Should I get a facelift or should I get fillers and Botox like to look younger? (photo)

Hi there,Specific treatment with fillers will add volume to your lips and some modest contour to your face.  Most of your facial lines are the result of gravity, not animation, so the value of Botox as a solution to reduce your type of lines is not great.Non surgical facial rejuvenation seems to have the best results in individuals who have early signs of facial aging. In my experience, once the lower face and neck show drooping, the fillers and neurotoxins become less successful and require multiple repeat treatment.With that said, I think your best bang for the buck would be to consider a surgical plan that would restore a youthful shape to your face/neck and  lift your eyelids/ debulk the fatty tissue.Thanks for asking!  Dr Ellen

In my opinion, fillers and Botox wouldn't make enough of a difference to feel satisfying to you. A facelift with fat grafting will give you a much more dramatic rejuvenation -- turning the clock back by about 10 years. From your photo, you would also benefit from blepharoplasty to remove the fat pads and excess skin around your eyes, and from a browlift. Laser resurfacing of the skin would not only even out the tone and texture but stimulate the production of new collagen. A facelift will last about 10 years. Fillers and Botox must be re-administered every few months to a year. I hope this helps

Thanks for your question. As you can imagine there is not a lot you can't have done these days. A facelift should address the concerns you have so can be varied to suit.

If your skin is loose, sagging or creating the appearance of jowls you may be a good candidate for Concept™ Facelift Surgery. This type of Rhytidectomy is unique as the facelift is performed under local anaesthetic, and is less invasive than traditional methods, meaning the cosmetic surgery has a significantly faster recovery time.
The cosmetic procedure is similar to a mini facelift as it is performed with a short scar that runs in front of the ear, down to the ear lobe and tucked behind the ear. There will be no dressings or drains afterwards. This is performed as a day case, walk in-walk out procedure with minimal bruising and downtime.  This procedure if often combined with eyelid surgery which again can be performed under local anaesthetic, only taking approximately 1.5 hours. Please find a reputable and qualified surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.

All The Best

A facelift will give you a more dramatic result, longer lasting result.  Although initially more expensive than botox and fillers, over time you actually save money.  In fact you would likely spend just as much on non-surgical treatments in less than 3 years than what it would cost you to get a facelift surgery.  A facelift when well done can keep you looking great for good 10-15 years.  The math is simple.

facelift + upper/lower bleph + endo brow + finesse fat transfer.  That would be my recommendation. The laxity and descent in your face would swallow up hundred to thousands of dollars of fillers and botox without making you look much younger but also with the hazard of making your face look strange.  Once a person gets into the late forties to early fifties the knife usually beats the needle in terms of return on investment. 

Eyelid surgery with a facelift would be appropriate.  Find a plastic surgeon with ELITE credentials who performs
hundreds of
facelifts, necklifts, facelift revisions, and facial procedures each
year. Then look at the plastic surgeon's website before and after photo
galleries to get a sense of who can deliver the results. Kenneth
Hughes, MDLos Angeles, CA

While it is tempting to pick out specific features, a facelift is for the changes that occur with aging of the neck, jowls, and cheeks. There are options for the eyelid area which may include fillers or surgery. Botox is most often used in the upper face for crow's feet and furrows between the eyebrows. So each option has its own best use.

Both surgical and non-surgical treatments can enhance one’s
appearance. For the specific
concerns you mentioned “eye bags and fat pockets near the eyes” surgery is best
option. Fillers can
temporarily decrease the hollows and the appearance of bags in the lower
eyelids but won’t have a significant impact on the upper eyelids. A Facelift will re-contour the face and
neck to create a more youthful silhouette but it will not address the lip
lines. This can be treated with
filler or laser procedures. Most
rejuvenation procedures require multiple different treatment modalities for the
most natural and long lasting results.

Age old question and something we all deal with every day and there is no correct answer. I tell patient that botox,fillers, and peels will give you a small short term change and the maintenance within 3 years will cost more than a facelift which gives dramatic results and lasts about 10-15 years

You will need a face and neck lift to help with the banding in the neck and the jowls.  You should also think about having a 4 lid blepharoplasty done.  It looks like you have lost a lot of volume in the face. While fillers will help with this, a fat transfer would be much more beneficial