Sagging Face - How to Tighten Skin?

Is noticeable facial sagging correctable in the 40s?  Is it too early for a face lift?

Doctor Answers 3


The gold-standard for sagging facial skin is a facelift. Without seeing pictures and/or examining you, it is hard to say with certainty. However, if you have loose sagging skin, then you need a facelift. Other products and treatments are available. However, these work best for mild wrinkles and skin texture. Facelift is a generic term and there are many procedures which fall under this category. You will need to see a surgeon in consultation for a complete examination and he or she will be able to individualize the surgery for what you need.

David Shafer, MD
Shafer Plastic Surgery

New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Facelift or Thermage

The most recommended procedure to take care of the sagging facial skin would be a facelift. Facelift, or rhytidectomy, is a surgical procedure to improve visible signs of aging on the face and neck. As individuals age, the skin and muscles of the face region begin to lose tone. The facelift cannot stop the process of aging. It can improve the most visible signs of aging by tightening deeper structures, re-draping the skin of face and neck, and removing selected areas of fat. A facelift can be performed alone, or in conjunction with other procedures, such as a browlift, liposuction, eyelid surgery, or nasal surgery.

Facelift surgery is individualized for each patient. The best candidates for facelift surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined.

Alternative forms of management consist of not treating the laxness in the face and neck region with a facelift (rhytidectomy). Improvement of skin laxity, skin wrinkles and fatty deposits may be attempted by other treatments or surgery such as laser resurfacing, chemical face peels or liposuction. Risks and potential complications are also associated with alternative surgical forms of treatment. Thermage may be an option.

Gregory Turowski, MD, PhD, FACS
Chicago Plastic Surgeon
4.5 out of 5 stars 58 reviews

How to tighten skin without a face lift

It is always correctable! One of the newest non- invasive treatments that has been a huge success at my office is the 3-D Collagen Firming Laser. It firms, lifts and tightens face and/or neck while stimulating new collagen. It's painless and requires no downtime!

Dennis Gross, MD
New York Dermatologist
4.4 out of 5 stars 5 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.