What kind of facelift for me? 38 years old (Photo)

 At 38  years of age, you have some fairly typical teaching changes in your face. Overall you have very pretty features, and significant surgery would best be avoided at this time. A mini or modified facelift would be the most I would consider  with an upper lid Blepharoplasty. Soft tissue augmentation with injectable fillers would also be a much less expensive option for someone with your aging changes. 

Hi Molena. Based on your photos,
you appear to be aging very well. I certainly don't think a full surgical
facelift is warranted at this point. Instead, I agree with many of my
colleagues here on RealSelf that a combination of injectable fillers and
possibly eyelid surgery (blepharoplasty) is much more likely to give you the
results you want with significantly less downtime. When it comes to aesthetic
surgery, it's always best to start conservatively and move up to more
significant procedures later on if you want them. This keeps you looking
natural and age-appropriate while also avoiding unnecessary side effects and
downtime. As always, it's best to consult in person with a board-certified
plastic surgeon to develop a more precise plan of action. Best of luck!

We age at different times. As a younger woman, your aging is primarily structural.  You do not have an abundance of sagging skin and muscle, so many conventional facelifts would not make you look either not much different or too pulled.
Your aging is due to aging changes in the layers of fat, held up by ligaments.  A fat retroposition blepharoplasty from a transconjunctival approach and a subperiosteal endoscopic mid-face lift would do most of the rehabilitation.  A limited incision deep plane lift would complete the jowl and neck problems.
I find that to make a natural difference in younger patients, more sophisticated work needs to be done to make a real long lasting difference.  I have quite a bit of experience with this, and find that “mini-lifts” won’t make you look a lot different.
An less invasive option for you is an Insta-lift.  These are absorbable threads with cones that can reposition the facial structures on a limited basis for 1-1.5 years.  They do re-position structures, which is what you need. You would probably need to combine these with some form of skin tightening process, such as Ulthera, Face-Tite, Thermi, etc.  This would make a difference, but not give you the “full effect” that you want.
Please be careful as you do have the type of face that surgeons might want to “pull too tight” in order to try to re-position structure by pulling on the skin.

Thank you for a great question and for sharing your experience and photos.  You have beautiful features, but some aging changes in the eyelid and cheek area that could benefit from eyelid lift and fat transfer or fillers.  Facelifting typically addresses jowls and neck laxity which are minimal in your case...nonsurgical or minimally invasive skin tightening techniques may be a consideration.  I hope you find this helpful. Best wishes!Consult with a Board Certified Fellowship Trained Facial Plastic Surgery Specialist."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

I think you may be a bit too critical with your appearance which remains youthful. If you wish improvement, I would recommend considering non surgical rejuvenation options. See the below links for helpful hints. #NonSurgicalFacelift

Hello,Thank you for your question and photos. It sounds like you are ready to book an in-person consultation with a board certified Plastic Surgeon who's work appeals to you. You may want to consider blepharoplasty to rejuvenate the look of your upper lids. Facial fillers could also go along way to restoring some lost volume in the cheeks. You could also discuss lower face lift options but it is best to have your skin/tissue examined in persona and a detailed discussion of your aesthetic goals.All the best

From the photographs that I have examined it looks as though volume enhancement of the nasolabial fold, the marionette line, and the periocular area should yield dramatic results. I think the benefits of the facelift would be to modest at this point time to be applied to your case.

I would recommend upper eyelid surgery, a mini lift for tightening, and more volume to the anterior cheeks either with fillers or fat. It may seem like a lot for your age, but it would work out the best given your objectives.

Thanks for sharing and providing many photos. In my opinion, you have bone structure that is idea.  An upper lid blepharoplasty would help rejuvenate your eyelids.  It is possible that a mini lift would be beneficial and help the jowls and jawline.  It would be best to see you in person to give the proper recommendations.  Seek and experienced board certified facial plastic / plastic surgeon.  

  I believe that upper eyelid surgery with Restylane to the tear trough and lower face and neck lift would be reasonable.Kenneth Hughes, MDBeverly Hills, CA