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Should I have a facelift or try a different laser?
I am 60 years old. I have had a lot of sun damage, wrinkles more around my chin, vertical lip lines, wrinkles around my eyes. From the nose out, not so much. I had upper and lower eyelids done in my early 30's. I had 3 FX laser, deep FX for the chin, forehead, and lip lines. It didn't help much. I'm considering a facelift, eye upper and lower redo and nose surgery. Should I have a facelift or try a different laser?
A facelift will improve on the sagging tissue, deep naso-labial fold, jowls, and neck. Facelift will not improve the fine lines of the lip and the lids, only the CO2 laser can smooth fine lines, this should be full ablation not fractional. Fractional CO2 requires multiple sessions and has some limitation. Full ablation is much more effective. So you may consider both a facelift and CO2 laser resurfacing.
Definitely you are a candidate to a full Facelift including your eyelids, to reposition all the deep planes. This surgical procedure will define you facial contour, bringing the fat compartments to their original position obtaining a best projection in you profile. For the wrinkles you can try a new laser session at the surgical room combined with the facial rejuvenation surgery, or maybe a dermabrasion.
From your description of the result you have obtained from the FX laser, it does not make sense to repeat this as the results are not likely to change. To truly rejuvenate your face, you should have a facelift combined with upper and lower blepharoplasty. This will reposition the deeper tissues to the correct location so the skin can be smoothed over this new sculpted facial contour. If your skin needs further rejuvenation a laser which does more ablation than the FX laser would be in order or a chemical peel. The facelift would be the best starting point and most likely to get you to the results you wish.