Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

Hello.. I am 34 years old, 5"2 147lbs..I am about 20 lbs overweight, however looking at my face and all the fat concentrated on my neck looks like I am more like 50 lbs overweight...I already had a chin lipo 2 years ago. Should I get a facelift? Am I too young? my family says I am paranoid..but I see other people with beautiful jawlines specially TV anchors..My eyes are also droopy...What happened to me? How can I look younger? My skin has large pores also..

Doctor Answers 16

Getting a tighter jalwline

Based on your photos it appears that you are a good candidate for a chin implant, a mini neck lift, and upper eyelid lift.  You may be able to wait on the face lift

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 209 reviews

Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

You are quite young to be considering facial cosmetic surgery. Try weight loss, skin care therapies, fillers first. Surgery is invasive and can result in scars. Be careful out there. 

Lifestyle adjustments or facial cosmetic surgery to look younger

You've described a lot of elements of what a youthful face is, and many people on television illustrate that: bright beautiful eyes and a sharp jawline makes one look young or even energetic. When you are younger and overweight, not just on the body but also in the face - due to genetics and the way the fat is distributed- can make you look older. You have choices for procedure. However, if you are 20 pounds overweight, adjustments to your lifestyle and diet will build a strong foundation for your appearance. Being in peak physical fitness and looking young goes together - basically, being healthier helps! To better define the jawline, you can opt to have facial liposuction or other procedures determined by a board certified cosmetic surgeon. If you do consider improving the appearance of the eyelids, eyelid surgery is an option. 

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.3 out of 5 stars 59 reviews

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Slender Jawline

To address your major concern, while it is impossible to make recommendations from just your descriptions, you certainly are not too young for a facelift, provided you have certain features that can be improved.  You may never have the TV news jawline, but certainly a more youthful and slender jawline is likely possible.

Jeffrey Epstein, MD, FACS
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Facelift at 34?

  There really isn't too much visible deformity.  I agree that lifestyle modification is a better idea than invasive surgery.  But I also agree that limited incision lift with ptosis repair could be considered and may be beneficial.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
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Aging Gracefully

Age 50 is a milestone that is commonly associated with signs of facial aging. You have common findings that often make patients look heavier in the neck and older around the eyes. Blepharoplasty and face lifts can certainly help. Great question.

Mark Codner, MD
Atlanta Plastic Surgeon
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Face lift in a 34 year old

From the limited pictures you provided I suspect you've had more significant weight fluctuation and possibly extensive sun exposure that has caused loss of skin elasticity and joweling. Also, it appears that you may not have a great facial bone structure with low profile cheeks and chin. Frequently in such cases, I recommend cheek and chin implants which can dramatically improve the volume, contour and projection of the face and bring every thing into better balance. It is important to maintain your weight and undertake routine skin care with adequate sun protection especially since you live in Florida.

Edwin Ishoo, MD
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Though a facelift can't stop the aging process, the procedure can slow it down, improving the most visible signs of aging by tightening underlying muscles, removing excess fat and re-draping skin of the face and neck. 

Michael W. Niccole, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 55 reviews

Too young for a facelift.

There are many ways to do liposuction under the chin.  You would possibly be happiest with more liposuction as well as a chin implant.  That combination is popular in women your age and the results can be very good.  As far as your pores, the first step is medical skin care that includes Retin-A with a good sunscreen.  Laser procedures are also very helpful but I would start with Retin-A.

Melanie L. Petro, MD
Birmingham Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Face lift surgery candidates

A woman or man in their 30's is generally too young for face lift surgery. Under chin or neck liposuction is typically the first option for improve the jawline and neck contour. Some patients with poor bone structure may benefit from chin augmentation with a silicone implant.

Other aesthetic options to improve one's appearance at this age include such treatments as skin care, laser, light peels, or tretinoin. Only after a comprehensive evaluation by a plastic surgeon can he/she help determine appropriate options for you. Best of luck.

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
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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.