I have just turned 37 and have noticed I am aging a lot quicker than my friends. I have quite a bit of jowling already, saggy eyelids and neck skin. I am looking into surgery and am leaning toward a full face and necklift as well as upper and lower bleph. Would these procedures be the best options for addressing my concerns?
October 28, 2023
Answer: Rejuvenation options. Your skin quality and elasticity should be excellent at 37 years old. Your overall facial shape, jawline, contour, and neck are very good. I would think that you would benefit most by a mini facelift with a suture plication of your SMAS, which could help to improve your jawline and improve the contouring in your neck. A skin only resection of the upper eyelids should help rejuvenate your eyes but I don’t see any pressing need for surgery of your lower eyelids, although you may consider some volume restoration of that area. An extended SMAS full face/neck lift is an option but may be considered slightly too much at your age. Visit a qualified, board-certified plastic surgeon for a detail consultation. Best wishes.
Helpful 1 person found this helpful
October 28, 2023
Answer: Rejuvenation options. Your skin quality and elasticity should be excellent at 37 years old. Your overall facial shape, jawline, contour, and neck are very good. I would think that you would benefit most by a mini facelift with a suture plication of your SMAS, which could help to improve your jawline and improve the contouring in your neck. A skin only resection of the upper eyelids should help rejuvenate your eyes but I don’t see any pressing need for surgery of your lower eyelids, although you may consider some volume restoration of that area. An extended SMAS full face/neck lift is an option but may be considered slightly too much at your age. Visit a qualified, board-certified plastic surgeon for a detail consultation. Best wishes.
Helpful 1 person found this helpful
October 30, 2023
Answer: Rejuventation procedures I wish I could give you a simple straight forward answer, but it really depends on your expectations. As we age there are 3 main things that occur: qualitative skin changes, laxity of facial structures under the skin, and volume loss (from fat and bone). Each is treated with different modalities. Also, everyone ages differently based on genetics, hormone levels, smoking/sun exposure, diet, maintenance, etc ... You have great bone structure which a big plus as this is the supportive framework of the face. While I no longer use age as an absolute contraindicator for a facelift, we try to avoid it when possible in the younger patients. Typically, more minimally invasive procedures like factetite/necktite, j-plasma, evoke, ultherapy etc ... are suggested to get mild to moderate improvement and stave off a facelift for a later day. I personally use facetite / necktite (in combo with morpheus) very frequently with great results, but I also choose my patients wisely and consult them on what to expect. The results are variable ranging from mild to moderate improvement. In most case this is what the patient is looking for. Based on your question, I get the feeling your are looking for something more definitive and significant, so I would not take facelift off the table. However, this really requires a thorough discussion with your surgeon. Make sure it's someone proficient in both types of interventions, so their recommendations are not biased but based on you best interest. Upper bleph is something I have done even for patients in the 20's. It can be a very nice procedure. Just make sure they dont take too much skin, or remove fat ... that can lead to a hollowed eye appearance and age you even more. For the lower lids, it seems the main issue is hollowing, a bleph will not help with that and infact can make it worse. Volume restoration with fat or filler would be a good idea. Some volume via fat or filler can also be a nice touch, especially under the cheek, to blend it into the face and give the face a softer, more heart shaped appearance. While this isn't a straight answer, I hope the information helps lead you down the right path!
Helpful 1 person found this helpful
October 30, 2023
Answer: Rejuventation procedures I wish I could give you a simple straight forward answer, but it really depends on your expectations. As we age there are 3 main things that occur: qualitative skin changes, laxity of facial structures under the skin, and volume loss (from fat and bone). Each is treated with different modalities. Also, everyone ages differently based on genetics, hormone levels, smoking/sun exposure, diet, maintenance, etc ... You have great bone structure which a big plus as this is the supportive framework of the face. While I no longer use age as an absolute contraindicator for a facelift, we try to avoid it when possible in the younger patients. Typically, more minimally invasive procedures like factetite/necktite, j-plasma, evoke, ultherapy etc ... are suggested to get mild to moderate improvement and stave off a facelift for a later day. I personally use facetite / necktite (in combo with morpheus) very frequently with great results, but I also choose my patients wisely and consult them on what to expect. The results are variable ranging from mild to moderate improvement. In most case this is what the patient is looking for. Based on your question, I get the feeling your are looking for something more definitive and significant, so I would not take facelift off the table. However, this really requires a thorough discussion with your surgeon. Make sure it's someone proficient in both types of interventions, so their recommendations are not biased but based on you best interest. Upper bleph is something I have done even for patients in the 20's. It can be a very nice procedure. Just make sure they dont take too much skin, or remove fat ... that can lead to a hollowed eye appearance and age you even more. For the lower lids, it seems the main issue is hollowing, a bleph will not help with that and infact can make it worse. Volume restoration with fat or filler would be a good idea. Some volume via fat or filler can also be a nice touch, especially under the cheek, to blend it into the face and give the face a softer, more heart shaped appearance. While this isn't a straight answer, I hope the information helps lead you down the right path!
Helpful 1 person found this helpful