Facelift at 36 years old - could a deep plane facelift help? (Photo)

Böylesine büyük bir kilo kaybı gerçekten büyük bir başarı — sizi tebrik ederim. Ancak sonrasında yüz ve boyun bölgesinde belirgin deri sarkmaları oluşması da oldukça doğal bir durumdur.

Congratulations on your weight loss! Thank you so much for sharing your story, photograph and questions. Many patients experiencing significant weight loss will require neck lift surgery to eliminate the loose skin and redundant soft tissue in the neck. In most cases, deep plane neck lifting would be performed. Often, a traditional SMAS lift for the cheeks and lower face may be appropriate, even in those patients. However, the manner in which the face and cheeks would be addressed would depend on the amount of mobility of the neck and jawline. I've done many cases like yours and traditionally have been able to achieve great results in the face with SMAS or extended SMAS procedure. In the neck, it is likely that deep plane techniques would be required.

Thank you for your question and photo. You may be a candidate for a mini facelift to address the sagging skin caused by weight loss. This procedure can rejuvenate the appearance of the face by tightening the underlying facial muscles and repositioning underlying tissue to support the skin, while also removing excess skin for a smoother appearance.
The refreshed and youthful results of this procedure can last for up to 8 years or more. Many patients enjoy longer-lasting results by following up their mini facelift with non-surgical treatments, such as laser resurfacing and chemical peels. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can conduct a more thorough physical exam and help you determine the best approach.

It seems you noticed facial aging changes after your weight loss.

I almost exclusively perform deep-plane face and neck lifts. One of the many benefits of a deep-plane facelift is the ligamentous release and subsequent ease of deep tissue repositioning.

Also, a deep-plane facelift does not increase the risk of scars compared to a mini or SMAS procedure, and in fact should decrease the risk because it does not rely on skin tightening but rather deeper tissue repositioning and therefore there should not be any tension on the wound.

However, a deep-place facelift may not be what you need. You may benefit from a SMAS-procedure facelift and deep-plane neck lift for example.

A consultation is needed to give you the proper recommendations.

Your photos don’t show the looseness but if you list 100 pounds I’m sure there is some laxity. You’re young for a facelift and your limited photos don’t indicate the need for one. I have done facelifts rarely in persons your age. So it might be worth going on consults. By the way, don’t get hung up over deep plane or not. There is no evidence that it’s any better than a standard lift.

Dear research86,
Thanks for sharing your photo but you will need a in-person consultation with a Board Certified Plastic Surgeon skilled in non-surgical, minimally invasive and surgical options to evaluate the skin and internal sagging of your facial tissues to determine what options are best. Congratulations on your extraordinary weight loss! Certainly, volume loss in the face following massive weight loss will allow the skin to hang more. If the underlying tissues are not sagging, then it is only the skin which must be lifted or tightened. Discuss the following options:
Non-surgical tretinoin skin stimulation for skin turnover, pigmentation control, collagen building skin tightening. Consider a Zein Obagi, MD ZO Skin Health certified team.
Minimally invasive skin and fibrous soft tissue firming with Sculptra bio-active injectable; a PLLA suspension which stimulates fibroblast collagen and other skin structure formation. PDO and / or PLLA barbed ThreadLift collagen stimulating subcutaneous soft-tissue suspension or lifting.
It does not appear from this one photo that you have skin excess and therefore no skin excising surgical facelift is needed; deep-plane, dual plane and endoscopic are have equal results. Your surgeons technique will determine your best result.
I hope this helps. I wish you the best!