Would Getting a Facelift in Your 40's Gaurantee That You Would Need One in Your 50's?

I watched a segment on the news a while ago that was talking about new laser procedures for aging skin. The doctor said to hold off on getting a surgical facelift as long as you can because if you get one in your 40's you will need on in your 50's. They didn't explain why though. I was wondering if anyone knew what they meant? Thanks for your time!

Doctor Answers 19

Does A Facelift In Your 40's Mean You Will Need Another One In You 50's?

There are two things I loved about your question.  The first was the doctor discussing lasers as a means to avoid a facelift.  If treating the aging changes in the face were as simple as just treating the outer layer of the skin, then a lasers would be the cure to all our facial aging concerns.  Alas, aging of the face is not just a skin issue but instead involves changes in the deep tissues, the fatty tissues in the face, the support structures of the face, and the bony structures of the face.  Think of your face like the layers of a bed.  You cannot just make the bed by pulling on the outermost layer-the bedspread.  Just as you cannot treat all the issues of facial aging by using a laser on the skin of the face.  Sounds like the doctor had an expensive laser and needed some "nails" to hammer.

Second, long term studies show that having a facelift earlier in your life does not set you up for having to have more procedures in the future  .In fact, those who start earlier often will have better long term results than those who start later. The best way to truly address your concerns is to meet with a board certified plastic surgeon and discuss your goals.  Hope this helps.

Saint Louis Plastic Surgeon
4.5 out of 5 stars 58 reviews

Optimal Time for a Facelift

The optimal time for a facelift is when you have signs of aging such as sagging skin, facial atrophy or a combination. Once you have sagging skin and facial atrophy then you need to transition from Botox to fillers. The timing is more important. Facelifts done in your 40’s or early 50’s have better results than being done later in life.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 32 reviews

Facelift in the 40s

It is true that the effect of a facelift lasts about 10 years. So getting a facelift in the 40s may mean that you would like a retuck in the 50s. I can guarantee however that if you think that your face is sagging now, it will continue to sag for the next 10 years if you did not have a facelift. Your question is similar to asking if you washed your car now would you feel the need to wash it again in a month. Sure you can wait till next month but you will have to live with a dirty car.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
5.0 out of 5 stars 20 reviews

Facelift in your 40's.

The skin that is removed in a facelift can not "jump back on your face in your 50's! We reset your facial aging clock--but we do not stop it. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

What is the best age for facelift

A facelift performed at any time might eventually require additional surgery to keep it useful in the future. Generally, however, what I see is when the patients come back ten years later after a facelift, they still look better than they did ten years before since no one “needs” a facelift at any age. It will not be required to have a redo later. It simply depends on whether or not you feel you need another one.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 132 reviews

No guarantee

A good facelift is designed to give you a younger appearance that looks natural. Therefore, the effects of aging after surgery will appear natural as well, but they will appear since you can't resist the signs of aging. You'll always look younger after your facelift than if you hadn't had a facelift in the first place, and there's no guarantee that you'll need one again in your 50s. It all depends on your lifestyle and genetics. If you lead a healthy lifestyle, protect from sun exposure and don't smoke, you can minimize sagging and wrinkles.

Earlier Facelift or Avoidance

   If you have stigmata of facial aging amenable to facelifting techniques, then a facelift should be performed if there is interest.  Kenneth Hughes, MD Los Angeles, CA

Facelifts Now, Facelift Later?

I’ve ben performing facelift surgery for about 20 years at my practice in New York and have many patients who have been with me throughout this time. This statement is not clearly accurate. Having a facelift at any time is for a specific reason to improve the sagging of cheeks, jowls and neck skin. Since facial aging is a combination of factors such as genetics, stress and health, you can’t make such an assumption. There is also no laser or ultrasound procedure that prevents the skin from getting older. 40s and 50s covers a range of 20 years. If you have this laser procedure at 42, does that mean you won’t need a facelift at 58? I doubt that.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 56 reviews


The age at which someone should consider a facelift varies considerably depending on numerous factors.  People age at different rates, and some factors, such as sun exposure or individual anatomy may make one person a good candidate for a facelift in their forties, while others can wait longer. Having a facelift in your forties doesn't necessarily mean it will need to be redone in your fifties. Again, everyone is different. an experienced, board certified plastic surgeon will be able to advise you appropriately.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 19 reviews

Women under 50 benefit most from a facelift

Women under 50 benefit most from a  facelift, the same is true for men.

My experience and that of a recent study indicates that patients under 50 years old have a consistently higher rate of satisfaction with their facelift results than patients over 50, a recent study from California Pacific Medical Center has found. This study was conducted by Dr. Tom Liu and Dr. John Owsley, who compared short- and long-term satisfaction ratings of patients in under-50, 50–60, and over-50 age groups. The doctors also factored in expert analysis of patient photographs for a more objective analysis of surgical results. The findings are consistent with previous research as well as the experience of most surgeons.

The study concluded: “Younger patients (younger than 50 years) with mild or early signs of facial aging have the highest and most consistent satisfaction and the most natural long-term results”.  The study also concluded that younger patients are ideal candidates for what is called a maintenance lift or maintenance facelift. The reason is that patients under 50, essentially because their skin is younger, will have a better result that will last longer than it will if they choose to have surgery later. Furthermore, their results will look better in the long-term.


I think what happens is that you get used to this younger look and after 10 years want to refresh this appearance as you can't stop the aging clock. Often a simpler procedure, such as a mini-lift (e.g. LiteLift, Quick Lift, LifeStyle lift, MACS, etc) can be done later on with a abbreviated recovery. Everyone wants to age gracefully. If you feel you have an aged appearance that affects your well being then maybe its time to come in for a consultation. 


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 89 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.