Face lift and when to do it?

I am 50 years old and in good physical shape. I am a tri-athlete. I am considering a mini-face lift. My problem areas are small lines above my lip, crows feet, laugh lines, and lines on my forehead. I always look tired. Do you recommend a face lift?

When To Do A Facelift –The time to do a facelift is really dependent upon your genetics, loss of facial fat, aging, and if you have aging with cheek jowls. It is optimal to do proper facial rejuvenation using a “Lift and Fill” facelift technique early. This will look better, last longer, and have a more natural look if done in this manner at an early age.

Rod J. Rohrich MD, FACS
Rod J. Rohrich MD, FACS
9101 N Central ExpyDallasTX75231US

Rod J. Rohrich MD, FACS

9101 N. Central Expressway, Suite 600,
Dallas, TX, 75231, US

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There are numerous options to address your concerns: Fillers which are temporary, micro-fat grafts which are long lasting but don't elevate drooping, Botox or Dysport, skin care, light peels, and limited facelifts plus filling of the depressed areas which produce the most aesthetically harmonious and longest lasting result. Each has benefits and drawbacks.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do without seeing photos and without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

That will allow you to make the best decision for your particular needs.

Robert Singer, M.D., FACS

La Jolla, California

Robert Singer MD, FACS
Robert Singer MD, FACS
9834 Genesee AveSan DiegoCA92037US

Robert Singer MD, FACS

Suite 100, 9834 Genesee Avenue, La Jolla,
CA, 92037, US

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Thank you for your question. Crow's feet and transverse forehead lines are best treated with Botox or Dysport. Lip lines can be improved with Restylane or Belatero, small amounts of Botox and laser resurfacing. Laugh lines at the corner of the mouth and cheek are very difficult to treat.

A facelift or cheek lift will not address these changes so you likely do not need surgery. Please consult a board certified plastic surgeon.

Brooke R. Seckel MD, FACS
Brooke R. Seckel MD, FACS
195 Commonwealth AvenueBostonMA02116US

Brooke R. Seckel MD, FACS

195 Commonwealth Avenue, Boston, MA 02116

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It is impossible to give you ideal suggestions without any photos. But, the concerns you describe could possibly be addressed without surgery.

Lines above the lip can be addressed with microneedling, laser skin tightening and / Belotero injections.

Crows feet, laugh lines and forehead lines can often be improved with Botox.

Looking tired could be from a result of very low body fat (typical of a tri=athlete) fillers like Juvederm, Juvederm Voluma, or structural fat grafting, depending on the area could provide an improvement.

Be sure to seek out a plastic surgeon with a plastic surgery medical spa that offers non-surgical options can provide a consultation. A doctor that offers only non-surgical treatments will steer you in that direction. A surgeon who doesn't offer the full range of non-surgical aesthetic enhancements will likely suggest surgery or nothing.

Many ASAPS members offer a full range of surgical and non-surgical aesthetic enhancements.

Michael Law MD
Michael Law MD
10941 Raven Ridge RdRaleighNC27614US

Michael Law MD

10941 Raven Ridge Road, Suite 103, Raleigh,
NC, 27614, US

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A facelift can be preformed but most of the improvement from a a facelift are centered about the mid face, jowls and neck. The lines around your lips may be improved by fillers, chemical or laser treatment. The concerns you have with your forehead, crows feet region would be improved by a brow lift with or without a blepharoplasty. Hope this helps!

Michael I. Kulick MD
Michael I. Kulick MD
450 Sutter StSFCA94108US

Michael I. Kulick MD

450 Sutter Street, Suite 2620,
San Francisco, CA, 94108, US

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Although a facelift can improve many of the general changes of facial aging such as looking fatigued, the specific problems you describe, such as fine wrinkles above your lip or around your eyes would not be made better by such a procedure. There are however, other treatments or procedures than can be helpful in treating all your areas of concern. I highly recommend that you consult with a Board Certified Plastic Surgeon to discuss what bothers you and be evaluated for the treatments that would be most appropriate and helpful to you.

David L. Davis MD
David L. Davis MD
436 N Bedford DrBeverly HillsCA90210US

David L. Davis MD

436 N. Bedford Drive, Suite 205,
Beverly Hills, CA, 90210, US