50 yr old female. Starting to lose firmness and tone around my jaw area. Can I benefit from a Nefertiti facelift ? (photo)

A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. 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. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift, individualized for each patient, that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.The contributing factors to the cost of a facelift include the surgeon’s fee, facility fee, medication cost and the anesthesia fee. Estimated fees may also be found here on Real Self, and the American Society of Aesthetic Plastic Surgery website, Surgery.org, or PlasticSurgery.org.

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!

Thank you for your question. There are many types of facelifts including the S-lift, Weekend Necklift, Direct Necklift, SMAS lift, deep plan lift and so forth. At this juncture, the point is to broadly consider facelift surgery as a procedure that rejuvenates the lower two thirds of the face and neck. I suggest that you move forward and consult with a board certified facial plastic surgeon. The in-person consultation will give you the best diagnosis for the procedure that fits with you. 

Best wishes,

It is my impression that the "Nefertiti Lift"is injection of Botox into the platysma and the lower face to try and achieve a lifting effect.  It is also my impression that there are better ways to spend your money on creating this effect that will last much longer.  The treatment algorithm to consider is Ultherapy on the minimally invasive side or a surgical lift on the more invasive side. 

Hello and thank you for your question.   It depends on your skin laxity.  With poor skin elasticity, a necklift will be best.  If you have good skin elasticity, then submental liposuction will help.  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

The nefertiti lift works very well on SELECT patients.  The best way to determine who will see significant results with this particular procedure, unfortunately, is during animation.  In this way we can determine just how much of their neck is due to the platysma muscle.  To be honest, I've had some patients who I thought would be great candidates on initial visit, and after having them animate I knew they would not have a good result.  I've also had the converse.  The other thing you have to remember is that it will last you for 2-3 months, sometimes 4.  There are other modalities that work better such as ThermiRF (which will tighten the skin and get rid of the fat under the skin) or kybella injections (which will permanently destroy the fat).  Obviously there is also minilifts as well.  I suggest you discuss all your options during consultation.  I hope this helps! Best of luck. 

Dear maricky3545:

Rebalancing the muscles of the lower face including the platysmal attachment to the jawline and depressor anguli oris (DAO), ie the Nefertiti “facelift”,  maybe useful to elevate the face skin when:

·         These muscles, in fact, elevate the facial skin,

·         The overlying skin remains well adhered to the underlying muscle,

·         There is little to no “slide” of the skin downward.

Based on your description, this is not the case and would provide little if any benefit and for only the duration of the injectable muscle relaxer, Botox / Dysport (3 to 4 months).

Please consider those options which will firm and tighten the skin during this early period of face and neck skin aging. These include:

1.    Well monitored Obagi, ZO Skin Health skin stimulation with retinoids

2.    TCA or Controlled Depth Peels

3.    ThermiTIGHT for the lower face and neck

In all cases, consult with a talented and experienced Board Certified Plastic Surgeon who provides non-invasive, minimally invasive and surgical options for your best results.

All the best!

If you can not afford surgery then why not give a Nefertiti lift a try? Just be certain to manage your expectations. Also, keep in mind that you will need to get the Botox injections every 3-4 months to maintain the improvement and these costs add up. Kindly,Kouros Azar

Sorry, but botox in the lower face will not do much.  It looks like you have a double chin which  may be amenable to lipo and if you have loose sagging skin, then some sort of a lift would be appropriate.

Thank you for your question.  "Nefertiti Lift" is the  injection of Botox into the platysma and the lower face.  While this may give the appearance of a lift it is only temporary.  If you are not ready or can not afford surgery you may want to look into something that will last longer and help you to enhance your skins tone, texture and lax skin.  Ultherapy is a good non surgical treatment that can last up to 2 years.  There is no down time with this procedure.  I would also suggest an in person consultation with a board certified plastic surgeon to go over treatment options that may work best for you.Best of luck,Dr. Hisham Seify