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

Please see attached video about my face!

Doctor Answers 32

A full facelift is likely your best option.

Thank you for your question and the photos.

A full facelift is likely your best option. If you do not wish to have surgery, aggressive fractionated laser resurfacing with some strategic botox and injectable fillers can give you partial improvement.  If you go the nonsurgical route, multiple treatments would be necessary and these costs add up over time.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

Nashville Plastic Surgeon
5.0 out of 5 stars 101 reviews

Jowls and Nasolabibial Folds

Thanks for the video, its nice to actually hear and see someone rather than just answering questions in a  vacuum. As far as your jowls and neck go, a lifting procedure such as a lower facelift or minifacel lift can address those issues nicely. These procedures can be done under local anesthesia with minimal sedation. This reduces all risks associated with general anesthesia. Mini-facelift simply implies less surgical dissection which in turn results in less swelling and bruising and faster recovery. Most patients in my practice are candidates for either a lower facelift or mini- facelift procedure as I believe you are. The nasal - labial folds ( fold between the nose and corner of your mouth) will not improve with any kind of facelift procedure. The best option for this are injectable fillers. Hope this helps. See video and weblink below.


Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 252 reviews

Best Options for Aging Face, 65 Year Old Woman?

 Thanks for posting your question and video.  Your face show the typical signs of aging as does the neck.  A minimal incision Face Lift with shaping of the cheeks anteriorly (front) would rejuvenate the face making it appear more feminine and naturally attractive.  This can be performed using smaller incisions in about 90 minutes with a quick recovery time.

 The neck is the issue that would need to be determined as it constitutes the majority of the excess skin, surgical time and recovery.  If you are happy with a 60-70% reduction of excess neck skin, a limited procedure would be applicable for a 65 year-old.  If, on the other hand, you're looking for a smooth neck...then a full Neck Lift would be required.  This adds approximately 3 hours of surgery time and 10 days to the recovery due to the amount of tissue dissection and blood vessels within the neck.

 Disregard any specific board or member that touts superiority over any other in performing Face Lifts.  These claims are disingenuous and fact if any one board should claim superiority in Face Lifts, wouldn't it be Facial Plastic Surgeons who are board certified in Facial Plastic and Reconstructive Surgery.  These arguments are self-serving, childish and off topic IMHO.

 I have performed Face Lifts for over 25 years and IMHO, you as a consumer, should seek out the most experienced Face Lift Surgeon that you can find that understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face...not one that is wind-blown or makes the face look like the joker.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 17 reviews


There are lots of nonsurgical options offered, but none of them will give you the results you want so it is best not to waste your resources in that way. Rejuvenation in your case means repositioning the tissues, especially the deep tissues, to take away many of the changes due to gravity. If you simply lay on your back and hold a mirror directly over your face you will get a good approximation of the changes you can get from a good facelift. There are no shortcuts to that. You mentiioned a Lifestyle Lift, but that is a surgical procedure best reserved for a younger person seeking minimal changes. And even that is a surgical procedure. Interview 2 0r 3 surgeons in your area that do a large volume of facial cosmet surgery and you will have a change you like that will last for years.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 22 reviews

Create a Complete Treatment Plan

The management of facial aging varies from patient to patient and depends on a multitude of variables. Each patient has unique aesthetic goals and specific physical findings. Your video very clearly illustrates both your aesthetic goals and your physical manifestations of facial aging. Your video demonstrates jowls, nasolabial folds, loss of jawline definition and separation of the paired platysma muscles. In addition you have brow descent and redundant upper and lower eyelid skin.
Based on these finding’s the most appropriate procedure would be a full facelift and neck lift. This procedure could also correct the separation of your midline neck muscles. The procedure would address your loose facial skin and ultimately correct your jowls, nasolabial folds and define your jawline.
Although you’re not concerned about your eyelids and brow position these areas would also benefit from facial rejuvenation. Brow descent could be helped with a brow lift and excess upper and lower eyelid skin could be corrected with upper and lower lid blepharoplasty.
There’s significant advantages when these procedures are performed together. These include synergy, greater affordability and one recovery. These procedures are associated with excellent results and high patient satisfaction rates.
If you’re considering facial rejuvenation surgery consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your concerns.

Age 65, What Option Should you Choose?

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.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 74 reviews

Full Face and Neck Lift

   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

Numerous options..

Thank you for your video. Your desire to avoid surgery is natural however the issues you are concerned about when you lifted your cheeks and neck can only be addressed surgically. That being said, there are numerous options for the kind of surgery you can have. I have specialized in facial aging procedures (non surgical and surgical) for about  20 years and wrote a book "The Fine Art of Looking Younger". There is no shortage of gimmicks in the field of Cosmetic Medicine. Non surgical facelifts, liquid facelifts, radiofrequency or "1 hour miracle procedures" consistently over promise and under deliver. I have spent many years performing the type of procedure you need under local anesthesia with sedation ("twilight") such that the majority of my patients feel comfortable and look very good in as little as one week. Many times, I have found people like yourself to be hesitant to have surgery from knowing people who had problems o results they don't like or seeing problems on sites like this as well as other sites and magazines which feature "plastic surgery disasters". I recommend you save your money and avoid non surgical procedure and "revolutionary 1 hour facelifts" and look for a surgeon who you feel will connect with you. I think that once you've developed a sense of trust and confidence in a surgeon, you will ultimately look the way you want and be glad you had the right procedure.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 58 reviews

Filling instead of face lifting is possible and could even be better than traditional facelifting

You don't have to have a facelift to look rejuvenated. But sometimes a facelift can help with your jowls and neck. You should look into filling your face in just the right way. If done thoughtfully, you can make your face smaller and more youthful at the same time.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 51 reviews

The Best procedure addresses your desires with the least risk.

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

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.