Hello,At 38, undergoing a facelift surgery is very early unless there's a significant indication. I wouldn't recommend it if it's not warranted. It's important to remember that surgery should ideally be performed only once. Facial sagging and looseness shouldn't prompt immediate facelift surgery. It's crucial to undergo the operation at the right time. When facelift surgeries are performed too early and need to be repeated at an older age, adhesions form beneath the skin, resulting in a very poor outcome. It would be best to evaluate based on your photo. Due to your young age, I advise against rushing into surgery and recommend being extremely cautious. I believe you'll be highly satisfied with Thermage FLX as it tightens the skin and rejuvenates skin quality, with long-lasting effects. In a facelift surgery, skin quality never changes, but Thermage FLX enhances skin quality. It can be easily administered in a clinical setting without causing pain or disrupting daily life. Thermage FLX is an advanced aesthetic procedure. While elevating the subdermal temperature to 80 degrees Celsius, it maintains the skin's surface at 20 degrees Celsius, preserving it, and its effects are immediately visible. Its impact continues to improve over six months and lasts for many years. We recommend Thermage FLX to many groups of patients who have undergone facelift or eyelid surgeries. If skin quality improves, surgeries can have longer-lasting effects. I confidently recommend undergoing Thermage FLX.