Should I have my face lift during my weight lost or after? (Photo)

Small amounts of weight change prior to surgery are inconsequential, however, substantial fluctuations in weight can alter the surgical plan. In this case, I think it is absolutely best to lose the weight prior to the face lift operation. Significant weight loss will not only increase the amount of skin laxity present but can unmask significant issues with bone structure and facial volume. Following weight loss your surgeon may realize an unforeseen need for facial fat injections or a facial implant (e.g. chin implant). Congratulations on your ambitious goals and I wish you the very best.  

Thank you for your question. You are asking if you should have a facelift while you are currently losing weight, or after you have reached your goal of losing 50 pounds.
I can certainly help guide you with this question just based on your photo alone, and without the benefit of a physical exam. As a facial cosmetic surgeon practicing in Manhattan and Long Island for over 20 years, I perform all types of facelifts regularly in my practice.
I don’t think you need to lose all 50 pounds before you go forward with your planned facelift. However, you may want to lose some of your facial weight prior to a facelift. The purpose of a facelift is to lift sagging skin and tissue, tighten the underlying muscles of the face, and define the jawline and neck angle. If you have excess volume around the neck and jawline, you won’t get the facial definition you want from a facelift. As most of the weight you want to lose is throughout your body, and not your face, then you don’t have to lose all the weight to have a successful facelift, but losing some facial weight prior to surgery will improve your results, and overall satisfaction with the surgery.
As you meet with prospective surgeons, and chosen one for your surgery, I suggest you follow up with them periodically prior to surgery as you continue to lose weight. Your surgeon can assess the changes in facial volume, and determine when you are within ideal facial weight to get the best facelift results possible. I hope you found this information helpful. Thank you for your question.

Thank you for your photo and your question. Congratulations on the beginning a weight loss journey, that is a major accomplishment. I think the best investment is definitely surgery after you have lost the weight. A lower facelift includes lifting the cheeks, contouring the jawline, and tightening the neck. Although this is more pricey initially it will give you the most long lasting results. Hope this helps.