Facelift now or later? (Photo)

There is no strict criteria for the correct age to undergo a facelift. It depends on the amount of facial aging. In your case the skin is tight, jawline is beautiful. You don't need a facelift at this time.
Regards
Dr. J

Non-invasive treatments like Morpheus stimulate the skin’s underlying layers, but in some cases, they may damage tissues or reduce the effectiveness of future facelift procedures. Technologies that use intense energy to treat the skin can impact the success of surgery, so it’s important to consider the effects of these treatments if a facelift is planned in the future.

Facelift surgery typically requires a physical exam, as each individual’s skin structure, muscle tone, and aging process are different. This makes it difficult to assess solely through photos. After the examination, the most suitable surgical approach will be determined.

I usually prefer the *Deep Plane Facelift* as it offers more natural and long-lasting results. This technique not only tightens the skin but also the underlying muscles and tissues, creating a youthful appearance without excessive skin pulling. You seem to have sagging nasolabials, and a slight sagging has begun on the neck area. Depending on how much these issues annoy you, you can go for the surgery now, or wait for a few years to undergo a more extensive facelift.

Thanks for the question. Based on your photos, you are a good candidate for Facelift surgery. This surgery will help to reshape your face and eyelid. Also targets sagging skin and wrinkles. I recommend you meeting a board certified surgeon to decide the process together. I wish you all the best.

Based on your age (49) and previous non-invasive treatments (fillers, Morpheus, Ultherapy), whether or not to consider a facelift depends on certain clinical factors. Non-invasive methods are typically effective at addressing superficial wrinkles and mild sagging, but for deeper skin laxity, more pronounced lines, and signs of aging, a facelift (rhytidectomy) offers more lasting and noticeable results.
If your skin elasticity has decreased and the effects of fillers or energy-based devices have become limited, it may be time to consider a facelift. This procedure removes excess tissue and provides a younger, tighter appearance. Alternatively, a less invasive mini facelift could also be an option, which targets milder signs of aging while shortening the recovery time.
In conclusion, if you're no longer satisfied with non-invasive treatments and are noticing increased facial sagging, a facelift may be worth considering. However, the final decision is best made in consultation with a plastic surgeon, who can develop a personalized plan based on a physical examination and your expectations.

I would suggest no surgery at this time. Your facial contour is great and you have minimal loose skin. I would continue with your non invasive procedures at this time. When your skin starts to sag and your jawline is not defined with jowls, this would be an appropriate time for surgery.

Thank you for your question and photos. You did not identify your concerns. Your photos show very little signs of aging. Your skin is smooth, very few dynamic or static wrinkles. Your chin and neck contour look good, and very little jowl laxity. In my opinion you look great. I would definitely hold off on a facelift at this time. I believe you will only have minimal improvement at this time. Continue your normal skin care routine.

It would be perfectly reasonable to wait a few years prior to having a facelift. The facial aging indications are not substantial and the changes that you will see with a well performed facelift won't be as dramatic. The advice I would give you: 1) come back for a re-evaluation in a year- 18 months. 2) Please do not have further treatments with Ultherapy and/or Mopheus. These treatments will compromise your eventual facelift. 3) Please avoid gimmicky abbreviated facelift procedures which are more marketing than a solution to the issues that you face as you age. I do have patients that are less tolerant of the aging process for whom I have performed "maintenance facelifts", but I would encourage you to wait.

Hi Clare,
A great age to consider a facelift is typically 50, however, you have done an amazing job with non surgical options and perhaps lifestyle. I would recommend a consultation virtually or in person to determine weather or not you are a candidate for a facelift/Necklift. During the consultation we can also discuss noninvasive options to have you looking and feeling your best prior to a facelift.

You're aging well I would say and those treatments have helped immensely. I think you would benefit from a facelift if you want to improve things more. You look like you would be a good patient for facetite or renuvion depending on your goals. You might also benefit from a lower lid blepharoplasty and lip lift or botox for the line on your upper lip when you smile. Hope that helps!

I do not recommend a facelift at this time. I recommend you consider a lip lift as you have a horizontal crease above your lip. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.