Do I need a facelift at 39 or will fillers help for now? (photo)

That is a tough one. While I generally would suggest that 39 is quite young for a facelift, your photos demonstrate facial aging that exceeds your chronological age. Part of what contributes to your advanced facial aging appearance is your small / retruded chin. I would suggest starting with a genioplasty (osteoplastic v alloplastic) depending on your surgeons comfort level. You may even consider seeing a craniofacial or maxillofacial surgeon to do a bsso. either way I would address your chin/jaw, do submental / jowl liposuction (cautiously - you have loose skin) and maybe a platysmaplasty with ant belly of digastric reduction/resection.at this age I think the effort should first be to normalize the lower 1/3 facial anatomy.see if that holds you over, if not then go for a facelift. you would benefit from a true facelift more that a mini lift. you need to make sure your malar tissues are really addressed well.

Hello in Middletown, I spent a few years at St Andrews School. I agree with the theme of a chin augmentation with implant or osteotomy and a face and neck lift. If you truly have had a really dramatic change in facial features you may benefit from medical evaluation to rule out rheumatoid type disorders as well as seeing an dentist for panorex xray to make sure your condyles are not resorbing contributing to this rapid change. Good Luck!

I can see your concerns. You could certainly try non-surgical solutions but I think at the end of the day surgery will be the best choice for you. You have a rather weak lower jaw / chin which is contributing to your problem. My guess is that you would have great success with a neck lift (or lower facelift) and a chin implant. Your neck muscles could be improved with tightening, which is generally included in necklift procedures. Good luck.

I think that a necklift with chin augmentation would provide a good improvement of your neck and chin, without having to go through a facelift.

From the limited views on your pictures, I would say that filler will not be the answer to rejuvenation for you. Your aesthetic issues deal more with skin laxity, than they do volume loss, therefore fillers or laser treatments will not provide you with the answer. I would first suggest a "Mini Facelift". This procedure would help to address the laxity of the skin in your neck area, and also correct the jowls along your jawline. This procedure would provide you with a much tighter neck and jawline. I would also suggest a chin implant. This would help to strengthen your profile and also give the appearance of a more sculpted neckline. I understand your concerns with surgery, but these procedures are safe when performed in the hand of a board certified facial plastic surgeon. I suggest you schedule an consultation where a more accurate examination of your face can be performed, and an individualized plan for reaching your aesthetic goals can be addressed. Good Luck!

In reviewing your photos, it appears there is some fullness and laxity in the submental and lateral cheek area. I do not believe fillers will give you any improvement in these areas. Even though you may feel you are young to consider facial rejuvenation surgery, it will give you the desired effect. Patients often ask what is the best time. My answer is always " when you are ready to rid yourself of the problem that concerns you most". I would recommend a surgeon who can show you pictures of patients who have similar problems and then the post ops. This will confirm your desire to move forward.