58, male - what would be the best options to remove all wrinkles from my face, forehead and neck? (Photos)

Question

What would be the best option for a face lift 58 yr old male , I want to remove all the wrinkles on my face, forehead, and neckneck,?

Semih Yildiz, MD, FEPOBRAS · Answer

No procedure removes all wrinkles from the face, forehead, and neck. In a 58-year-old male patient, the best plan depends on whether the main issue is skin laxity, deep folds, surface texture, sun damage, brow position, or eyelid aging.
A facelift and neck lift can improve jowls and neck laxity, but they do not erase all forehead or skin-surface lines. Those may need neuromodulators, laser resurfacing, peels, or other skin treatments. I would expect a staged plan after an in-person exam rather than one operation to address everything.

Phuc Dinh, MD · Answer

Hi, it.s Dr.Phuc DinhAt 58, it’s important to set the right expectation first, no treatment can completely remove all wrinkles, but we can significantly improve your appearance in a natural and effective way.What I see from your photos:-Moderate to significant skin laxity in the lower face and neck-Deep wrinkles and folds (especially around the cheeks and mouth)-Loss of jawline definition and early jowling-Forehead lines and skin texture changesThe best approach is a combination, not one single treatment:1. Facelift + Neck Lift (Foundation). This is the most important step.-Repositions deeper tissues (not just skin tightening)-Improves jawline, jowls, and neck laxity-Gives a more defined and masculine contourThis addresses the structure of aging.2. Fat Transfer (Restore Volume)-Adds back volume to areas like the midface and under eyes-Softens deep folds naturally (better than fillers long-term)This addresses the volume loss.3. Skin Quality Treatments (For Fine Wrinkles)Even after surgery, skin texture and fine lines remain, so:-Laser (CO2 / fractional) or-Skin resurfacingThis addresses the surface wrinkles.4. Forehead Lines-Botox is still the most effective for dynamic forehead wrinkles-Surgical lifting only if there is significant brow descent
You need a combined approach to get a natural, comprehensive result.I hope it helps make things clearer for you
Best regards,Dr.Phuc DinhBoard-Certified Plastic Surgeon

Natalia Vidal Laureano, MD, FACS · Answer

Thank you for your question! You appear to be a great candidate for a full facial rejuvenation, which can create a natural, refreshed look.

A brow lift can soften frown lines and lift the brows, helping the eyes look more open. Eyelid surgery can further brighten and rejuvenate the eye area. A facelift and neck lift will address sagging in the lower face and neck, improving overall contour.  Just as important is skin quality. Procedures like a CO2 laser can help smooth fine lines and sun damage, enhancing your final results.

I hope this helps clarify your options—wishing you the best on your journey!

Lucian Ion, FRCS · Answer

Thank you for your inquiry and sharing your photographs.

Because you have a significant amount of sun damage, it is unlikely that any treatment would completely eliminate the lines.  Phenol croton peel comes closest to producing this type of impact, but it is also associated with an increased risk of hypopigmentation for the treatment areas.

A combination of Deep Plane Facelift and brow lift can help to improve the contours of the forehead and lower face and will also have a degree of impact on the contour of the neck. When this is combined with CO2 laser treatment, either at the same time or as a later treatment, there is an amplification of the impact for the overall shape of the face, but also for the appearance of the facial lines

Ali Riza Öreroglu, MD · Answer

For someone at 58 looking to smooth facial and neck wrinkles, a full facelift combined with a neck lift is usually the most effective approach. These procedures lift and tighten the mid-to-lower face and neck, giving a more refreshed and balanced appearance.
To restore lost volume and achieve natural contours, fat grafting is often very helpful. Upper blepharoplasty addresses excess eyelid skin, while a temporal lift can soften crow’s feet and wrinkles around the eyes.
While surgery can greatly improve deep wrinkles, complete elimination may not be realistic. For fine forehead lines, I sometimes add dermabrasion to enhance skin texture and overall quality.
The exact plan should be customized after a thorough in-person evaluation.

Carl Truesdale, MD · Answer

Thank you for your photos and question. To best achieve the most comprehensive and natural facial rejuvenation and address wrinkles in all areas of concern, a combined treatment approach is recommended. A deep plane face and neck lift would restore youthful contours by repositioning the deeper facial structures and improving sagging in the jawline and neck. Fat transfer to the face would replace lost volume, soften lines, and enhance overall skin quality. Upper blepharoplasty and a brow lift would refresh the upper face by opening the eyes and improving heaviness or hooding. A lower eyelid skin pinch would reduce excess skin beneath the eyes. Finally, CO₂ laser resurfacing would improve skin tone, texture, and fine superficial wrinkles, providing the finishing touch for a smooth, balanced result.

