s are not recommended in patients before 50 years old because the facelift scars are usually very visible.Either a full or a mini facelift requires an scar in from of the ear to address the excess of skin and tighten the deep tissues of the face. Patients in the 50s and beyond, usually have a thin skin that allows the skin to heal very inconspicuous. In the other hand, patients in the 30s have very think scar that usually leaves a very visible scar. Very visible facelift scars in the 30s could cause significant anxiety and distress due to "facelift stigmata"In my practice, patients in the 30s could address the hanging of the lower face tissues  and tired and aged appearance by performing a "liquid face lift". A "liquid facelift" is basically restoring the mid face facial volume with soft tissue fillers like voluma and juvederm, that ultimately "lifts" the face, thus giving a facelift-like effect. This allows to temporize the need of a facelift until the 50s.Young patients interested in facial rejuvenation with  plastic surgery procedures should make a consultation with a Board Certified Plastic Surgeon specialized in plastic surgery procedures of the face.John Mesa MD
Board Certified Plastic Surgeon
New York City (#NYC) & New Jersey (#NJ)
RealSelf Top 100 Plastic Surgeon

It is difficult to tell from the photos, but you may be a better candidate for an extended chin implant for better facial harmony, than a mini-lift.  Each approach has pros and cons, however I think you might get a more profound change with a chin implant and non-surgical options, without the lift.  Consultation with a  Board Certified plastic surgeon is recommended.

Hello Nehal_dhowayanThat is a great question you posed.  Instead of getting repeated treatments with fillers, why not simply undergo a surgical procedure, in this case, a face lift.  As you described, fillers add volume to areas.  This means they can help camouflage creases that have developed (especially around the mouth) or augment areas where volume was lost, like the cheeks.  What a facelift does is help to resuspend the facial structures that have fallen with age.  It is the gold standard treatment for facial aging.  When it comes to the better option, there is a lot that goes into that decision.  First is recognizing that they each treat different issues.  A facelift can restore volume to the cheeks if that volume had descended into the jowl areas.  It also removes the excess skin to tighten the face.  Fillers are less invasive with no down time compared to surgery, but they can only add volume and not tighten.  Based on your photos, you do have mild jowls with a slight hollowing above them indicating you have had some descent of your volume of your cheeks.  A facelift could be an option for you, but the amount of benefit you will get is minimal.  That is why most will not recognize a facelift at that age.  Furthermore, by having your first facelift at such a young age, it will be highly likely that you will need another lifting procedure in another 15-20 years, so include that in your cost analysis.Another option which you didn't mention is a skin tightening procedure such as Ulthera.  This doesn't add volume and will help to tighten the skin a few millimeters on each side.  This may be exactly what you are looking for.  It is more expensive than a few fillers, but less invasive and more affordable than a facelift.  It is not for patients who are older with a lot of redundant skin as that degree of tightening will not be achieved with Ulthera.  But for younger patients with minimal signs of aging, it may be an excellent option for you.I'd recommend you consult with a facial plastic surgeon or plastic surgeon who does his or her own injections.  This way you can learn about the various treatment options and find out what is right for you at your age with your minimal signs of aging.I hope this helps and good luck.  

The changes which concern you are relatively mild. I would recommend against any surgical lifting procedures at this point in your life. There are only so many facelifting procedures which can be performed over a lifetime without creating an unatural appearance. If you start this process now it is likely you would regret it later in life. You could, however, consider less invasive techniques such as a radiofrequency device, mini submental liposuction, chin implants, injectible fillers, etc. 

 The photographs demonstrate a weak and recessive chin profile for which a chin implant can improve for better facial balance and proportions. At age 32, a facelift is not necessary