54, sagging skin. Am I a candidate for a lower facelift? Deep plane? (Photos)

Question

I am 54 yrs old. I do not have many facial wrinkles, thankfully, but I do have sagging skin. Am I a good candidate for a lower facelift?

Ali Riza Öreroglu, MD · Answer

In patients like you—age 54, with minimal wrinkles but noticeable skin laxity—a lower facelift alone is often not sufficient to achieve the best, long-lasting results. In such cases, I recommend a deep plane facelift or a total facelift, which addresses not just the skin but also the deeper facial tissues, repositioning them to restore natural, youthful contours. Given the presence of sagging in the neck area as well, a necklift should be performed in combination to ensure a harmonious transition between the face and neck. To enhance volume, improve symmetry, and achieve a more balanced result, we often incorporate fat grafting to areas of volume loss. Additionally, to further refine facial proportions and correct any imbalance between the upper lip and lower face, a lip lift can be considered as part of the overall plan. Of course, to determine the most appropriate approach for you, an in-person evaluation is essential so I can assess your facial anatomy and tailor the treatment to your unique needs.

Gianfranco Frojo, MD · Answer

Yes, you are an excellent candidate for a facelift/necklift. I would ensure you find a highly qualified American Board of Plastic Surgery certified plastic surgeon with experience in facelift surgery.

Stephen Prendiville, MD · Answer

Assuming that you are healthy, a non smoker, and have appropriate goals and expectations, a properly performed deep plane facelift would be the best choice of approach to rejuvenation.

Tanveer Janjua, MD · Answer

You will benefit from a deep plane facelift. This allows correction of both jowls, neck skin and defines the jawline as well.
Regards
Dr. Janjua

George Marosan, MD · Answer

Thank you for your question and photos. yYou do show some asymmetry in the frontal view, with the right side being somewhat larger. In the lateral view, just forward of the lateral corner of the lids, you have soft tissue falling forward and down. These are the areas addressed by a deep plane facelift, and in the neck will tighten the platysmal bands. A SMAS lift, which is the tight tissue under the skin laterally, will not address your concerns of midface laxity and sag. See a board certified plastic surgeon experienced in all aspects of facial rejuvenation. Good luck.

Gerald Minniti, MD, FACS · Answer

Although your skin texture is very nice, your face is exhibiting signs of aging: deflation of the midface, prominent nasolabial folds, downturned corners of the mouth, marionette lines with jowling, and neck muscle bands (platysma muscle). A face and neck lift with fat grafting would rejuvenate your face nicely. The technique that would be best would be the chosen surgeon's preferred technique. I prefer a composite technique that has gained the misnomer 'deep plane' facelift.

Emre Guvercin, MD, FEBOPRAS · Answer

Anatomically you are a good candidate for deep plan face and neck lift. It is a suitable technique especially for shaping the lower face and neck

54, sagging skin. Am I a candidate for a lower facelift? Deep plane? (Photos)

Answers (7)

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