Age 50, years of sun damage, loads of stress & RBF - suggestions? (Photos)

The definition of facial rejuvenation varies from surgeon to surgeon and means different things to different patients. In general it is the process to try to reverse the facial appearance caused by aging. It may involve improving the skin texture and complexion, diminishing skin discoloration, minimizing fine lines and wrinkles, contouring hollows, or tightening loose tissue that has lost its elasticity.

There are a variety of procedures, both non-surgical and surgical which can be utilized to achieve these various goals. Fillers, Botox or Dysport, micro-fat grafts, chemical peels, a skin care program, lasers, skin tightening, and surgical lifts are some of the methods that are used to achieve a cosmetic improvement. Each has advantages and disadvantages as well as limitations of what they can achieve. The best technique or combination of procedures depends on desired outcome, individual anatomy, underlying medical health, and extent of aging. There is no one approach that is ideal for everyone.

I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of the modalities of treatment available. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California

Based on your age and photos, a lower face and neck lift with CO2 laser resurfacing would be the most beneficial and impactful for you. Anything else is putting a bandaid on a large wound. some Botox would be nice but very temporary. Same with fillers like Juvederm and Restylane. I can't see your eyes in the photos but Blepharoplasty often pairs well with face/neck lift procedures. Find a good surgeon near you and go for it!

Getting a lower face/neck lift under local with a little iv sedation for complete comfort and the addition of Morpheus/ TCA peel at the same time would look so amazing and is so easy to undergo for roughly $20,000.