40 doctors weighed in:

Is there a good ALT to facelift at 60?

40 doctors weighed in
Dr. Barry Press
Surgery - Plastics
6 doctors agree

In brief: Please understand...

The difference between a facelift and its alternatives.
A good facelift elevates and repositions the skin and soft tissue of the face to more youthful positions. It does little to nothing about surface changes. Many of the alternatives (botox, fillers, laser) can improve the surface characteristics of the skin but do nothing to reposition the soft tissues. So, often these are complementary.

In brief: Please understand...

The difference between a facelift and its alternatives.
A good facelift elevates and repositions the skin and soft tissue of the face to more youthful positions. It does little to nothing about surface changes. Many of the alternatives (botox, fillers, laser) can improve the surface characteristics of the skin but do nothing to reposition the soft tissues. So, often these are complementary.
Dr. Barry Press
Dr. Barry Press
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3 comments
Dr. Sharon Ann Clark
There is an atrophy or loss lf bone lf the face as well so that surgic planning at the time of facelift may benefit from structural implants as well such as to the malar region, etc.
Dr. Joseph Campanelli
Not now but wait. Currently there is no minimally invasive procedure that duplicates the results of a good face lift but the pace of innovation is such that there will be.
Dr. Jason Hall
Surgery - Plastics
3 doctors agree

In brief: Lots of options

It all depends on your goals.
Loss of volume, especially in the midface and cheeks, defines "aging" in the face. Replacing that volume, either with your own fat (fat grafts) or with fillers off the shelf, can do the trick. While it's still a "procedure" it falls short of a full facelift.

In brief: Lots of options

It all depends on your goals.
Loss of volume, especially in the midface and cheeks, defines "aging" in the face. Replacing that volume, either with your own fat (fat grafts) or with fillers off the shelf, can do the trick. While it's still a "procedure" it falls short of a full facelift.
Dr. Jason Hall
Dr. Jason Hall
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Dr. Andrew Pichler
Facial Plastic Surgery
3 doctors agree

In brief: Facelift alternative

"good" alternative begs the definition of "good".
What is good for one may not be so for someone else. You need an exam first and then alternatives could be discussed, such as peels, ipl, laser, etc.

In brief: Facelift alternative

"good" alternative begs the definition of "good".
What is good for one may not be so for someone else. You need an exam first and then alternatives could be discussed, such as peels, ipl, laser, etc.
Dr. Andrew Pichler
Dr. Andrew Pichler
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Dr. Brian Maloney
Surgery - Plastics
2 doctors agree

In brief: Facelift Alternative

A facial cosmetic surgeon can evaluate the aging changes on your face and share with you whether fillers are a good option for you.
For most people, fillers can soften some of the aging features, hollow temples and cheeks, and deepening of the folds between the cheek and mouth and down turning corners of the mouth and facial wrinkles.

In brief: Facelift Alternative

A facial cosmetic surgeon can evaluate the aging changes on your face and share with you whether fillers are a good option for you.
For most people, fillers can soften some of the aging features, hollow temples and cheeks, and deepening of the folds between the cheek and mouth and down turning corners of the mouth and facial wrinkles.
Dr. Brian Maloney
Dr. Brian Maloney
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Dr. Tito Vasquez
Surgery - Plastics
2 doctors agree

In brief: Depends on goals

There are always alternatives depending on your goals and expectations.
It is important to understand what your concerns are about facelifts or other surgery. Age is less a concern than overall health and the severity of aging signs in your face. This will determine how well each procedure will accomplish its goal.

