Do I need a facelift to improve the look of my face?

Hello and thank you for your question.  I would recommend a face to face consultation with a board certified plastic surgeon.  This will give you the benefit of showing the provider exactly what you expect from your correction and they may offer you a variety of choices based on that. We have some very exciting new technologies for non-invasive tightening of the Neck. J-Plazty (Cool Helium Plasma) produced dramatic improvement in skin laxity for the neck area.  Ultherapy would also be an option. You can perform a neck lift procedure on its own if you do not have the appearance of jowls and loose skin around jawline, however it can make these areas more prominent once you address the neck area. Discuss your goals with your board certified plastic surgeon.   Best of luck! Tweet

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!
#drright #facelift

By looking at your pictures, you do have early signs of aging face. You could benefit from a mini facelift to improve your marionette lines and neck laxity. This is your best permanent option. The other option is non-surgical such as Vivace a radio-frequency and microneedling device with PRP.  Chronological aging is not a determining factor for a facelift rather physical aging. In my practice, I have seen some 40 year old that needed full facelift and there were some 50 year old that only benefited from Botox and fillers. Having a facelift surgery at an early age has no disadvantages, as long as you’re a good candidate for it. I would recommend that you find a facial specialist who has performed thousands of facelifts.  If you decide to have a mini facelift done, I would recommend having your procedure performed using local anesthesia and twilight sedation without the need for general anesthesia. 
I have performed well over 3,000 face and neck lifts for over past 14 years. About 500 of them were performed under general anesthesia and nearly 2500 of those cases were performed under local anesthesia with twilight sedation. Without a doubt local anesthesia and twilight sedation is safe and well tolerated by patients. 

Hello,
Based on the photos you've provided, I would recommend not having a surgical procedure.  The problems are not big enough to justify the small improvement, cost and downtime associated with surgery.  I would recommend considering fillers and/or Ultherapy both of which are less expensive than surgery and have virtually no down time.
Regards,

Thanks for your question!  I do not think that you are ready for a facelift at this point in your life.  I also think your eyebrows are in a good position.  Perhaps if you wanted a little filler around the mouth to turn the corners up, that could help!  Best of luck!

Your photos show some early changes along the jawline and in the neck.  This could be addressed with a limited incision facelift individualized to your needs.  If you need to avoid any downtime you could consider office procedures such as Ulthera or Profound which would have you back to normal activity immediately, however, with less improvement than surgery.  Your brows look lower medially, this may be improved with an adjustment of your Botox.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  I would not recommend a facelift at this time.  Other options such as fillers may be helpful.  You may consider a facelift in the future. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello,Thanks for your question. From the photos you've included, it doesn't seem like a facelift would change your face dramatically enough to make a good difference. Your face looks very young to begin with. With your head turned to the side, there is some neck skin laxity that could benefit from neck lifting surgery. I would actually recommend procedures to raise the corners of your mouth like filler placement or even corner of the mouth lifting surgery. Finally it appears that you have had surgery to your nose. I would recommend revision surgery to soften the appearance of your nose and reposition your nostrils. An expert in facial cosmetic surgery and revision rhinoplasty should be consulted for further information.Good luck,Dr. Shah

In my opinion, you are not currently an appropriate candidate for a facelift.  There does appear to be some mild discoloration of your facial skin and this could be improved with certain types of laser treatments.  

Facelift is a powerful plastic surgery procedure to rejuvenate the face when there is laxity of the skin, descend of the facial tissues and wrinkles.In patients without the above physical findings facelift is usually not a recommended option. In order to make the face more youthful, facial balancing could be done. Most of the time improvement of the anterior cheek fullness with either soft tissue fillers or fat transfer could be an option