Facelift for a difficult situation - is it even possible for me?

Question

I’m 53 years old , and have fair skin that was never really an issue in the past except mild sensitivity and some flushing. My recent complications are, after having Botox with no issue in the past, I had a severe reaction to Xeomin in November. Skin peeling off forehead, sticky film covered my face, rash, dry mucus membranes. My skin has now completely changed. It’s tight and very dried out. Also possibly have occipital neuralgia. Is a facelift even possible?

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. While it’s difficult to give a recommendation with any photos, perhaps, you should first see a dermatologist to address your current skin concerns (skin peeling, rash, etc). The best way to determine your eligibility for a facelift is to have a face-to-face evaluation with a board-certified facial plastic surgeon. There are other options to consider as well for facial rejuvenation. Facial fat transfer restores volume and laser and energy-based treatments, including Profound RF (microneedling combined with RF energy) boost collagen production for skin tightening. The best way to determine the right procedure(s) for you is to schedule an in-person consultation with a reputable facial plastic surgeon. Your surgeon can assess your skin quality and facial profile, recommend the best treatment or combination of treatments, and ensure the best possible results.

Zoran Potparic, MD · Answer

Despite of your recent problems related to allergy to Xeomin (most likely) this should not e a reason to avoid doing face lift. You may wait few more months until your currently dry skin completely recover and proceed with face lift as needed. In person consultation with a board certified plastic surgeon, expert in face/neck lifts, is recommended. Good luck.

Ronald J. Edelson, MD · Answer

Those issues you mention are not necessarily deal breakers. I recommend going on a consult with a plastic surgeon who can sort out these issues and determine if you are a candidate for facelift. I think you’ll be able to have a facelift but don’t know for sure

Edgar Torres, MD · Answer

A facelift obviously implies tightening the skin and resorting to the elastic capacity that allows it to adapt to the new position of the skin. At the same time, the circulation of the tissues is put to the test and if it is not of good quality or has not fully recovered, the probability of necrosis (death of tissues) and dehiscence (opening of the wound) increases. In other words, your case deserves to be very conscientiously evaluated by analyzing these two characteristics of the current state of your skin (elasticity and circulation) before performing any surgical maneuver.

J. Simon Ivey, MD · Answer

Provided you are medically fit for surgery a facelift is quite possible. A dermatology/skin care consult may be warranted first in order to get your skin ready - but hard to tell without photos.

Facelift for a difficult situation - is it even possible for me?

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