Can I get a mini face lift if I am 20? (Photo)

Question

I feel like my lower half of my face lacks so much elasticity for my age and I feel like my face is overall asymmetrical. I have prominent smile lines for my age but I do not want to get filler. Would getting a mini face lift be okay? I have provided two photos of my regular face and one of me lifting my skin to give the illusion of a lower face lift. Thank you.

Dallas Buchanan, MD · Answer

Thank you for your question and pictures. You are 20 years old.....you look exactly like a 20 year old should look. Everyone has asymmetry in his or her face, that is completely natural and actually pleasant to the eye. Stop comparing yourself to everyone else and remember that everything you see on social media is completely fake and photoshopped! You are magnificent just the way you are. If you want to do something positive for yourself, invest in a good skin care regimen early so that you can take care of your skin in the years to come and age as gracefully as possible. All in all, give yourself a break, don't spend time comparing yourself to others, just be the best YOU that you can be.

All the best....

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

All the best....

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Alan Gonzalez, MD, FACS · Answer

Hello @Vivid963791 thank you for your question. Is not possible to make an assessment just by the pictures. Besides you are really young for a mini face lift, your skin looks healthy and youthful is not sagging. Before any procedure that you want to get done have in mind that everyone has asymmetries in their face and body and ask yourself what is it really the motivation behind wanting a mini lift (even if you have asymmetries they are not going to go away by this procedure) and after that consult with a board certified plastic surgeon about what can be done. Best wishes!

Jason Emer, MD · Answer

I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer.

Christian L. Stallworth, MD · Answer

Your question is a common one, and I would say that in 99.999% of patients your age, a facelift is NOT the answer.  Your skin is youthful and will respond to other treatments.  Your photos are limited and you would need an examine, but based on what I can see, I would consider a buccal fat reduction.  This would slim your lower face without any skin incision/external scar.  Schedule a consultation in person with a facial plastic surgeon.

John L. Burns Jr., MD · Answer

Age 20 is way to early to consider surgical solutions for facial again.  Your photos look perfect and I would suggest sunblock and skin care that this time.  You have a very symmetric and age appropriate face so no need for anything more.

Ram Kalus, MD, FACS · Answer

An examination in person would be required to properly evaluate you but it appears that the lower third of your face may be vertically deficient, which means that adding to the vertical dimension may benefit your facial proportions. A facelift tightens and repositions the soft tissues and skin, neither of which are indicated for you. Instead, augmenting your chin may be one possible solution. In addition, your occlusion needs to be evaluated to determine if there is the proper relationship between your upper and lower jaw.

Please consult with a board certified plastic or facial plastic surgeon who can advise you on all of your options. I would not recommend scheduling a facelift since this is unlikely to address or correct your concerns. Best of luck to you.

Please consult with a board certified plastic or facial plastic surgeon who can advise you on all of your options. I would not recommend scheduling a facelift since this is unlikely to address or correct your concerns. Best of luck to you.

Ronald J. Edelson, MD · Answer

You do not need to have a facelift at your age. That being said you probably will find someone who is willing to do it. Please do
Not get a facelift

Dean P. Kane, MD, FACS · Answer

Dear Vivid963791,

Thanks for sharing your photos. I do see a difference when you use your fingers along the outer cheek bone to lift your skin. There are improvements along the nasolabial fold, under eyelid hollows and even the lateral lip folds when you push your skin up. Your concern to look your best is appreciated and so is the natural differences between one side of your face and the other.

For background; our bones do not grow and fuse symmetrically, so your skin and soft-tissues will not hang equally. The skin is in a continuous dynamic change of growth, restoration and breakdown. You do not appear to have any skin diseases that cause structural collagen sagging or elasticity loss. Volume loss and separation of the under-skin fat and muscle compartments leads to hollows, folds and skin softening. A surgical option such as a mini-lift carries too many side-effects and little gain when there are many other option now available for you at this time.

Please consider:
•	Consultation with a Board Certified Plastic Surgeon whose primary focus is in non-surgical, minimally invasive and surgical facial cosmetics. 
•	Consider fillers as your primary lifting option as they will fill the hollows and elevate the skin. It can be reversed as well and is the least expensive alternative. Fat grafting is another possibility. 
•	Retinoids are a first step in tightening the skin but does not fill or lift. Seek a ZO Skin Health team for this. 
•	You may benefit from Thread Lift as it is performed under local anesthetic and lifts like your fingers are doing in the photos. 
•	Sculptra, a collagen building bio-filler is a consideration to firm the skin.

I hope this is helpful. All the best!

Bruce K. Smith, MD · Answer

It is very difficult to tell from your photos and if you would like a better virtual consultation, it would be best to include a side view photograph.  It appears that the lower third of your face is disproportionately small compared to your mid face and your concerns could be addressed with a chin implant or fat grafting/fillers. I do not believe that a facelift would address the concerns that have but this determination can only be made with an in-person consultation.

Brent Moister, MD · Answer

Thank you for your question. Your degree of facial asymmetry is does not appear significantly noticeable in your pictures. Additionally, facelift surgery tends to decrease the elasticity of skin. I would not recommend a face lift, mini or otherwise.

Can I get a mini face lift if I am 20? (Photo)

Answers (12)

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