I have MCTD. I've aged 15 yrs in 3 years when viewing my face. My sight is being affected. (photos)

 Is plastic surgery an option? I don't know how to do the pictures. I'm 66 and look close to 80. Sight problems neck and facial sagging and wrinkles worse than my grandmother.

Doctor Answers 8

Determining the Facial Procedures Best For You

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During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. 

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Concurrent medical problems and a facial aging

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Many chronic medical problems can lead to premature aging.  However, MCTD affects multiple organ systems, and hence a detailed consultation with your rheumatologist clearing you for surgery would be necessary.

Second, if vision issues are specifically decresed vision secondary to visual field issues, you may benefit from a blepharoplasty. 

Third, if your rheumatologist clears you for surgery, a FL would help with the excess skin.  However, you may be at higher risk for wound healing complications.

Raghu Athre, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 94 reviews

MCTD & Facelift

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While it is possible for someone with MCTD to have a facelift, you must first get clearance from your connective tissue disorder specialist. Then, schedule a consultation with a board certified plastic surgeon in your area to be assessed in person and discuss options. If the excess skin on your eyelids is impairing your vision, this can be corrected at the same time as your facelift.


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 38 reviews

Facelift candidate with connective tissue disease?

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A conference between your plastic surgeon and your connective tissue disorder specialist would be necessary to evaluate your overall health and safety of anesthesia and surgery.  If your visual difficulties are from the excess upper eyelid skin, this can be treated in conjunction with a face and necklift surgery.  I would also recommend that a part of your facelift include autologous fat injections for replacement of loss of volume and the benefits of stem cells in rejuvenating your skin.  You also show signs of jowls and mid facial volume loss that can be improved noticeably to your benefit.  Best of luck,

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 32 reviews

Facelift and mixed connective tissue disease

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It is possible to perform a facelift with mixed connective tissue disease. It's also important to obtain medical clearance from your primary care provider before electing to undergo cosmetic facial surgery. In our practice, the goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and  remove the fatty deposits in the neck. For more information and many examples, please see the video and the link below 

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews


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Thank you for your question. You are a candidate for both facelift and necklift procedures. The necklift procedure will decrease the sagging in your neck while contouring your jawline. The facelift procedure can help with facial sagging, creases below the lower eyelid and along the nose to the mouth edges. It can adjust fat that has fallen or shifted and correct the loss of muscle tone while working in concert with the necklift to smooth the jowls. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Mixed connective tissue disease and facial aging

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Thank you for asking about your face lift.

  • I am sorry about your MCTD.
  • Your photos suggest that you would definitely benefit from a face and neck lift with upper lid surgery as well.
  • However first ask the doctor treating your MCTD what risks you face with surgery and if s/he would clear your to have surgery.
  • Then have a consultation with a plastic surgeon, discuss the issue and have your surgeon and MCTD doctor talk about the best ways to reduce any additional risk that you face from having surgery.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS


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Hello and thank you for your question.   You would need to work in conjunction with your medical physician who is treating your MCTD.  Based on your photograph, you may benefit from a mini facelift with a neck lift.  If good technique is used, this can be done with minimal scarring and can result in a natural look, not over-done look, with rejuvenation of your face.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 173 reviews

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.