Pasha Mostofi, MD, DMD · Answer

Hi there. Thank you for sharing your question and photos, this is a very common concern, and the good news is that there are several effective options. The most important thing to understand is that no single treatment can remove all wrinkles, especially when they come from a combination of skin thinning, sun damage, muscle movement, and natural tissue descent over time. The best results usually come from combining a few approaches.
For someone your age with visible facial and neck aging, a facelift with neck lift is often the most impactful option. This procedure tightens the deeper structures of the face and neck, improving sagging, jawline definition, and loose neck skin. However, a facelift mainly addresses looseness, not the fine lines and skin texture itself.
To improve wrinkles and skin quality, you would likely benefit from skin resurfacing treatments such as laser resurfacing or chemical peels. These help smooth fine lines, improve sun damage, and give the skin a healthier appearance. For deeper expression lines, like those on the forehead, neuromodulators (like Botox, Xeomin, Dysport, etc.) can soften movement-related wrinkles, while fat grafting can restore some lost volume in areas like the cheeks or around the mouth.
The neck can be more challenging, but combining a neck lift with skin treatments often gives the best improvement. Good skincare (especially sunscreen and retinoids) also plays an important supporting role.
In summary, the most effective plan would likely be a combination approach: surgery for lifting and tightening, plus non-surgical treatments to improve the skin itself. An consultation with a cosmetic/plastic surgeon would allow a tailored plan based on your goals and how aggressive you want to be. Hope this helps!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Dear howie974,

Thank you for your question. Men can absolutely see meaningful improvement from both nonsurgical and surgical facial rejuvenation, but it is important to have realistic expectations. The goal is usually major improvement and a more rested appearance, not removal of every wrinkle.

From your photos, I think it would be wise to start with the basics of skin health. That includes reducing sun exposure, using sunscreen daily with at least SPF 30, using a good moisturizer, and considering mild alpha hydroxy acid peels every 4 to 6 weeks. Consistent skin care can make a real difference over time.

For wrinkles caused by facial movement, such as the forehead and frown area, Botox can be helpful. For deeper lines that remain at rest, improving skin quality first is important. Treatments such as resurfacing may also be considered in selected cases, depending on skin type and downtime goals.

For the lower face and neck, surgery is often the best way to improve laxity and restore a firmer jawline and neck contour. A facelift and neck lift can help significantly, but they will not erase every line in the skin. In many patients, the best results come from combining surgery with good skin care and selected nonsurgical treatments.

So in your case, I would think in terms of a combination approach rather than one single procedure to treat everything. It would be worthwhile to meet with a board-certified plastic surgeon to discuss what concerns are coming from skin texture, what is caused by muscle activity, and what is related to tissue descent in the face and neck.

Warmest regards,

Dr. Stephenson

Don W. Griffin, MD · Answer

Thank your for your question and photos. First, let's define the types of wrinkles you have. The wrinkles between your eyebrow, on your forehead and around the outside edges of your eyes are Dynamic wrinkles-these are caused by muscle movements. These are best treated with neuromodulator injections which weaken or temporarily paralyze the muscles so they don't cause the skin to crease when the muscle contracts. The wrinkles on your cheeks and around your mouth are predominantly caused by skin laxity and exacerbated by movements of the mouth and facial muscles. Neuromodulators cannot be used on these because they would distort your facial expressions when talking or smiling. 
While nothing can completely erase all of your wrinkles (it's just not possible), a comprehensive treatment plan combining surgery, skin care, laser resurfacing and neuromodulater treatments with fillers will help you achieve the most improvement. Surgical options to consider include a facelift combined with a brow lift and possibly blepharoplasty will improve them. These procedures will improve the skin laxity and deep tissue sagging.

Franklin D. Richards, MD · Answer

From your photos you would be a very good candidate for a facelift and forehead lift. This should do a very nice job in removing the wrinkles and skin looseness over the neck, jawline, cheeks and forehead. A plastic surgeon that is proficient in facelift procedures should be able to give you a very nice result.

58, male - what would be the best options to remove all wrinkles from my face, forehead and neck? (Photos)

Answers (20)

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