Lower facelift at 35 years old - am I candidate? (photos)

Question

I am currently 35 and my face is starting on sag. My body also metabolizes filler very quickly. Curious if I'm a candidate for a lower face lift?

David Parizh, DO · Answer

I think that nonsurgical modalities are a great tool for the right patient. Filler adds volume. If you are worried about sag and poor contour I do not think that adding volume will make a great difference. Nonsurgical modalities long term are more expensive and require maintenance. For the right patient they are worth while. However, it depends on the degree of improvement you are looking for.
Surgical options for a neck have to address the fat below your skin. The muscle laxity. The deep structures under that muscle which include the submandibular glands, the digastric muscle and the fat between them (interdigastric fat). I believe that a board certified plastic surgeon can help guide you in this process. The procedure I described above can be done through a small incision below your chin. A facelift should be used to address the deep nasolabial folds and jowling that you develop with age. I hope you find someone who can listen to your concerns and create a surgical blueprint to achieve your aesthetic goals.

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. You would likely benefit from an  RF microneedling procedure to improve skin laxity.  This non-surgical option can tighten and smooth sagging skin through stimulation using a combination of microneedling and radiofrequency energy.

This procedure triggers the body’s natural rejuvenating processes to help your skin produce elastin and collagen at higher levels. The firmer and tighter results can be long-lasting. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can suggest the best approach to help you achieve your cosmetic goals.

Jason Emer, MD · Answer

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

David Hansen, MD · Answer

A little lipo under local and FacetiteRF and Morpheus8 to tighten the skin would give amazing results and is so  easy to undergo.

Jeffrey Lisiecki, MD · Answer

You should be seen and evaluated in person and discuss your concerns and history in detail. 35 is generally quite young for a facelift, but there are many other options including fat grafting, fillers, submental liposuction, and radiofrequency skin tightening, depending on what your concerns are.

Robert M. Tornambe, MD · Answer

It sounds like you may be ia candidate for a Mini-Facelift, especially since fillers are becoming less effective and more expensive because they are not lasting as long as you would like. . My favorite technique is the MACS short scar Mini-Facelift. Developed in Europe, it is the ideal approach for the younger patient, not ready for a full facelift, or patients who desire a less invasive procedure with a shorter recovery time. It addresses both the mid face area (especially the jowls) as well as the neck, if needed. Come see me or another board-certified plastic surgeon in our area to explore the best options for you.  Good luck.

Darryl J. Blinski, MD · Answer

Appears you could benefit from a mini FL/NL with SMAS plication. Fee from $5,000-$10,000. Best to virtual consult with…

Lower facelift at 35 years old - am I candidate? (photos)

Answers (7)

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