Numerous activities in life have an age restriction, including the consumption of alcohol and acquiring a driver's licence. Although the facelift has never been identified with a specific age group, it has always been associated with a more senior demographic. Historically, women and men experiencing more advanced signs of aging have been the primary candidates for facial rejuvenation. However, an increasing number of younger people are getting interested in and undergoing facial skin rejuvenation procedures in their forties.
This begs the question of whether there is such a thing as being too young for a facelift.
A Growing Number of Patients Under the Age of 50 Having Facelifts
Everybody wants to look their best, but women in their forties are in peak physical shape and want their appearances to reflect this. Then there is the power of social media. Additionally, social media sets a premium on attractiveness, exerting pressure on people who might be unconcerned about some early indications of aging in the absence of social media.
As talks regarding plastic surgery have gotten more prevalent, we now have greater access to before and after photographs and procedural information than ever before. As a result of this mainstreaming, patients are now more aware of what is achievable in terms of rejuvenation and pre-juvenation. Women are increasingly aware of their cosmetic options.
Many people see the first signs of apparent face ageing in their early forties, particularly around the jawline, chin, and neck. Women begin to see their skin becoming looser and drooping, as well as jowls and, on rare occasions, crinkly, wrinkled, sun-damaged skin. These ageing indicators are more apparent in slimmer women or those who have recently lost weight through dieting. COVID-19, as one might expect, has had an effect on procedure preferences. Since the epidemic, women have become more aware of these facial changes, owing to Zoom calls and social media images, resulting in a surge in individuals in their forties seeking a facelift.
Simply attaining biological age 40 does not ensure that you will have age-related changes necessitating surgical intervention. Each of us ages differently, and 40 looks different on each of us. Some women appear significantly older than their actual age due to UV damage, inelastic skin, and laxity.
As a result, you should not use your biological age to justify a facelift. Rather than that, assess the degree of skin and neck laxity. Not everyone is a candidate for a facelift. However, when patients exhibit early jowling, the gold standard is a facelift concentrating on the neck and jawline.
They've Expended Their Relationship With Dermal Fillers
All of these minimally invasive methods for anti-aging have a place in today's anti-aging regimen. However, some patients believe they have exhausted their options with those procedures and that the next step is necessary. When non-surgical skin tightening therapies such as Botox and dermal fillers, as well as injectables such as Botox and dermal fillers, become ineffective, a facelift is sometimes the best remaining choice. Patients select facelifts over Botox or injectables to address drooping skin in the neck, jowls, and face. If a patient is unsure about surgery, I typically recommend that they begin with Botox, fillers, neck liposuction, or skin resurfacing.
Additionally, the over-injected, bloated, artificial face is out of style. Too many practitioners overfill their patients, causing filler fatigue and accelerated tissue ageing as a result of skin overextension. Additionally, this unpleasant appearance frequently leads a woman in her forties to declare, 'Enough! I'd rather have a facelift than fillers.'
The emerging reality is backed up by research. According to a 2017 study published in the Aesthetic Surgery Journal, the average age of a facelift patient is lowering. Over half of women in their forties who undergo a mini-facelift have already received injectables, fillers, or laser treatments. Patients reported looking four years younger following these minimally invasive procedures, but over ten years younger following their facelift.
A 40-Year-Old Facelift vs a 65-Year-Old Facelift
While the fundamental concepts of a facelift are the same for younger and older patients, the execution is not. In younger patients, less manipulation is required. In principle, this should be simpler, but it is not. Younger patients, in particular, can soon appear overdone and over-pulled if not treated appropriately. Patients in their twenties and thirties are particularly concerned with the aging of the lower face and early neck. Additionally, they are particular about not appearing 'finished' or plastic.
Nonetheless, the superior quality of youthful skin can make your cosmetic surgeon's life a little easier in the operating room. Because younger patients' skin retains its elasticity and tone as a result of less sun damage and aging, good facelift outcomes are easier to obtain. Additionally, the dermis of the skin and the underlying muscle are stronger in younger women, making it technically easier to obtain a better outcome during a face and neck lift.
