Best Options for Aging Face, 65 Year Old Woman? (video)

Thank you for posting the video.  You express concerns that many patients do, desiring facial rejuvenation, but not wanting anything "major".  The sentiments are understandable, but the facts are unavoidable. In the same breath, the term "Lifestyle Lift" is used.  It is important to understand that this term more accurately describes a company that markets an abbreviated facelift procedure.  Although the terminology may appear more appealing, which is a deliberate marketing tool, the results are often those of an abbreviated procedure. At age 65, the procedure that will work best for you is a well performed facelift, performed by a board certified and fellowship trained facial plastic surgeon or general plastic surgeon with an interest in faces. The aging changes you describe are not likely to be adequately met by any other procedure.  Volume addition can be used as an adjunctive proceure.

   I would recommend a full face and neck lift to address your concerns.  This can be performed with a short scar facelift.  Find the plastic surgeon with ELITE credentials who performs hundreds of facelifts each year.  Kenneth Hughes, MD Los Angeles, CA

Thank you for the photos and the video was fantastic. You will see a variety of procedures advocated or even promoted on the internet. No one procedure is best. In general the surgical procedures with a shorter downtime often have a less dramatic result. You need to let your surgeon know which is most important to you. Most patients will not have the dramatic improvement that surgery can offer with non surgical "fillers"  . Fillers however can most definitely add to the results of surgery so I would encourage you to have an open mind about an integrated approach.   Best of luck