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Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
What is the best age for a woman to have a facelift?
It is difficult to pinpoint a "best age" for having a facelift, since people of the same chronological age may present very different appearances depending on such factors as heredity and exposure to the sun. Aesthetic plastic surgeons very often recommend a first facelift for women in their mid-forties or early fifties, because at this age the skin still has sufficient elasticity to achieve the best possible results. Excellent results can still be obtained, however, for women in their sixties, seventies or older who have maintained good health and overall fitness. Men rarely seek advice on facelifts before their fifties or early sixties. Normally, results of a facelift will last eight to ten years. Most people who have had one facelift will, at the appropriate time, want another. Patients are pleased to find that the results of a second facelift are usually as good, and often better, than the first.
Optimal Age For a Facelift – The optimal age is not chronological, but rather genetic. Aging depends on whether one has genetic aging by fat atrophy and/or jowling, both are major components of facial aging. In general, when a patient has these components, if it is volumetric deflation then one can use fat augmentation, but with jowling then one needs to have skin or deep layer tightening, a “Lift & Fill” facelift. A “Lift & Fill” facelift is “lifting” the central lateral portion and “filling” the deflated central fat compartments. In general, this is usually in the late 40’s/early 50’s. It is best to do your facelift earlier rather than later for longevity.
What is the best age for a woman to have a face lift?
There is no ideal age for a face lift. It depends on genetics, individual anatomy and when the degree of aging concerns a patient enough to do something about it. Generally, patients who have a face lift in their 40’s or 50’s get a better, longstanding result than those who wait until later in life, although older patients can still get a significant improvement. Sometimes, a lesser procedure like fat injections alone can give a significant improvement if there is no significant skin laxity.
Robert Singer, MD FACS
I prefer the term 'facial rejuvenation' over the more antiquated term 'facelift', as many patients that I see who seek a more youthful and refreshed facial appearance undergo a set of surgical procedures very different from what would have been considered a 'facelift' twenty-five years ago.
The word 'rejuvenation' means, literally, 'to make young again'. In each individual, different facial changes occur with age. One person may be unhappy with 'baggy eyelids', while another has 'droopy eyebrows'. One person may be troubled by 'jowls' in the lower face, while another would like an improvement in their 'floppy neck'.
Surgical treatment of facial aging changes must therefore be carefully individualized to match each patient's aesthetic needs and desires. No two 'facelifts', by necessity, are the same. In helping a patient to make decisions about plastic surgery for facial rejuvenation, I always examine and assess how each aesthetic area or 'unit' of the face contributes to an individual's overall appearance: the brows and eyelids, the cheeks or 'midface', the lower face and chin, and the neck. An individualized surgical plan is then developed which addresses each patient's specific concerns and needs.
It is an interesting question. In years past it would be the late 4th decade and beyond. In many instance there are less invasive procedure being performed that push this age for facelift further back. It is really best that you seek a consult from A Board Certifed plastic Surgeon to evaluate your desires and expectations.