I'm 46 & unsure if I am ready for a mini facelift or other surgery? Currently use Botox in forehead and some restylane (Photos)
Doctor Answers 25
The are modern non-surgical aging treatments that can be used with or without lifting procedures
Thank you for your question. You’re 46-years-old and submitted several very good photos describing some crinkling under your eyes when you smile. You indicate you had treatment with Botox™ and Restylane in the past, and you are considering surgery for your lower face due to skin laxity.
I can certainly give you some opinions about how I approach people like yourself in my practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon in practice in Manhattan and Long Island for over 20 years. I specialize in procedures to help people with facial aging. In fact, I have written books about it and I’ve been a source for media regarding this topic. Over the course of 20 years, I’ve personally gone through many different evolutions with the approaches I have for people like yourself.
First, it is important you understand some basic principles, because doctors and non-doctors will offer you all kinds of solutions from their bag of options. At the age of 46, you are dealing with two things related to facial aging: volume loss where you lose bone, muscle and fat, where a few millimeters of bone loss can actually be a couple hundred milliliters in actual volume loss; and laxity or loosening of the skin where tissue that supports the face and the skin get thinner.
A few years ago, we would have discussed options such as limited facelifts, but nowadays, with someone yourself, I try to figure out when is the right time to do surgery, and when is not the right time. I think we would probably address some of these issues with a combination of something called structural volumizing. Structural volumizing is an approach where fillers such as Restylane you are familiar with, but with something thicker and more substantial like Juvederm Ultra Plus, Voluma, or Restylane Lyft would be applied in a way to reach bone level, which is a deeper than where fillers are generally placed. This restores some of that lost volume, and also restores angles and projections that can look very natural. It can actually look like you’ve had a facelift because we are adding volume to structure, hence structural volumizing.
We also have different options to help skin quality, including platelet-rich plasma (PRP), fractional laser treatments, non-surgical skin tightening using 1064 YAG laser for dermal tightening, and deep tissue tightening. Even for a surgeon like myself, these new options helps me do the things I can’t do with surgery, or do it in a way to optimize the results. When surgery is indicated, surgery is appropriate, but I find a lot of people in their 40s benefit from this type of approach. Sometimes there is a blended approach such as a procedure called the Beauty Lift® where we combine limited face lifting with structural volumizing. As you can see, there are a lot of ways to approach this issue.
You’ll find that as you do your research, people will be coming at you with all kinds of ideas,so you have to figure out what makes sense to you and what you are comfortable with. Never get sold on a single solution. It is very important to understand that in the aesthetic field, there are a lot of people selling a lot of things. As a veteran, as an experienced cosmetic surgeon where I offer everything from skin products, to minimally invasive, to lasers, to advanced surgery, what we figure out is how to help our patients optimize their solutions. Learn more about your options. Think about the idea of volume correction at the structural level, and some skin quality improvement. This is the age of maintenance, and it can make a real difference if you are committed to doing these things.I hope that was helpful, I wish you the best of luck and thank you for your question.
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Mini Facelift for Early Sagging
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Thanks so much for your question. These concerns are not uncommon, and can certainly be addressed with a variety of treatment options. I recommend scheduling a consultation with a board certified facial plastic surgeon who can assess you in person and make the best recommendation. Based on what you have described it sounds like you could potentially be a good candidate for both surgical treatments (like a facelift) or perhaps non-surgical options (such as Ulthera or laser treatments) depending on what you are ready for. During a consultation you can discuss the benefits of both surgical and non-surgical options and decide what’s right for you at this stage in your life.
I'm 46 & unsure if I am ready for a mini facelift or other surgery? Currently use Botox in forehead and some restylane
I want to look more refreshed!
Facelifting #woundhealing #cosmeticsurgery #BOTOX #tmbcosmeticsurgery
Thank you for your question and photos! You ask a very good question- but only you can answer!! It depends on your goals and the changes you want to see- how long you want the changes to last.
With Warm RegardsTrevor M Born MD
Facelift at Age 46?
Face lift at 46?
- You are on the right track - a lower face and neck lift (often called a mini-lift) would make a big difference.
- These lifts done in someone your age tend to have excellent and long lasting results.
- Surgery won't help the lines under your eyes - the treatment is easier than surgery - Botox.
- Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
Minilift may be your answer
Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers
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.