Male, 40: Ready for a Facelift? (photo)

39 yrs old: The last few years I have started to feel that I look a bit tired when I am in fact rested. I find it difficult to pinpoint the cause. However, I can tell that my face has begun to sack; the left side drooping a bit more than the right. Am I a candidate for a lift or any other tweeks to help me regain a more refreshed look? I have had no prior surgery and I am cautious to avoid surgery to my upper eyelids or forehead as I find these procedures to cause a loss of facial masculinity.

Doctor Answers 16

Consider Non-Invasive procedures first

Hi there, after looking at your photo I would encourage you to consider a non-invasive skin tightening procedure that can lift and tighten the "tired" areas of your face without surgery. Ulthera is a new non-surgicial alternative the to the face lift many of my patients in their late 30's, 40's and even 50's are having to stave off the necessity of having a full or partial facelift at that particular time. I think you could also benefit from various skin peels/laser treatments that will "freshen" the surface of the skin, thus restoring the look of youth. Many of my patients find that the Ulthera skin tightening procedure done in sequence with skin treatments provides significant long lasting results that can ultimately delay the need to have a surgical face/brow/eye procedure by at least several years. I have included a link to more information about facial options below.

Scottsdale Plastic Surgeon
4.8 out of 5 stars 107 reviews

Blepharoplasty will give biggest bang for the buck.

I agree with both Drs. Fleming and Nichter that the photo submitted does not appear to warrant a facelift. Perhaps a little filler (Restylane or Juvederm, etc) to the upper nasolabial folds to the cheek/mouth junction would soften this area. Even with the eyes blanked out it appears that there is some fullness of the eyelid that would allow a well-rested appearance without the feminization effect that can happen with a brow lift that is over-corrected in some men. I tell my patients with the concern of being told they look tired that blepharoplasty (eyelid surgery) gives the biggest bang for the buck.

Brian J. Lee, MD
Fort Wayne Plastic Surgeon
5.0 out of 5 stars 13 reviews

Male, 40: Ready 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. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit to view a complete list of surgeries commonly performed. 

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Go nonsurgical first

I think you'd get a great result from nonsurgical treatments, such as Botox, fillers and laser technologies.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Mid Face Fillers Good Option For Early Male Face Aging

Thank you for your question and photograph. You are young, masculine looking and I agree you should avoid incisions.

Hyaluronic Acid Fillers such as Perlane can restore the apple cheeks of youth, improve the loss of mid face volume and give you a nice result.

Consult an experienced plastic surgeon who is certified by the American Board of Plastic Surgery.

​Facelift for a Younger Male

Facelift in a male patient is usually performed when there are signs of tissue droop in the face, cheek or the neck. In a younger male patient there are other surgical maneuvers that can be performed to recreate a more youthful look, and still retain masculine features. In your particular case it appears that the cheeks have become a bit more hollow, creating an older and tired look. This can be corrected with a fat grafting procedure or one of the dedicated filler injections. Seek out an experienced and skilled surgeon that can properly assess your needs and expertly performed the needed procedure.

Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
4.7 out of 5 stars 57 reviews

Facelift at 39

Although a photo provides limited information, Facelift would not be on the top of my list for recommended procedures for you (at this particular time).  I would most likely suggest volume replenishment to the mid-facial area with Scupltra, possibly combined with minimally invasive lower facial tightening via Ultherapy. Facelift is a wonderful procedure given appropriate indications.  Without appropriate indications, results are likely to be underwhelming and expectations unmet.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 95 reviews

Facelift at 40

   For some people at 40, a face and neck lift may be reasonable, but you will not benefit much from the surgery at this point.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

40's and a facelift for a male

Based on your pictures, I would not consider a face lift. I would consider filling and fat grafting. There are some procedures that can lift your face without incisions. We call them incision less face lift alternatives.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 86 reviews

Male refreshing surgery

II wrote about male plastic surgery for Forbes magazine and male lower eyelid bags is your number one and conservative upper eyelid surgery (not like Kenny Rogers or Bruce Jenner)

is your number two.A neck lift for you or a good liposuction of the neck is also recommended.I don't have a side view but it appears your chn is weak and a chin implant to eend it may help. I am only surmisng since I don't have any more views of you to analyze theis thoroughly


Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 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.