42 years old- too young for lower facelift? (Photo)

Hello and thank you for your question!  You are correct, if you are looking for more of a long- term results, surgery is definitely an option.  A short scar facelift is a great option for many people. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day, there are no scars behind the ears and you can wear your hair up anytime and most patients take no pain medicine. The result is usually the same in selected patients as a full scar facelift but it really depends on your exam.
Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the neck and jowls.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of mini facelifts and neck lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

Liposuction under local with the micro canulas and facetite and morpheus at the same time would give an amazing jawline and neck and is so easy to undergo with only 1 day downtime for roughly $5000.

The conditions that your face is in is more important than the age you are at in your case. If there is excess, sagging skin and tissues, a surgical facelift may be an option. Volume and contouring in the right places can also provide lifting effects and an improved apperance. It will be best to consult a board certified facial plastic surgeon in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello.
Great question. Thank you for your pictures. In order to avoid a facelift, you may want to consider skin tightening. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results. 

my patients who dont want surgery will do facetite, fillers, and morpheus treatments to keep the skin tighter and slow down the process. if you have significant sagging or are looking for prevention then an early lift can be great and a lot of my younger patients 30-40s do this to get them more significant improvement.  hormonal optimization will be very important for you as well.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.