Am I ready for a Facelift? (photos)
Doctor Answers 47
Any rejuvenation needs to take into consideration a harmonious holistic appearance otherwise one would run the real risk of ending up with the terrible operated look. Most recently attention has been paid to volume depletion as part of the ageing process. Unfortunately this has mean that a plethora of volume fillers have been used to address ageing. Kind of like with a hammer only everything looks like a nail. Any rejuvenation even when minor should have sound anatomical and physiological basis with thoughts given to possible future treatments.
So in principle, the three components :1) Skin and subcutaenous superficial and deep fat compartments, 2) Mimetic muscles of facial expression (SMAS) and 3) ligaments and skeletal support need to be considered and where appropriate manipulated to restore youthful appearance. This is often depending on the person's facial features a combination of nuanced fat transfer for both volume replenishment and rejuvenating effects, redrawing of the overlying skin as well as resuspension of ligaments and SMAS for a balanced look. In younger patients skeletal augmentation is not usually necessary.
I hope this was helpful.
Your skin is not Sagging, so contouring, adding volume, and lifting your jawline can be done non-surgically with the Y Lift
Just to give you an idea of my background, I’m a Board-certified cosmetic surgeon, which is different from a Board-certified plastic surgeon. Our certifying organization—The American Board of Cosmetic Surgery—is dedicated solely to training in the various specialties of cosmetic surgery. I’m also a Fellowship-trained oculofacial plastic surgeon, which is a specialty that focuses specifically on surgery of the eyelids and face.
When it comes to facial aging, two things are involved: volume loss and descent. In your case, when you consider a facelift, you have to take a look at your skin and soft tissue and see whether it has descended or not.
Based on your photo, it is not likely that you have descent of the facial skin. What you are probably referring to as a jowl is what we call the mandibular notch. The mandibular notch is an area of the mandible, or the jawbone, where the bone indents. This natural indentation may further accentuate some volume descent of the jowl right behind it, therefore making someone look jowly.
In order to determine whether a facelift is possible, I perform a physical examination of the facial skin to see if it moves or if it slides. If there is no slide to the skin, then a facelift, regardless of what it is called—mini lift, short scar, SMAS lift, deep plane—is not recommended.
I understand you’ve had Voluma in the upper face, which you feel did not help as much. I can tell you that many doctors will try to do something called a "liquid facelift" where they add volume into the soft tissue using fillers to expand the face and create the illusion of an actual lift. The problem with this practice is that, when you add volume to areas with volume loss, and that volume is too heavy, it will only cause more descent and sagging. On the other hand, if you’re adding volume to a certain area just to replenish the volume that was lost, then you’ll just be getting a volume correction and not an actual lifting effect.
In my practice, we perform something called the Y Lift® for cases like these. The Y Lift® makes use of traditional dermal fillers, which are placed at a deeper level, against a more solid structure such as bone, which is why it is described as structural volumizing. By doing it in this very specific way, and at a deeper level, you get that lifting effect that looks very natural.
The Y Lift® allows for the use of much more filler than is used in traditional volume correction—about 14 syringes in total for a full face, as opposed to the 1-4 syringes average in a regular treatment. In your case, I think the Y Lift® can greatly improve your jawline.
Keep in mind that when you have a facelift, you’re not necessarily filling in the areas with volume loss, unless you're also having a filling procedure done concurrently, which would include things like fat grafting or implant placement. I think it would be beneficial for you to learn more about the Y Lift®, and move away from surgical face lifting. Be sure that you do your research well and identify the right doctors to visit as there are only a specific group of people who are Y Lift®-trained physicians.
I hope that was helpful and I wish you the best of luck!
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Ready for a Facelift
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Am I ready for a facelift?
Hard to Tell Without a Consultation
Dr. Gus Diaz
It's really hard to give an opinion with one photograph. One must see various parts of the face that must be improved to justify surgery.
Facelift or not?
In the one photo you provided, you have a nice neckline and jawline.
Based solely on that photo, I'd say that you don't need a facelift yet. You look very good.
But, if you want to discuss it further, please set up a consultation with a board-certified plastic surgeon, who can discuss the pros & cons of modern facelift techniques with you.
All the best!