Does firm thick skin not get as dramatic improvement from facelift as thin damaged skin would??

.This is a simple one. The better the skin the better the result will be. Sun damage, smoking damage, and accelerated aging due to genetics adds up to a sub optimal result

I would recommend having an additional consultation with a board certified facial plastic surgeon or plastic surgeon.  The neck can be dramatically improved in people with thick skin by addressing not only the subcutaneous fat but also the fat underneath the muscle as well as platysmal muscle tightening. 

While you may not get as dramatic a result as some other patients, that doesn't mean that a facelift is not worthwhile in your case.  The cast majority of facelift oatients are quite pleased with their results and many I refer a more subtle result anyway.

Every face can show improvement. Some more dramatic than others. Your doctor is right, thicker skin is less mobile and will not demonstrate as big an improvement as you might like. So the key is to set your expectations properly. With the right expectations, plastic surgery can work for anybody. (Next time post a picture for more detailed advice). I wish you the best. DrA

Facelift results for thin vs thick skin. There are too many factors involved to give you a proper answer without seeing photos.