It's usually someone in their late 30s or 40s, because what you're treating is not wrinkles, as traditionally was. You're trading laxity. Laxity allows sagging to occur. If you're operating on someone at the right time when the laxity is apparent with the head down, it may be camouflaged with the head up. There's enough laxity there that it's really worth doing it. What you're doing is tightening the laxity with internal tightening, tightening the ligaments so the skin isn't pulled at all. The skin is re-toned but you're tightening the support layer. That will turn the clock back to five, seven years or so. Just as important is that it slows down future aging. If you have someone coming in their 40s, you can give them a second lease of life and then they'll notice their friends are aging so much more than they are because they have re-toned support on their ligaments. The best way to age naturally, not too much, is to slow down the way they're aging.

A Facelift Tightens the Ligaments, Not the Skin

When we think of a facelift, we think of pulling the skin back to smooth out the wrinkles. Actually, Dr. Bryan Mendelson explains that a modern facelift addresses the lax ligaments, tightening the support system underneath to tone the skin.