Is it time for a facelift, lower/upper blepharoplasty and TCA Peel? (Photos)

However, you will get what you ask for. You have upper eyelid ptosis. You would benefit from a carefully performed upper eyelid ptosis surgery with a double fold surgery. This will actually allow your eyebrows to relax down. Currently you hike up your eyebrows to compensate for the upper eyelid ptosis. The tension at the eyebrow does not help you look youthful. A TCA peel is reasonable but should be kept light. There is a risk of hyper or hypo pigmentation. Finally, rather than a facelift, I think you might benefit more from a localized lower face and neck liposuction.

Hi,
Although you are 53, you barely have excess skin, although the neck is not visible in photos. However, I think at this point, yes, you would benefit from an upper blepharoplasty, some fat grafting to face, skin peel or laser, and if there are any bands on the neck, a necklift.

You brought some valuable points about your facial changes which I agree with. It is very likely that upper and lower blepharoplasty with face/neck lift would create desired change in the hands of skillful, board certified plastic surgeon. Skin rejuvenation with chemical peel or aggressive laser would create nice addition. In person consultation with a board certified plastic surgeon with good reputation in facial rejuvenation of this kind, is recommended. Good luck.

I can see the facelift and eyelids for sure. The peel is not a great idea. You really don't need it and with darker skin you run the risk of pigment problems.

It will certainly address your concerns of droopy eyes, lack of a jawline and fat under the chin.

Upper eyelid blepharoplasty
The excess skin in upper eyelid can be easily corrected with an upper eyelid blepharoplasty. In this procedure the excess skin is marked using a gentle pinch to assess the amount of skin that needs to be removed. The incision is placed in the natural crease above the eyelid to camouflage it. The procedure is quick and has very little down time. It can be done under local anesthesia.


Lower Eyelid Blepharoplasty
The lower eyelids look baggy mostly because of excess fat. This can be removed either by making an incision under the lashes called sub-ciliary approach or from inside the eyelid called Transconjunctival approach. The amount of skin removed has to be minimal as it can pull the lower lid downwards and make it look strange and change the shape of the eye. All surgeons have their favorite approaches. I like Transconjunctival approach in most cases.


Lower facelift and necklift
It is important to understand that the incisions used for achieving a good result in a necklift also give a nice lift to the lower face and jowls. The purpose of a necklift is to pull the extra skin side ways behind the ears and remove it. It is also sometimes combined with Neck Liposuction and Platysmaplasty.
The incision starts in the hair tuft in front of the ear and then curves in front of the ear hidden in natural curves of the ear, then next to the earlobe it goes behind the ear in the hidden groove and finally is taken over to the hairline of the neck.
The skin is then lifted to expose the underlying platysma muscle. It is then pulled back and tethered to the bone behind the ear. At this point the jowl area is also pulled back with stitches under the skin in deeper tissues. These maneuvers lead to excess skin on the sides which is then trimmed and stitched back in place.

Based upon the nicely posted photos you are a great candidate for full face/neck lift with SMAS plication, upper lid blepharoplasty, tranconj. lower lid blepharoplasty with either HA fillers to tear troughs or nano fat grafts to tear trough, lipo of sub mental area. in 1st stage. Fees $25,000-$40,000. Stage 2 would be deeper TCA peeling fees in the $1,000-$4,000 ranges. Seek in person consultations or virtual .