Madonna - What Has She Done? (photo)

Many celebrities use a combination of modalities. One of the most requested treatments these days is the Ulthera non surgical facelift and necklift. Raffy Karamanoukian Los Angeles

Judging by your photographs (always good to see a few different angles), I see some descent of the tissues of the face, jowl, and neck.  There are also platysmal bands present in the center of the neck.  I would recommend a submental platysmaplasty and a lower face / neck lift.  Generally, I am not an advocate for midface lifting because the look can be unnatural.  I would advocate autologous fat grafting (conservatively performed). Madonna has had nice work done although I believe that she was excessively augmented in the cheek / midface region.

   Short scar facelift is like a minifacelift just more poweful.  This has the same incision pattern, but the amount of undermining and correction is greater.  The result is natural and not windblown.  I would recommend facial fat grafting to the cheeks as well to create the high cheekbone look. Subtle changes in your very thin lines can made with laser resurfacing, chemical peel, or superficial filler placement.

A mini face/neck lift makes a big improvement and looks very natural and can be all done under local anesthesia.  It tightens and smooths the jawline, jowls and neck for roughly $6000. Sincerely,

David Hansen,MD

Yes, based upon the limited photos you posted it looks like you could benefit from a facelift and treatment as well of your neck. Natural resuls are my goal and preserving the patients hairline is just one of the ways to do so.  Good luck.

Hi,

It's nice to see celebrities have toned down the earlier excessive surgery they used to get (Joan Rivers, Meg Ryan) and are moving towards more natural results (Madonna, Sharon Stone). Although it does appear that maybe Madonna recently has overdone the fat injections a bit or has opted for cheek implants.

This goes hand in hand with demand from patients to have natural results and the continued popularity of minimally invasive facelift surgery (MACS, Mini Lift) to meet these demands.

Given your picture (of course an exam is needed to give you professional advice) a Mini Lift with fat injections to your midface will give you some very nice results. I do see some mild neck bands but they are wide apart and certainly a Mini Lift can be extended down into the neck to help these out as well.

Take care,

Dr. Kamran Jafri

It is somewhat difficult to fully assess your facial features because of your large glasses and your hair being draped in your face, but it appears as though your midcheek and lower cheek tissues are a bit lax, as are your upper neck tissues.  In these situations I prefer to perform a two vector suspension type of short scar facelift like the MACS lift.  This can also be combined with fat transfer at the time of surgery to nicely address the orbital region, temples, and cheeks if volume is required there, and because it pulls so nicely on the platysma muscle, you will get correction of your upper neck laxity too.  Done properly, this should leave you looking very natural and not pulled at all.

Thank you for the photo

 

Essentially your face could use volumization with fat transfer or Sculptra and you would definitely benefit from a mini facelift with a platysmplasty at the same time. One additional thing that may help your profile and replace some of the bone and soft tissue volume you've lost along the jawline would be a small chin implant. All of these things can be performed under local anesthesia and your total cost depending on whether or not you doing one procedure or multiple procedures with volumization would be anywhere between seven and $12,000.

 

it may sound like a lot but it I doubt you would look unnatural and it's all in the decision-making by the surgeon not so much how many procedures are done. Almost every day a patient walks into my clinic and says "make me look better but don't make me look any different." This seems to be everyone's MO in Northern California and is an improvement I enjoy delivering

 

Thank you

 

Chase Lay, MD

A minifacelift would certainly help with the lower face area. Unfortunately, part of the problem with skin laxity is loss of volume of the face. A conservative amount of fat transfer to the midface region would be very beneficial.  Isolated midface lifts have fallen out of popularity. Complex anatomy and surgery for subtle improvement.  The comination of fat with a minifacelift would be very powerful. Best wishes.

Face lifts, fillers and skin care are complimentary, not mutually exclusive. Depending on your needs proper use of all will maximize your result. You appear to be an excellent candidate for mini lifting. Other treatments will be able to enhance it. You should always look natural, like yourself but with more vibrancy and not altered or pulled. Ask to see before and afters of other patients to get a sense of your surgeon's facelift aesthetic as you go for consults.