Q. Is a facelift right for me at 40? I am 39 years old and seriously considering a facelift. I have been doing Botox and fillers for years but they don’t address my real concern of premature laxity and jowling. Wrinkles not really a problem, but the jowling and laxity are. I am wanting a subtle lift to improve jowls, jawline & neck. Is a subtle lift achievable at my age, with my features? I have quite thick skin, is this an advantage or make things look less natural?
A. An in-person consultation would be best of course but based on the history of trying injectables and still frustrated and disappointed with your improvement, I would recommend a “facelift”.
You appear to have enough skin laxity and descent in the soft-tissues of the cheek, jowl and neck that the limitations of a well-placed scar would offer you the best elevation of fat compartment elevation and upward redraping of the skin.
Please obtain consultation with a skilled and talented Board Certified Plastic Surgeon to provide the best opportunity for a great outcome. Other considerations to discuss with him / her include:
- Use of ThermiTIGHT (if available and used by a Thermi Certified and skilled physician)
- Performing a neck lift with suspension elevation of the platysma but without platysmaplasty to best address the marionette folds and jowls.
- The photos do not provide for my evaluation of your lower lids, upper lids and brow / forehead laxity to recommend further.
- ZO Skin Health; Dr. Zein Obagi’s second generation of products and protocols to stimulate skin rejuvenation.
