55 - under eye bags, wrinkly eyelids, and the jowls. What procedures would you recommend for the best results? (Photos)

Question

Hi there. I am 55. Over the past two years, my age has really caught up with me, facially. That said, a Google search is almost unhelpful because my inclination is to say my God, I really need any help you can throw at me. LOL. Most noticeable to me are the lovely under eye bags, the wrinkly eyelids, and the jowls. I would love an educated suggestion as to a reasonable procedure(s) plan to achieve good results. Figure I've got $15-20K to spend. This is my first real exploration of potential face/skin procedures and I would benefit by some broad-strokes direction.

Kyle Kimura, MD · Answer

Thank you for your question and photos! 
Some procedures you could consider for different areas of the face: - lower eyelids (lower blepharoplasty vs fat augmentation of the lower lids), I personally prefer lower blepharoplasty with fat transposition which maintains some of the natural fat and uses it to fill the tear trough below the eyelid- finer wrinkles on the face: laser resurfacing or chemical peel can be helpful to improve the overall quality of the skin of the face - jowls/neck: I honestly think this is on the more mild side and may consider waiting before face/neck lift 
Your best bet is to schedule a consultation with a plastic surgeon that specializes in facial rejuvenation.
Hope this helps and best of luck! Kyle Kimura, MD

Guray Yesiladali, MD, FEBOPRAS · Answer

Hello, the concerns you describe are very typical around this age and can be addressed effectively with a structured plan that can also fit within your stated budget.
For the eye area, an upper and lower blepharoplasty would likely provide significant improvement. Upper eyelid surgery can remove excess skin and restore a more open expression. Lower eyelid surgery can reduce under eye bags and smooth the contour beneath the eyes.
For the lower face, both endoscopic facelift and deep plane facelift are options, and the choice depends on how much structural correction is needed.
An endoscopic facelift involves minimal incisions, often hidden within the hairline. Small cameras are used to elevate the midface upward. Recovery is generally easier and scars are limited. However, the amount of tissue that can be repositioned is more limited compared to deeper techniques.
A deep plane facelift, on the other hand, works at a deeper anatomical layer and allows for more significant structural repositioning. Excess skin can also be removed. Incisions are typically placed in natural creases and hidden areas around the ear. Recovery may be slightly longer than endoscopic techniques, but the structural change is more powerful and long lasting.
With your stated budget, these combined procedures can be performed at a very high level with experienced surgeons in Turkey.
I have included a video below where I explain different facelift techniques in more detail and discuss how to determine which one is most appropriate.
Wishing you a thoughtful exploration process and a result that restores confidence without looking overdone.
Güler Güray Yeşiladalı, MD

55 - under eye bags, wrinkly eyelids, and the jowls. What procedures would you recommend for the best results? (Photos)

Answers (2)

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