Can I Have a Facelift if I Am Fat?

I am a 50 year old female who is 5'7" 215 pounds. I have been about this weight for 20 years. I walk an hour a day, mostly vegan so my cholesterol is never over 170. I am healthy but was diagnosed with Hashimoto's thyroiditis around 15 years ago. I currently take 120 of Armour thyroid and have no problems or symptoms. My face looks good except for mild sagging of the lower jaw area..but my neck is going to hell in handbasket. I would like to get a face and necklift. Am I to fat?

Doctor Answers 27

Am I too heavy for a facelift?

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Your BMI based your height and weight is somewhere in the low 30's. For most patients with BMI in the 30's, the surgical result may not be drastic enough. The surgery (i.e., lower face and neck lift with possible neck liposuction) will definitely improve your overall facial appearance, but it will be more beneficial if you could lose even 20 pounds. With more weight loss, the biggest difference you will see after surgery will be in your jawline and neck.

Virginia Beach Facial Plastic Surgeon
4.6 out of 5 stars 42 reviews

Can I Have a Facelift if I Am Fat?

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If you are at a stable weight, it is OK to proceed with facial rejuvenation surgery. If you were planning to lose more than 20 pounds, I would advise you to delay surgery until you reach your goal weight. However, a face and necklift will help refine and rejuvenate the neck, jawline and lower face. It's great to hear that you are eating well and exercising. I hope this information is helpful.

Stephen Weber MD, FACS

Facelift Still Worthwhile for Heavier Patients

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Facelift/Necklift is still a good option for the heavier patient.  As long as your health is stable, blood pressure is normal, and you don't have any significant health issues, a face or necklift can create a very nice improvement in the overall contour of your face and neck.  The surgery would probably entail some extra work to remove and sculpt some of your excess fat, but should create a smoother jawline, sharper neck angle, and decreased jowling.  However, the heavier patient needs to have realistic expectations and understand that it is impossible to change a very full face into a thin, angular one. But that said, we can still correct and improve a lot of the aging changes such as sagging, looseness, and jowling that is really what you describe.

Richard G. Schwartz, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 reviews

Facelift in the heavy patient

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so long as you are healthy enough for surgery and your expectations are realistic you may be a very good candidate.

facelifts in heavy patients add an extra dimension - all facelifts require elevating soft tissue on the face. In a heavy person a facelift must also sculpt the soft tissues (fat) to improve facial form. The location where this is most important is in the neck, just below the jaw bone. In order to make a nice distinction between the neck and face the fat in that area needs to be selectively removd under direct vision ( in my opinion,ie I don't think that liposuction is precise enough in this area for most patients especially heavy ones.  Liposuction may be easier but in my opinion it is not better. ). I like to see the fat under the skin overlying the platysma neck muscle.  When it is  in clear view it can be sculpted with scissors carefully removing the parts that make the neck look indistinguishable from the face.  That which needed to be left behind is also precisely left behind.

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 63 reviews

About Facelifts and Candidates of the Procedure

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A #facelift is a surgical procedure designed to remove the major folds and wrinkles that form on our faces with age. Gravity, sun damage, smoking, living in a dry climate, and a variety of factors contribute to the aging process of our faces. Facelift techniques vary from patient to patient to give each person a procedure tailored to produce the best possible surgical result. A facelift will smooth out major folds and #wrinkles, #tighten the tissues beneath your skin, remove #sagging and excess skin. A facelift can also reduce excess skin around the #neck and #jawline.
There is not just one facelift procedure, but a whole range of facelift procedures. These different techniques have been developed over the years, involving different incisions and lifting the skin to varying degrees. A facelift may also involve the tightening of certain muscles and tissues, or liposuction of areas such as the jowls or chin.
It is important to understand that facelifts are meant to remove major folds and wrinkles, not fine wrinkles. A facelift which removes every line and fold would be too aggressive and would result in an unnatural result. Fine lines and wrinkles are better addressed by skin treatments such as chemical peels or microdermabrasion, which we also offer at our office.

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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Facelift in 50 year old 5'7" 215 lbs

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   In an otherwise healthy patient, being overweight to an extent is not an absolute contraindication to a face and necklift.  If you have the stigmata of facial aging that are amenable to modern facelifting techniques, you will likely have the improvement you seek.  Find a plastic surgeon with ELITE credentials who has performed hundreds or thousands of facelifts.  Kenneth Hughes, MD Los Angeles, CA

Am I too heavy for a facelift

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I typically advise patients that if they are planning on losing more than 25lbs that they should wait until they get the weight off. Patients who are heavier will generally require more attention to the lipocontouring portion of the procedure in order to produce a more defined jawline. Generally speaking, the closer you are to your ideal weight, the better the results.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon

Facelift patients can be skinny or fat

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Being overweight is not a contraindication for surgery as long as your weight doesn't seem to vary much. For example, if you are not planning on losing or gaining more than 15---20 pounds than you may be a good candidate for this surgery.

CanI have a facelift if I am fat

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Most definitely your neck and jawline can be improved. ..Those seem to be the things that trouble you and they are able to be improved.See my video

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Can I Have a Facelift if I Am Fat?

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 Technically, yes people who are overweight can and do have Facelifts.  Should you have a Facelift is an aesthetic question that honestly can't be answered without seeing pictures of your face and neck (front and side).  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

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.