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You are best off seeing a plastic surgeon. I have done many of these removals using a very simple approach. Under local anesthesia a small incision is made behind the hairline. Through this incision a small file is used to file down the bump. It takes about 30 minutes and costs between $2000 and $2500. many perform it endoscopically which is quite a bit more involved and quite a bit more expensive.
You should go to someone who does a lot. In NYC, facial plastics with ENT training does this surgery frequently. I perform this with an endoscope with tiny ports in the hair to avoid scars. Choose your surgeon wisely.
The real answer is "depends on who you ask...". I prefer facelifting in younger patients 40s for three reasons: 1) You enjoy your results earlier...instead of waiting to get it done later. 2) When you are younger, your result generally lasts longer because tissue will always...
Of course it is your decision but, if you really want to improve the saggines of your face, the only solution is surgical. Fillers will only fill your face like a balloon to camouflage the sagging and then, when you finally realize that you need a facelift (maybe after 10 years using fillers )...
The subject of which type of facelift is ideal for an individual is likely to always generate much debate and, often times, confusion. This is because many surgeons also label their procedures with marketing terms (i.e. lifestyle lift) that do very little to explain what is actually being done....
