Facelift or filler: which would you suggest to give me a younger look? (Photo)

Facelifts reposition the skin, fat, SMAS muscle restoring more youthful contour of the cheeks, neck and jawline. Fillers help restore volume and treat/camouflage lines; often many syringes are required to achieve the desired results.
Facelifts usually last 7-10 years, while fillers 6-12months.

Hello @ritasmith, thank you for your question. Surgical facial rejuvenation can improve sagging in the second and third thirds of the face, being a more radical and long-lasting solution. 58 years old is an ideal age to make this change, non-surgical treatments can make it last and be maintained. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Facelift and filler basically has two different functions:where facelift is essentially used to lift up the loosen skin, filler is used to give more volume to the depressed area.
While it is hard to see an accurate condition from the photos uploaded, a combination of lifting procedure and volume fat grafting may help achieve a younger look.

Dear ritasmith ,
Thankyou for your attaching pictures for reference. It seems you are experiencing face laxity where the skin is losing its firmness and tightness especially in the mid face area. If you are looking for a permanent solution I would recommend a mid-face lift combined with Lower blepharoplasty, the lift will eliminate the sagging cheeks/nasolabial folds and the lower blepharoplasty will remove the excess skin under the eyes and prevent your skin to collect under the eyes when smiling. Furthermore, I would also suggest you to get fat injections for your deep smile lines to fill in the lack of volume. For the midface lift and lower blepharoplasty i would strongly suggest to find a expert surgeon who does endoscopic scarlesss lift and follows the vertical lift technique in order to get a much natural lifted look.
Best Regards,
TAS TEAM

Thank you for asking your question. First, let me say you look great for your age, so I would be cautious about doing too much too fast and getting unnatural-looking results. You could benefit from filler or a combination treatment using filler and neuromodulators like Botox, or skin rejuvenation treatments like RF microneedling. They are all safe and effective options to treat signs of aging like fine lines and wrinkles. Much of your choice depends on your expectations and desires. Botox and dermal fillers can provide excellent results but require regular follow-up treatments. There are also laser treatments, and combination liquid lifts to provide more noticeable results. If you have not had any injections or facial work to address aging, this may be a practical starting point. Surgical options like facelifts can provide more significant results but require more downtime. A mini facelift with dermal fillers may provide you with the results you need with less downtime. Schedule an in-person consultation with a board-certified plastic surgeon for more guidance and a personalized plan.

Hello, thank you for your question. So its difficult to make the final decision based on your photos. Its really what results and exceptions you are seeking. If you have never had any filler, it maybe a good option to have fillers done before making the decision for facelift. Fillers are non permanent solution to giving you a semi lifted look. Other options such as neurotoxins may help with fine lines and wrinkles.
Facelift is a surgery tighter skin in the mid face and neck, but again depends on what results you are looking for and what is bothering you.

Based on your photos, I believe that you will benefit from either fillers by an experienced injector or by a facelift. The photos that you submitted make it difficult to assess your cheeks since you are smiling, but I would recommend neurotoxins (muscle relaxants, such as botox, dysport or xeomin) to the forehead, between the eyes, and the crow's feet. I would further recommend fillers under the eyes, cheeks, smile lines, and lips. It's difficult to give you a chiseled jawline because of the significant laxity of the cheeks that blend into the neck. That would be the main limitation of fillers for your face.

A facelift, coupled with fat grafting to the cheeks, smile lines, and lips, performed with an upper and lower eyelid lifts will give you the best possible result as it will address all the issues including loss of fat, laxity of jowls, and improving the jaw contour.

As you know, surgery is more expensive, risky, painful, and requires downtime, but it can give you a long lasting result. Fillers are less expensive, less risky, less painful, and requires minimal downtime, but will give you a result that will last 1-2 years on the average. I recommend that you consult with a board-certified plastic surgeon who is skilled at both fillers and facelifts and let them advise you in person. Ultimately, you have to make the decision. The good news about having fillers in the near future is that if you don't like it, you can always have a facelift in the future.

You are more a candidate for surgery at 58. A well done facelift will look great. I also think you need surgery on your eyelids at the same time. Fillers will simply be a waste

Truthfully, an in-person consultation examining you in repose (without smiling) would be a better forum for contemplating this topic. As a board certified plastic surgeon, I think it is important to tell you that age does not determine if you should have surgery or filler. It’s truly a question of what bothers you, and what your lifestyle allows in terms of correction. Fillers address lack of volume. Surgeries address sagging skin and structure. Often, when I perform facelifts, I use autologous fat which is superior to filler in almost every respect. The most important aspect is to know *how much* is just right – in regard to surgery as well as revolumizing. Natural is key, and you do not want to look older, which is precisely what un-subtle facial surgery can do. So, in summary: filler/autologous fat will address the volume depletion of the midface that happens as we age, but only surgery can permanently remove loose excess skin to create a sharp, youthful jawline. Even after you have your treatments and procedures, routine upkeep is needed to help maintain your results, such as using medical-grade skincare products and lasers. I recommend that you consult in person with a board certified plastic surgeon to discuss your concerns and goals to determine the treatment plan that’s best for you!

From the side profile photograph, you have significant fat deposits in the neck located both above and below the lettuce muscle creating jowls. A Comprehensive lower face and neck lift would be your best option which includes tightening the Jowls, removal of the fat deposits in the neck, tightening loose facial and neck skin, and tightening loose facial and neck muscles.