In brief: Depends on goals

There are always alternatives depending on your goals and expectations.
It is important to understand what your concerns are about facelifts or other surgery. Age is less a concern than overall health and the severity of aging signs in your face. This will determine how well each procedure will accomplish its goal.
Dr. Tito Vasquez
Dr. Tito Vasquez
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1 comment
Dr. David Levens
Agree with Dr. Vasquez. Alternative options include less invasive procedures such as fillers, neurotoxins and skin resurfacing procedures.
Dr. Clark Schierle
Surgery - Plastics
2 doctors agree

In brief: Facelift Alternative

Aging is best treated by a multi-pronged approach.
First build a foundation with good skin care. Fillers, botox, and resurfacing with lasers, chemicals, or dermabrasion are very effective medical treatments for aging. Finally, surgery can help tighten and lift excess skin for the finishing touch. All of these complement, but do not replace, one another as part of your total beauty regimen.

In brief: Facelift Alternative

Aging is best treated by a multi-pronged approach.
First build a foundation with good skin care. Fillers, botox, and resurfacing with lasers, chemicals, or dermabrasion are very effective medical treatments for aging. Finally, surgery can help tighten and lift excess skin for the finishing touch. All of these complement, but do not replace, one another as part of your total beauty regimen.
Dr. Clark Schierle
Dr. Clark Schierle
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Dr. Suzanne Galli
ENT - Head & Neck Surgery
1 doctor agrees

In brief: Facelift alternative

A facelift rejuvenates the face by repostitioning sagging tissues and removing excessive skin.
While resurfacing procedures can tighten and improve the skin, and ultrasound procedures can tighten the underlying tissues, and injectable fillers can volumize the face, none of these procedures can accomplish what a surgical facelift does.

In brief: Facelift alternative

A facelift rejuvenates the face by repostitioning sagging tissues and removing excessive skin.
While resurfacing procedures can tighten and improve the skin, and ultrasound procedures can tighten the underlying tissues, and injectable fillers can volumize the face, none of these procedures can accomplish what a surgical facelift does.
Dr. Suzanne Galli
Dr. Suzanne Galli
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Dr. Tanveer Janjua
Facial Plastic Surgery
1 doctor agrees

In brief: No alt to facelift

There is no good alternative to facelift at age 60.
If you can settle for some improvement then botox, fillers and laser would be the way to go

In brief: No alt to facelift

There is no good alternative to facelift at age 60.
If you can settle for some improvement then botox, fillers and laser would be the way to go
Dr. Tanveer Janjua
Dr. Tanveer Janjua
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Dr. Humberto Palladino
Surgery - Plastics
1 doctor agrees

In brief: Facelift alternative

It depends on the degree of aging and desired outcome.
There are fat injections, fillers and botox, as well as laser resurfacing, peels etc. All these techniques are alternatives designed to improve the sings of aging. The difference between them is the degree of correction achievable with each.

In brief: Facelift alternative

It depends on the degree of aging and desired outcome.
There are fat injections, fillers and botox, as well as laser resurfacing, peels etc. All these techniques are alternatives designed to improve the sings of aging. The difference between them is the degree of correction achievable with each.
Dr. Humberto Palladino
Dr. Humberto Palladino
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Dr. Michael Menachof
Facial Plastic Surgery
1 doctor agrees

In brief: Not Really

Not really. Sometimes fillers (a combination of sculptra, perlane, (dermal fillers) and restylane) can make things look better but most of the time if you need a facelift, only a facelift will give you the results you are looking for.

In brief: Not Really

Not really. Sometimes fillers (a combination of sculptra, perlane, (dermal fillers) and restylane) can make things look better but most of the time if you need a facelift, only a facelift will give you the results you are looking for.
Dr. Michael Menachof
Dr. Michael Menachof
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Dr. Babak Azizzadeh
Facial Plastic Surgery
1 doctor agrees

In brief: It Really Depends

It really depends on the patient.
If you have minimal skin laxity and loss of volume at this age, then non-surgical treatments like ulthera skin tightening, fillers, and Botox may be able to give you the results you are looking for. However, if you have more than just mild laxity and volume loss, a surgical facelift will most likely be your best option. More here: http://www.Facialplastics.Com.

