Do I need a facelift, neck lift and brow lift?

If your brow is not droopy then you don't need a browlift at the same time. Ideally you should see a few different facial specialists for consultation and then you can get a good idea of what is best for you.

A deep-plane facelift is best. If your brow position is fine there is no need for a brow lift. A facelift does not mean that you have to also have a brow lift to avoid bunching or an unnatural look. (Even if you had bunching, it would be very temporary).

This is a question I get with my own patients all the time. In my opinion a brow lift is very complimentary with a facelift and I routinely do them at the same time. I agree with what your surgeon is saying. When doing an extended deep plane facelift you can lift the tissue in a more vertical direction around the midface and cheeks. This provides a better result in my opinion, but can cause some bunching in the lateral brow area if a brow lift is not done at the same time. Hope that helps.Best,Matthew Tamplen MD

Hard to know without photos. In general the facelift will tighten the upper and lower face and neck. The brows are usually treated separately and most patients avoid this and do botox instead.

Based on the details you’ve shared, it sounds like your surgeon is being thorough in addressing the potential impact of a facelift on other areas of your face, specifically the lower eyelids and brow.
For the lower eyelid skin pinch your surgeon likely wants to ensure that the facelift doesn't inadvertently create excess skin in the lower eyelid area, which sometimes happens when lifting adjacent facial areas. A lower eyelid skin pinch can address any mild redundancy, which should be a straightforward addition if needed.
For the brow lift- the need for a brow lift may seem surprising, especially if your brows don’t currently sag. However, your surgeon’s point about "bunching" refers to how a facelift can sometimes create tension that inadvertently shifts tissue upwards, affecting the brow position. A brow lift, in this context, wouldn’t aim to raise your brows dramatically but rather to maintain a harmonious, natural look with the lifted mid and lower face.
Ultimately, the brow lift isn’t always a necessity but is sometimes recommended for optimal balance with a facelift. The key is to maintain a natural look, and each surgeon may have different approaches to achieving that harmony across your facial features.

it is hard to give you an answer without a picture. It is true that if the skin is pulled in the vertical direction it could cause bunching in he temples and a brow lift with a good temporal lift could help that. This is a typical complication when the deep layer and the skin are pulled in the same direction vertically like in a deep plane facelift. This is why in the patients who would show this tendency, I would lift the deep layers in the vertical vector, but the skin is pulled in a more horizontal vector. This typically avoids the problem of bunching. Skin redistribution is one of the most critical aspects of a good facelift procedure and is often overlooked as many surgeons use the same technique on every patient without considering the individual requirements.

Thank you for your inquiry! Without a photo to view, it is hard to advise. Schedule an in-person consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Thank you for your questions. Without an in-person exam, or at least some photos, it is going to be very difficult to give any advice on what treatments would be best for you. But I am happy to make some general comments. Patients in their 40s are not "too young" for a facelift. We are seeing younger and younger patients turning to surgery sooner and I think this is probably a good thing. Why not make the investment early in life, get the result you want, and then spend the next 10-15 years enjoying it. The alternative is to spend the next 5-10 years spending money on other treatments that might be cheaper but are temporary and do not really give you the results you want. And then 5-10 years later, end up spending the big money on the thing you should have done in the first place. That being said, most patients in their 40s do no "need" a brow lift but there are always exceptions to any rule, so it is hard to say. I specialize in the deep-plane facelift and necklift technique and I find it to be the most natural but impactful way to restore youthfulness to the face and neck. But other surgeons have other opinions, so I would advise having a few consultations before you move forward. At our practice, we are happy to evaluate photos and give patients some ideas as to what procedures they might be a good candidate for, so that might be an option for you as well.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Hello, hope you are well. Generally speaking, there is nothing about the recommendations that you received that seems illogical or unnecessary. A deep plane facelift addresses the mid- and lower face, but not the upper third (brow). It's ideal to treat skin laxity uniformly with these procedures, which is why brow lifts are often part of the surgical plan. Some people with naturally high or arched brow positions do not necessarily benefit much from it though, so it's an individualized recommendation.

I do lateral brow lifts as an office procedure. It's always best to trust your surgeon, but practically speaking, if you are truly uncertain then ask if they would be comfortable starting with the face- and neck lift. If you do have "bunching & and unnatural look", then a brow lift could be done as a secondary procedure.

Best,
Dr. Tower

How do you think we can answer your question without, at the very least, photographs? Please repost with appropriate photos, or better yet, go see a few qualified plastic surgeons in your area.