Am I a good candidate for a mini or lower facelift? (Photo)

Question

I'm 40 years old and looking for the best technique to lift my lower face. I have had fillers, thread lifts and Morpheus8 in the past.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Ali Riza Öreroglu, MD · Answer

You seem to be a good candidate for a lower facelift procedure. This surgery is highly effective for addressing sagging and loosening of the skin, particularly around the jawline, cheeks, and neck. However, it's not possible to make a definitive assessment based solely on photos. Each individual’s skin type, elasticity, and degree of sagging vary, so a physical examination is essential to make an accurate decision. During an in-person consultation, I can evaluate your facial structure and the extent of sagging, allowing me to determine the most appropriate treatment plan for you.

Yannis Alexandrides, MD, FACS · Answer

My looking at your photo, you have great skin and barely any skin laxity so I would personally wait until you are showing more prominent jowls or nasolabial folds.

However, if you're looking for a Mini Facelift for preventative purposes you may be a suitable candidate, and essentially a Mini Facelift does not mean you'll get half the result of a 'full' Facelift, but rather focuses on minimal scarring and recovery.

Chet Mays, MD · Answer

Thank you for your inquiry! We would love to see you in person and discuss your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Gary M. Horndeski, MD · Answer

Yes, it is possible to do a mini face lift. However, your photograph is very limited. Another thing to consider that is less invasive is a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes about 1 hour to perform under local anesthesia and costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

It would be difficult to suggest any surgery based on this photo. In-person or teleconference consultation with a board certified plastic surgeon with expertise in facial rejuvenation would be the best way to discuss your options.

Connie Hiers, MD, FACS · Answer

Since you still have fillers in your face, I would suggest micro-needling with radiofrequency, like Secret and do maintenance every 4-6 months.

Barry M. Weintraub, MD, FACS · Answer

Thank you for your inquiry. I would suggest that you stop using fillers because you are already beginning to obscure your natural anatomical landmarks, and you don't want to end up looking "puffy" or unnatural. The fact that you have focused on your upkeep is excellent, because if a patient waits until they are older without any upkeep, it's more difficult to achieve profound results with facelifting. In your case, it's difficult to judge if you're a good candidate for facelifting from your one photo, and I wouldn't want to misadvise you. I think it's essential to respect patients and their needs and not just toss out a judgement if the answer is not obvious. How the face looks in person is entirely different that how it looks in photographs, which is why I prefer in-person consultations. Because I can't pass judgement based on your one photo, I will speak in general terms. When patients are in the 40s-50s, they begin to notice that fillers aren't having the same effect as when they were younger. The amount of filler needed to disguise folds can become voluminous, can look unnatural, and can obscure the lymphatics, causing its own problems. Threadlifting can be effective to some degree, yet it is short-lived and not as powerful as surgery. Any kind of tightening device, which might be effective in the 30s and perhaps into the mid-40s, no longer has the same impact as a patient ages. This is when surgery enters the picture. Think of the face in three parts: the upper face (from the eyes to the forehead), the middle face (from the eyes to the bottom of the ear), and the lower face (from the bottom of the ear to the jawline. I have found that a hybrid facelift is the best approach for a natural-looking result, because the different areas need to be addressed in different depths. Most often, the upper face is fine, and I always caution patients against brow lifts, which are only needed in rare cases; otherwise, patients can look perennially frightened! The midface I will often approach with a subcutaneous lift and sometimes a SMAS lift, the jowl area with a deep-plane approach, and the neck area with a SMAS lift. I have found that this hybrid approach produces the most natural results, but every surgeon is different, and possesses a different aesthetic and skill set. I would suggest that you schedule some consultations with board-certified plastic surgeons, bring a lot of questions, and don't hesitate to explore these topics in depth with experts who can help.

William Portuese, MD · Answer

A full set of facial photograph from all angles are required to make a determination about whether or not your candidate for two different surgical procedures. The photograph presented is inadequate.

Darryl J. Blinski, MD · Answer

Based on one posted photo you were a candidate for mini facelift with muscle plication. Fee range from $6000-$10,000. Best of virtual consult with.

Am I a good candidate for a mini or lower facelift? (Photo)

Answers (11)

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