Am I Too Young for an Advanced Mini Facelift? (photo)

Question

Hi, I'm 37 years old and have been considering an advanced mini facelift. I had the one stitch lift about two years ago which must have lasted approximately four days! My skin isn't wrinkly but does not seem to have much elasticity. Neck is fine but after weight loss (and always having a slightly 'baggy' face) I've decided that things have got to change. This op sounds ideal as it supposedly lasts and (I think) will tidy the nasal labial lines and bagginess, but would anything else be better?

Toby Mayer, MD · Answer

Facelifts in young patients with elastic skin and neck bands need a regular facelift since they will return quickly without removing them. That is why minilifts you see on TV at a few months look good and they do not show long term photos which skilled facelift surgeons do. You may need a cheek lift for your nasolabial creases.

Jason Emer, MD · Answer

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Most of my patients want a facelift however do not want the downtime associated.  The Concept Facelift and Necklift is the procedure I perform, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. 
If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.
What are the benefits of a local anaesthetic facelift?
Minimally invasive as it is a short scar faceliftThere is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsStandard aftercare for a facelift includes, sleeping upright for the first week to minimise a collection of blood forming, showering and washing your hair every day post surgery and drying using a hairdryer on a cool settings, not allowing pets to sleep in your room or on your bed. Painkillers as prescribed by the surgeon, antibiotics if needed and prescribed by your surgeon. 
Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best

Ercan Karacaoglu, MD, FEBOPRAS · Answer

Hello Steph D!
Thank you for your question and photos. In general, aging begins in their late 20s, and the signs of it become perceptible by 30-35 and people starts to lose  facial volume, that cause appearing the folds, furrows and facial lines, sometime "marionette lines". By the age of 55 -60 years these changers are permanent already, that are difficult to correct with a facelift alone. 
If a 37-year old woman isn't happy about her appearance and thinks non-surgical treatments  don't work for him, then she becomes a candidate for a facelift. I think a combination of stem cell riched fat grafting and a SMAS lift may be the right thing for you. An exam in person is a must to get a proper evaluation.On the other hand your upper lids, eyebrow and forehead seems fine. That means lifting these upper face parts do not seem plausible at the moment but again an exam in person is key to get a proper evaluation and final decision.
Best

Jed H. Horowitz, MD, FACS · Answer

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™.

Brent Moelleken, MD · Answer

You are a candidate for a facelift.

	However you are a better candidate for a facelift that adjusts the deep tissues upwards than for a 'mini lift' alone.

	A mini lift will tighten your skin somewhat, but not do enough to the deep layer to give you an optimal result.

	Strategic volume replacement will give your face a prettier, softer look as well.

Thomas Buonassisi, MD · Answer

A minilift can be many things. A small skin flap and minor elevation can sometimes be called a minilift where as a complete SMAS elevation through a small incision may be called by the same name.The two surgeries are very different and the result that you would expect really depends on the size of the skin flap that is elevated (which determines the length and shape of the incision). 

	I would recomend you see a couple of reputable plastic surgeons in your area, discuss your options and see their results. Personally, I think you need a proper SMAS lift to improve your jaw and neck line and this would give you a very nice result. I'm sorry the terminology can be confusing so continue your research until you have a complete understanding of your options. We have a video (attached) that explains the different incisions that are used. I hope it is helpful.

Kenneth Hughes, MD · Answer

You are a good candidate for a short scar facelift (incision around the ear that does not extend into the hairline). I can get out a lot of skin and plicate all of the deeper tissues like a regular facelift but with a shorter scar. Kenneth Hughes, MD HughesPlasticSurgery Los Angeles, CA

Jonathan Pontell, MD, FACS · Answer

You look like a good candidate for a mini-facelift. I see some excess in the nasolabial folds, some marionette lines at the corners of the mouth and some platysmal banding in the neck. These issues respond well to a mini-facelift in my experience. I do well over 100 of these each year with very high patient satisfaction.

Stephen Prendiville, MD · Answer

The term "Advanced Mini Facelift" ought to be understood as a marketing phrase. Based on aging changes photos, a mini lift is likely to be beneficial in addressing the mid face and jawline. Although chronologic age is a consideration, the physiology of aging in an individual is more critical in the decision making process. The terminology used to market a procedure is far less meaningful than the quality of the Surgeon. Look for an experienced Board Certified Facial Plastic Surgeon or Plastic Surgeon.

David Hansen, MD · Answer

There are so many variations on what docs call mini lifts and it is confusing to patients. Many are 1 or 2 stitches or short incisions or 1 hr and seems so minor which is true. They are minor and hardly last at all and are not worth the money. Many call their face/neck lifts Mini Lifts because they are done under local anesthesia which is really safer and less risky with quicker recovery but you do have a full incision hidden in the ear and up behind the ear as well and takes several hours to do with a week of bruising and swelling afterwards. These do last and look natural but are a real face/neck lift and run $6-8500 or more but are so worth it. Sincerely,

	David Hansen,MD

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