I am a 73 year old woman who needs a face and neck lift.

Hi, and thank you for your question regarding a facelift and neck lift. Without photos or an in-person consultation it will be more difficult to make the best recommendation. However, based on your age, a facelift may be your best option. Non-invasive treatments will require numerous office visits, provide shorter-lived results, and may not give you the look you want. 
 A full facelift will be more expensive and will have a longer recovery time, but will most likely give you the best and longest-lasting results. A full facelift will address the underlying muscles and support structures of the face, not just the surface skin; and a neck lift would complete the rejuvenation of your facial area. 
 Schedule an in-person consultation with a board-certified facial plastic surgeon who can recommend the best procedure based on your anatomy and skin condition. Good luck!

At your age, a surgical facelift and necklift will most likely give you the results you want rather than non surgical options. Face lifts can be extensive or more conservative depending upon your goals. One surgical procedure can include a neck lift, lower face lift, and more. There are several noninvasive options for your muffin top. Schedule an in person consultation with a board certified surgeon to get a recommendation for your face and neck.

Here in SW Florida, this is a question I hear virtually every day.  The minimally invasive modalities like energy devices, fillers, and toxins are very goal specific, relatively temporary in duration, and incapable of yielding facelift-like results to a 73 year old.  The clear and best option is a facelift, which will address your jawline, cheek, and neck.  The best way to view your options is to think of the need result that you want, and feel good about it based on the money and time spent.  That answer is definitely a facelift. 

Hello! At 73 it is likely that a surgical lift is the best option for you, although it is difficult to say much more without photographs. Fillers and skin treatments can help volumize the face but will not get rid of sagging jowls and neck skin. There truly is no magic wand that will do what a facelift does. "Invasive" is a term used anytime we cut the skin, but truly a facelift is soft tissue work and in the hands of an experienced surgeon imparts minimal risk. I would recommend a consultation with an experienced facial plastic surgeon to discuss options to help you meet your goals. Good luck!

It all depends on what you mean by minimally invasive. this morning i did a facelift on a 72 year old. It was considered minimally invasive as it was perform under local anesthesia with some oral sedation. If you wanted a smaller procedure, like a minilift, which would entail a shorter incision around your ears- that could also be done; however, understand that a more minimal procedure will also mean compromising your optimal resultsthere are other options, such as noninvasive devices like ultherapy and others out there that can tighten the skin, however, you would have to have a consultation to discuss the expected results as these devices usually do better for patients in their 40's - 50's. 

Hello and thank you for your question. .  The best advice you can receive is from an in-person
consultation. If you have skin laxity, then a facelift and necklift will produce a better result than noninvasive options.  If good technique is used,
this can be done with minimal scarring and can result in a natural look, not
over-done look, with rejuvenation of your face.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results. The most important aspect
is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

You mention that you don't want to have invasive surgery but you don't mention why. Many patients can be treated with an in office procedure using local anesthetic. It's basically a facelift and necklift, just performed in the office with the patient awake. It's quite easy to tolerate, the sutures are removed in week, and patients usually look quite good in 1-2 weeks. At 73, it's most likely the only way that you will get a lift that is significant enough to make a visible improvement as non-surgical options only give very subtle improvements. As far as a muffin top goes, Coolsculpting is a great option. It won't get rid of excess skin, but it will reduce the amount of fat in the area. It is very effective and has no downtime.Andrew Campbell, M.D.
Quintessa Aesthetic Centers

Without a complete set of photos from both anatomic areas, and the benefit of physical exam, it's impossible to give you a realistic and accurate opinion. The primary benefit of Plastic Surgery- is to remove excess skin and fat, tighten muscles- and generally- re-contour unwanted areas of the body. These improvements can best be achieved with surgery- there is no non-surgical substitute. 

There are numerous non-surgical options but not everyone is a good candidate for them. Without photos, it is impossible to make any sort of suggestion. I encourage you to see a plastic surgeon for a consultation to discuss your desires and determine your candidacy for non-surgical and surgical options. Best wishes!

Rejuvenation of the face is accomplished by many means.  You have not supplied pictures but my best guess is that you most likely have some skin and soft tissue laxity.  A face and neck lift would probably accomplish the best results.  Your age at 73 is not an obstacle to surgery if you are generally healthy.  In my practice, given my location on the Gulf Coast, many of my surgical patients are in that age range.  I will give you one caution.  At times I see patients who have been seen by other practitioners and have attempted to avoid surgery by having large amounts of fillers injected.  Because the underlying problem is a LARGE component of skin laxity the FILLED results can look unattractive if not ridiculous.  See a practitioner who has a large palette of remedies for you and is skilled on deciding whats best for you.Apologies, I am a facial plastic surgeon and have limited experience on abdominoplasty and body liposuction so cannot comment on the second part of your question.Be well and best regards,Fred G. Fedok, MD FACS