Ponytail facelift at 20?

At 20 years old, undergoing a ponytail facelift for prominent eye bags and nasolabial folds might not be advisable due to the ongoing natural aging process and potential for overcorrection. Younger skin typically has good elasticity, and non-surgical treatments like laser therapy or microneedling might effectively address your concerns without the risks of surgery and scarring. Consulting with a board-certified plastic surgeon can help determine the best approach for your specific needs.

A more targeted facelift that lifts the cheeks with incisions only in your hairline is a good option when a younger patient has deep nasolabial folds. A face to face or video consultation can be done to determine if you are a good candidate.

Without the benefit of physical exam or at least seeing the photos- it's difficult to comment accurately. It is best to set up consultation with experienced Board Certified PS to review your options

Hello @Leila1122, thank you for your question. At 20 years old, you are likely too young to consider a Facelift. Before considering such an invasive procedure, it's important to explore the non-surgical options available to you. Non-surgical treatments such as Morpheus 8 or Ultherapy use Ulthrasound or radiofrequency energy which helps stimulate collagen production in the skin and ultimately provides improvement of structural features like sagging jowls or marionette lines. These procedures also don’t typically involve any fat loss. Be sure to talk openly with your doctor about all treatment options available so that together you can decide what will work best and make a non surgical protocol according to your goals and needs! Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Since you are 20, the issue isn’t aging but more likely related to your facial skeleton. Based on your description, you may have a “negative vector” in the midface, meaning your cheekbones are set back compared to your pupils. This can lead to under-eye bags and nasolabial folds.
As you prefer a permanent solution instead of fillers, a cheekbone implant would address the root cause. You could then combine it with a ponytail lift (or temporal lift) to enhance the upper and midface for a refreshed look.

With the incision made in the temporal region, the eyebrow, eye corner and cheek tissue can be suspended upwards and can be applied at the age of 20, but it may not be appropriate for me to comment further without seeing the photo. Evaluation on the photo will enable me to interpret it more accurately.

20 yrs old is extremely young for any type of face lift surgery. Without seeing your pictures it’s hard to address your options but you may want to look into facial balancing with injectable fillers and or fat grafting. Keep in mind nothing is permanent and whatever you start this young will require multiple procedures about every 7-10 yrs to maintain.

Facial aesthetics are based on facial skeletal structure.
It’s unlikely you have a soft tissue abnormality.
This is one of the reasons a facelift is most likely inappropriate at your age.
The ability to make accurate assessments for facial aesthetics is inherently complex and for some individual treatment options are limited.
From what you describe a face/brow lift does not sound like a wise choice.
To make an assessment, we at minimum need to see proper pictures.
If you schedule consultations with plastic surgeons, expect at least some of them to offer you surgical solutions. That doesn’t mean having surgery is a wise choice.
Successful plastic surgery is usually based on first having a clear understanding of what the problem is.
The treatment should be aimed squarely at treating the primary underlying cause.
Best,
Mats Hagstrom MD