Any qualified plastic surgeon understands the critical nature of facial surgery customization. It is vital to customize the face-neck lift technique to the specific needs of each patient. No two faces are same, according to science and genetic principles, which is why no two facelifts are identical.
Facelifts are not the same in the twenty-first century as they were in the past. The phoney, thin, and waxy over-pulled, super-tight, wind tunnel-style aesthetic is gone. In its place, more comprehensive yet modest procedures have resulted in a rejuvenated,'still-you-but-better' visage. Over the last decade, surgical procedures have advanced, making the results considerably more predictable, durable, and even faster to recover from.
The so-called mini-facelift is a condensed form of the regular facelift that concentrates on neck and jaw extra skin. Almost always, younger individuals have less skin laxity than older patients, unless they have dropped a significant amount of weight. Additionally, the tissue in the cheek area has lost less volume and support, and these areas typically do not require repair.
Facelifts performed on 40-year-olds often have a smaller incision and a less significant pull. Because less tissue and muscle manipulation is necessary, the incisions are smaller than those used in typical facelifts. They are made in front of and behind the ears. When there is less laxity, it is even more vital to release the tissues and thoroughly dissect to avoid over-tightening the incisions. This helps to expedite the healing process. Additionally, because the majority of women in their forties require less skin removal, the dissection is typically deeper. Scars from the operation will diminish over time, allowing patients to continue wearing their hair up.
Certain surgeons may incorporate additional age-rejuvenating procedures into the overall rejuvenation strategy. Fillers, particularly in the lower face and neck, should be viewed as a supplement to rather than a primary treatment for drooping in the lower face. Suture suspensions or thread-lifting achieve near-surgical results in this age group without the necessity for cutting. The inverso suspension technique combines muscle relaxation of the lower face frown with minimum volume filler and thread lifting of the lower face and jawline.
Surgery is significantly more dramatic than non-surgical methods, and the outcomes are typically much more obvious. Finally, everything contributes to the synergistic impact. A 'early' facelift typically lasts about 12 years, but little 'tweaks' with filler and other materials are commonly performed along the way to enhance results.
Additionally, skin care and weight management are critical components of achieving and sustaining positive results. Developing a sound, uncomplicated skincare programme at a young age primes the skin for healthy ageing.
Is it better to begin while one is younger?
If a facelift is on your list of things to do in my forties, there may be an advantage to having it done while you are still a quadragenarian, provided your cosmetic surgeon considers you are a good candidate. Early surgery, while age-related problems are still modest, avoids the need for more substantial restoration later in life. Medical and surgical advancements have also resulted in reduced recovery times. Patients are no longer hospitalized for months on end. Rather than that, they return to work between seven and fourteen days later.
Bear in mind the financial element. Patients who are younger and have mini facelifts may spend less because the surgeon has fewer patients and less time to devote to them. Additionally, some patients select a lift because existing treatment approaches are no longer effective or have become prohibitively expensive to maintain.
The impacts, regardless of your age, will remain for years. It is vital to keep in mind that the face will age, albeit at a different rate than the rest of the body. Over time, the bones continue to alter in size and structure, the skin thins and loses flexibility, and the facial fat gradually evaporates. Around ten years after surgery, the majority of patients experience some relaxing of the skin and tissues. Although the face will appear better than it did prior to surgery, it will not revert to its natural shape.
Non-surgical options have a place, and for some facelift patients, they remain a critical component of the anti-aging plan, particularly for maintenance. After all, undergoing face surgery at a younger age does not guarantee that you will be immune to the effects of aging; you will not be. A facelift does not stop the clock, but it does rewind it. Additionally, it is crucial to note that additional procedures may be required to maintain the outcomes in the future. If a patient undergoes a facelift in their early forties, they almost always desire another. This is the cautionary statement I issue to each patient in their early forties seeking a facelift. However, you will look beautiful in the interim!
Published by Dr Siddharth Prakash