When is the best time to start a facelift? How may facelifts can I safely do in a lifetime?

Most of the surgeons recommend facelift especially SMAS lift for things like jowls noso nabial folds etc. 1. what happens when the layers are pulled . Some scar tissue is being created undderneath the skin which is less elastic , right? 2. Is second facelift more difficult to perform - why? is it because of the above ? does it mean that in the second facelift skin may be stretched unevenly? How many facelifts can I safely and without big difficulties and risks have in the lifetime? Thanks e

Doctor Answers 31

Facelift timing - a good question

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You ask an excellent question, which is at the same time, almost impossible to answer.  Every patinet is different and what constitutes correct timing for one does not necessarily constitute the best timing for another.  It depends less on chronological age than it does the aging of your skin.  You certainly don't want to have a facelift too early but your results will be less satisfactory and less lasting if you wait too long.  My advice to you is that if you're thinking you might need one, seek out a board-certified plastic surgeon in your neighborhood and invest in a consultation.  Only with a pertinent history and physical examination can your questions be fully answered.  

Pittsburgh Plastic Surgeon
4.8 out of 5 stars 16 reviews

The ideal age to have a facelift varies from person to person.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If you feel that your face looks older than you’d like it to, it may just be the right time for a facelift. Every person ages at a different rate, so while one person might be ready for a facelift at 40 another person might not until they are 50 or 60. While there will be some scar tissue from the initial facelift to deal with, a second facelift should not pose any major concerns or difficulties. Of course, the quality of your first facelift can affect what can be achieved with your second. The best thing to do is consult with a skilled and experienced plastic surgeon who specializes in facelifts. 

Lee B. Daniel, MD
Eugene Plastic Surgeon

Optimal Times to Receive a Facelift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for your question. Unfortunately, there is no specific age which is considered the optimal age or time for a facelift procedure. As a board-certified facial plastic surgeon I advise prospective facelift patients the right time to receive this procedure is when prominent aging signs such as sagging skin, excess facial fat and eminent crease lines on the nose/mouth/chin appear. Optimal results of a facelift should include longevity of results lasting from 10-20 years. A Silhouette Lift does provide the natural results you are seeking, however results last only as short as 1.5 to 2 years time. In terms of how many procedures can be taken on, it is fully dependent on the patient’s skin laxity and case basis, as everyone is different. Only a qualified facial plastic surgeon can fully outline your expectations. Best of luck!

Sam Rizk, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 79 reviews

Aging Occurs at Different Rates

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Facial aging doesn't follow a timeline. While some patients are ready for a facelift in their 40s, others may still look quite youthful. The "right" time for a facelift is not attached to any age — it's when you have developed signs of aging that can be resolved through surgery. If you see a significant amount of sagging or laxity in your lower face, then it may be time to see a surgeon. As for subsequent surgeries later in life: A facelift can be trickier to perform thanks to the presence of scar tissue, but an experienced surgeon can create the results you want. 10 years seems to be the average longevity for facelift surgery. As the patient ages, the primary concern before surgery is overall health. There is no official limit to the number of facelifts you can have in a single lifetime. Instead, you should be eligible as long as you are healthy enough for general anesthesia and surgery. I hope this helped answer your questions.

What Age is Best for a Facelift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift, individualized for each patient, that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

What is the best time to start a facelift?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!

A good facelift should last. Otherwise do a Silhouette Instalift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is important to perform a "good" natural facelift for the first lift, so that the effects can last for 10-20 years.  While the ideal age for a first facelift is probably in the 40's (pre-menopause) for women, most patients seek these in their 50's (peri-menopause or post-menopause).

I recommend a "deep plane" facelift with a subperiosteal mid-facelift, and have 38 years of experience with facelift longevity.  This results in a long lasting and natural appearance. If you are normal weight or thin, it avoids the "joker" look that can occur for this type of patient. However, the results of a facelift may depend more on the skill of the surgeon and his/her experience and judgement than the technique involved.

I don't believe that a second facelift is (usually) more difficult to perform, but there can be more scar to work through.  There are, however, different problems that occur with a secondary that may interfere with an ideal result. 

If you are not ready to have a facelift, a Silhouette InstaLift can give you a 11/2 to 2 year result that results in a good improvement.

I recommend that you go to a board certified facial plastic surgery specialist with experience for overall results.

Gregory S. Keller, MD, FACS
Santa Barbara Facial Plastic Surgeon
4.9 out of 5 stars 15 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for your question. There isn't a specific age that is considered the right or most appropriate age for a facelift. The right time for a facelift is more about the look of your face than the chronological age. Many people are seeking facelifts at earlier ages that eve before - and the younger you get the procedure, the more subtle the changes will be and the longer your lift will last. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Best Time to Start a Facelift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While there isn’t a specific age you should consider a Facelift, there are signs you can look out for. Some of these signs include sagging skin, muscles, and fat in the face and neck, excess skin and fat on the neck, sagging jaw line, and crease lines along the nose, mouth, and chin. In terms of how many Facelift procedures you can undergo this all depends on a case by case basis due to everyone having different skin laxity. Only a certified surgeon can recommend if another Facelift procedure may be right for you. Hope this helps. 

Bhupesh Vasisht, MD
Voorhees Plastic Surgeon
5.0 out of 5 stars 94 reviews

Frequency of Facelifts

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Personally, I use the SMAS technique on all of my facelifts. I think it delivers the most natural looking results. In general, patients can get a facelift every 7-10 years, but it's obviously going to depend on the individual. Hope this helps.


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.