Will the Mini Facelift work on a black 55 yr old female? (photos)

Question

I have nasal and smile lines and heavy eyelids I look tired when I'm not. What can I do? Without much pain. I'm a hair stylist self employed. Help!! Does the mini facelift work on black women? I didn't see any .

Winfield Hartley, MD - Account Suspended · Answer

Thank you for a very interesting question?  While ethnic background should not have a significant impact on which type of surgery you choose (mini facelifts can certainly be done on African American women), from your photographs you may be better suited with a more traditional facelift to address your heavy jowls, nasolabial folds, and sagging skin.  Consider several consultations to better understand your options.  Best of luck.

Young R. Cho, MD, PhD · Answer

Thank you for your question for sharing your photo with us.  A facelift would definitely be an option for you. Ethnicity is less of a concern, with the exception of an increased risk of scarring unfavorably.  I would definitely visit with the board-certified plastic surgeon in your area and discuss with you the pros and cons of doing a mini facelift versus a traditional facelift.  In addition, adding fat grafts or dermal filler's to the nasolabial fold in the marionette region further soften the shadows around the mouth.

Jerome Edelstein, MD · Answer

Hello,

Thank
you for your question.

Based on
your goals, you may to consider procedures such as a necklift or facelift. A facelift is designed to remove excess skin and
reposition deeper tissues for a smoother, firmer contour.

I'd
recommend booking a consultation with a Board Certified Plastic Surgeon to
determine what your options would be.

Take
care.

Vincent N. Zubowicz, MD · Answer

From the photographs I would recommend a full composite rhytidectomy. This will take care of midface and malar fat dissent, excess fat in the neck, platysma banding, and surplus skin.

Jed H. Horowitz, MD, FACS · Answer

#facelift and #facialrejuvenationthere are three areas that we look at to address an aging face: skin surfacevolumelaxity of skin an muscleThese can all be addressed for you to get some rejuvenation. What procedure to perform is assessed on an individual basis. You can absolutely have excellent results with a facelift. It is difficult to tell from one picture whether you are a candidate for full facelift or mini-facelift. In addition, rejuvenation around your eyes would also benefit your heavy eyelid complaint. I would recommend that you schedule a consultation with a plastic surgeon to discuss your options.

John Michael Thomassen, MD · Answer

Yes, a properly performed mini lift with SMAS manipulation can help with your deep laugh lines and jowls.  If your neck also has excess skin, you may benefit more from a a full face and neck lift however.   I would also recommend an upper lid blepharoplasty to address your heavy upper eyelids.

Thomas Trevisani, MD · Answer

Without a good set of photos and the benefit of physical exam- it's difficult to comment accurately. From the limited photo that you have provided- it appears that you might  benefit from a full facelift, and re/your eyes- unfortunately we can not evaluate accurately without exam and good photos. If you have excess skin (upper eyelids)- then you might be a candidate for upper lid blepharoplasty. Keep in mind- if you have excess skin - surgical excision might be indicated. I would seek an experienced Board Certified PS for in person exam, and in my opinion- non surgical solutions are good as a maintenance tool after your facelift, neck tightening- as in your case.

Robert M. Tornambe, MD · Answer

It sounds like you are a candidate for a Mini-Facelift with eyelid lift. My favorite technique is the MACS short scar Mini-Facelift. Developed in Europe, it is the ideal approach for the younger patient, not ready for a full facelift, or patients who desire a less invasive procedure with a shorter recovery time. Check out the link below to an article I wrote about the subject. Good luck

Sheila S. Nazarian, MD · Answer

Without seeing you in person, it is impossible to give an accurate recommendation, but from your photo, I would suggest that you start with a non-surgical facelift which uses Botox and filler to address the early signs of aging. Best, Dr. Nazarian

Dean P. Kane, MD, FACS · Answer

Dear nesha02:Thanks for sharing your photo! While limited it does show descent of the upper cheek soft tissues (fat), heaviness in the jowls and neck and  skin waves along  the nasolabial and marionette folds. By definition, the "mini" facelift is limited to small incisions and therefore decreased lifting power. It is used mostly in younger patients where skin laxity or excess along the jawline can be redraped and removed along the front /back of the ear or in those facial aging patients who have undergone a prior facelift.When more tissues need to be repositioned, lipocontoured, suspended or lifted, a more traditional face and neck lift are needed. I hope you will consult with a talented and Board Certified Plastic Surgeon to properly examine you and determine what options are in your best interest.All the best!

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