Facelift on thin weak skin - what procedures would be suitable for very wrinkled under eye area & lower face? (Photo)

You are noting 2 separate issue. One is your lined skin and the other is the loose skin in your lower face and jawline. A facelift would best improve your skin looseness by gentle traction and smoothing. However, a facelift doesn’t change the quality of your skin. Some form of skin resurfacing would be needed, such as chemical peel, laser, radio frequency, etc. A detail consultation with your plastic surgeon would help you understand your best options and expected results. Best wishes.

We can perform collagen stimulating procedures to thicken the skin first before the facelift. There are a number of energy-based devices or biostimulating injectables available to address this concern. A thorough assessment including medical history review should be considered first. Regarding the under eye skin laxity and thinning, we can perform energy-based devices during the facelift surgery to tighten the skin and promote collagen synthesis. However, if the skin laxity is severe or with accompanying lower-eyelid sagging or laxity, a lower blepharoplasty with cantopexy or canthoplasty might be considered.

Surgical options are the best results for these areas. A in person consultation would help to explain the procedures that would most benefit your concerns.