Taken testosterone for the last 10 yrs. My face has become masculinized. Would a lower facelift feminize my features? (photo)

Question

I have developed thick folds around my mouth. My nose is also gotten bigger.

Jed H. Horowitz, MD, FACS · Answer

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.

Evan Ransom, MD, FACS · Answer

Thank you for the question. Hormone levels dramatically effect facial features through changes in all the tissues of the face. Undergoing a lower face and neck lift will not counteract these changes, unfortunately. Tightening the jawline and perhaps adding some fat to the face can soften your features somewhat.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed facelifts for over 30 years.  From the photos your cheeks are very flat anteriorly (in the front), jowls are present and there is excess fat in front and below the cheeks.  These factors combine to create a rectangular shaped face which is a relatively masculine facial shape.  Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.  "Jowls” are sagging facial tissues and an indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:very small incisionsminimal tissue dissection = less bruising and swelling = rapid recoverycan be performed in 90 minutes or less, with or without general anesthesiano incisions within the hair = no hair lossexcess fat can be removedexcess skin removedcheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implantsmost patients fly back home to parts all over the world in as little as 3 days post-opI combine whatever facial shaping that's necessary with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.Hope this helps.

Taken testosterone for the last 10 yrs. My face has become masculinized. Would a lower facelift feminize my features? (photo)

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Everything you need to know about Lower Facelift

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Taken testosterone for the last 10 yrs. My face has become masculinized. Would a lower facelift feminize my features? (photo)

Answers (3)

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Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.