Am I ready for a necklift/lower facelift?

In your case, consider that you are a candidate for a face and neck lift, your cheeks are already presenting saggig, jowls. Fixing only your neck and having a better mandibular contour, the sagging at the level of the face will be more evident. The youngest patient we have performed a facelift is 36 years old with excellent changes. Lower lift and neck lift only work in your neck but not in your face

HI, and thank you for the pictures. Yes you are a surgical candidate for a facelift and some kind of volume enhancement, which I routinely perform with a facial fat transfer. Two things that occur as we age are facial volume loss and and loosening of the overlying skin and muscles.

A facelift will address the looseness of the overlying skin and muscles and the the facial volume loss will be addressed by the facial fat transfer.

As to your exact question, 'am i ready', we can only answer if you are a good candidate, and yes, you are a candidate, however, only you can decide when you are ready.

Thank you for your question and photographs.

The characteristics of the neck and contour of the corners of the mouth suggested that the best approach would be a combination of facelift and neck lift.

This is because the facelift on its own does not correct well the platysma muscle bands and if you wish to have a deep plane neck lift to address also visibility of the submandibular glands this is typically carried out as part of the neck lift.

The neck lift however does not contour well deeper labio-mandibular lines (marionette lines and does not change the direction of the corner of the mouth. As a result, in a situation like yours in general the best outcomes are achieved by a combination of facelift and neck lift possibly deep plane technique for both.

Thank your for the great and frequently asked question. Timing for a facelift is based on a patient's favorable general health, presence of aging indications, and desire to definitively address these changes. In my 21 years of practice, I have performed facelifts on patients who were in their late 40's/early 50's whose criteria matched those described above. The benefit of doing so at your age is that the skin integrity and elasticity allows for a great result. The photos show show aging changes in the lower face and neck that a properly performed deep plane facelift will address. The key to proceeding is finding the right Surgeon who specialize in facelift surgery and reaching the conclusion that you are ready.

In person exam is essential. Based on limited photos- it appears that you would benefit from a facelift/ neck lift with muscle tightening. In the right hands - you can expect a rejuvenated look, tighter and well defined neck and jaw line. I suggest that you seek an experienced Board Certified PS

Thank you for your question and photos. You are a likely candidate for a neck lift procedure to revitalize the appearance of your neck and throat and improve skin laxity. For the most natural and long-lasting results, the deeper tissues and muscles can be lifted prior to excising loose skin.

Tightening the muscles of the throat region, known as platysma, can produce an angled, well-defined jawline. Liposuction is often performed during this procedure as well to remove excess fat on the neck and jowls. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and suggest the best approach for you.

You have excellent bone structure but are beginning to show the normal signs of the ageing face, such as the jowls that cross over your jawline. There is no perfect age to have a facelift or neck lift: ageing shows itself differently with each person based on genetics, environmental effects, health, etc. If a patient is tired of seeing the gravitational effects of the ageing face, then that person is a good candidate. In your case, it does appear that your anatomy would lend itself to a lovely result; however, a physical examination would be necessary. Solely based on your photos, I also see that the corners of your mouth are a bit turned down, which can make you look unhappy or upset when you are not. Carefully administered doses of Botox or another neurmodulator injected into the DAO (depressor anguli oris muscle) can combat this. Since you mentioned your nose, it does appear to be a bit bulbous, and I often perform rhinoplasty surgeries along with my facelifts. The overall most important aspects of this entire process are: keeping you safe, which is number one, and two, producing an elegant, natural result. The last thing that anyone needs is to look pulled or “done.” Because terminology is not standardized from office to office, and one surgeon might call a short-scar facelift a “minilift” and so on, I recommend you consult in person with a board certified plastic surgeon whose results you love. Bring all of your questions and see if you feel comfortable. Make sure the surgeon is not rushing you, and make sure that he or she is available to answer preoperative, as well as postoperative, questions.

With significant neck sagging you would need a neck lift / facelift with muscle tightening (platysmaplasty). At the same time, lasers treatments (Fraxel, CO2, Erbium, Halo) or microneedling RF (Fractora, Intensif, Morpheus, PiXel8) can be performed to improve crepey skin or wrinkles. You need a formal consultation, as the neck can be treated with a combination approach:​ - Microneedling and laser treatments for texture - Botox, Dysport, Xeomin, or Jeuveau to help the Platysmal bands - Intensif, PiXel8, Morpheus or Fractora RF microneedling for crepey skin and lifting - Injectable fillers like Belotero, Restylane Silk, and/or Juvederm Volbella to improve lines and folds - Renuvion, ThermiRF, and/or InMode FaceTite for internal tightening - Ultherapy and Thermage for external tightening - regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness - PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production See an expert for a full evaluation and treatment plan based on your individual situation and goals.

Your overall facial shape and neck contour is good. You have a minimal jowl along your jawline. At 48 years of age the elasticity of your skin should be very good. I believe a mini facelift with SMAS plication, to smooth and straighten your jawline and maximize your neck contour would be an excellent choice. During your consultation with your plastic surgeon, a rhinoplasty could be discussed. Check with your surgeon if they have software which could be used to morph your nasal photos to give your an idea of what could be achieved. Best wishes.

Before jumping headlong into expensive, aggessive surgeries with their attendant prolonged downtimes, yoiu might wish to explore a facial and neck recontouring with an experienced, board certified cosmetic dermatologist. These kinds of issues, the cheek volume loss, the marionette lines around the mouth, the jowls along the jawline and the sagging neck are all problems seen by experienced, cosmetic dermatology injectors every day. An appropriately robust HA filler can restore the volume in the cheeks and create a more feminine, oval, heart-shaped face. Another robust HA filler placed along the jawline can eliminate the jowls and define the jaw. Likewise an appropriate filler properly injected around the mouth can address the marionette lilne droopiness there. Likewise fillers can be used to improve the neck. Most of my patients with these same issues in fact request that this all be done in one session, which generally takes no more than 30-40 minutes with immediate results that typically elicit a "Wow!" reaction, and engenders little to no significant downtime. You would be wise, especially at your young age, to due your due diligence. And also be very cautious when offered light and energy-based devices for these problems, as these expensive, faddish, gizmos are far more backed by heavy marketing hype and promotion than any hard science. Hope this helps and best of luck.