In brief: It Really Depends

It really depends on the patient.
If you have minimal skin laxity and loss of volume at this age, then non-surgical treatments like ulthera skin tightening, fillers, and Botox may be able to give you the results you are looking for. However, if you have more than just mild laxity and volume loss, a surgical facelift will most likely be your best option. More here: http://www.Facialplastics.Com.
Dr. Babak Azizzadeh
Dr. Babak Azizzadeh
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Dr. Brock Ridenour
Surgery - Plastics
1 doctor agrees

In brief: Depends

It really depends on the amount of facial skin laxity.
Facial aging can be roughly divided into 3 causes: loss of the supporting deep fat and bone structure, loss of skin elasticity, and the descent of soft tissue due to gravity. As long as facial laxity is mild then fat injections, fillers and laser resurfacing can be effective. If laxity is considerable, nothing is as effective as facelift.

In brief: Depends

It really depends on the amount of facial skin laxity.
Facial aging can be roughly divided into 3 causes: loss of the supporting deep fat and bone structure, loss of skin elasticity, and the descent of soft tissue due to gravity. As long as facial laxity is mild then fat injections, fillers and laser resurfacing can be effective. If laxity is considerable, nothing is as effective as facelift.
Dr. Brock Ridenour
Dr. Brock Ridenour
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Dr. Alan Durkin
Surgery - Plastics
1 doctor agrees

In brief: Depends

It really depends on your goals.
The most powerful, longest lasting, and durable procedure is facelifting. No question about it. Having said that, other options do exist for treating the face without surgery. It just depends on your goals.

In brief: Depends

It really depends on your goals.
The most powerful, longest lasting, and durable procedure is facelifting. No question about it. Having said that, other options do exist for treating the face without surgery. It just depends on your goals.
Dr. Alan Durkin
Dr. Alan Durkin
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Dr. Richard Galitz
Facial Plastic Surgery

In brief: Facelift at 60

A facelift at 60 years old is just fine if you are in good health, determined by your internist.
An oral sedation local anesthesia facelift is even better as it removes by far the main risk of the procedure, is almost painless, and has the easiest recovery. Experienced surgeons are using this method much more frequently with excellent results.

In brief: Facelift at 60

A facelift at 60 years old is just fine if you are in good health, determined by your internist.
An oral sedation local anesthesia facelift is even better as it removes by far the main risk of the procedure, is almost painless, and has the easiest recovery. Experienced surgeons are using this method much more frequently with excellent results.
Dr. Richard Galitz
Dr. Richard Galitz
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Dr. Jeffrey Rosenthal
Surgery - Plastics

In brief: No

If your facial/neck skin, neck muscles and jowls are lax you will benefit from a facelift.
However, if the cheeks need uplifting then radiesse, (dermal fillers) a filler, will serve you. A consultation with a surgeon who is well versed in facial contour and does facial plastic surgery will assist you in deciding.

In brief: No

If your facial/neck skin, neck muscles and jowls are lax you will benefit from a facelift.
However, if the cheeks need uplifting then radiesse, (dermal fillers) a filler, will serve you. A consultation with a surgeon who is well versed in facial contour and does facial plastic surgery will assist you in deciding.
Dr. Jeffrey Rosenthal
Dr. Jeffrey Rosenthal
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Dr. Joseph Mele
Surgery - Plastics

In brief: Sometimes

The reason the facelift has been around for so long is because it works.
The facelift is the gold standard. Some areas of improvement that a facelift provides, and be achieved through other means, but like any compromise the results tend to be less dramatic and shorter lasting. If the limitations won't be a problem for you, then the alternatives are good.

In brief: Sometimes

The reason the facelift has been around for so long is because it works.
The facelift is the gold standard. Some areas of improvement that a facelift provides, and be achieved through other means, but like any compromise the results tend to be less dramatic and shorter lasting. If the limitations won't be a problem for you, then the alternatives are good.
Dr. Joseph Mele
Dr. Joseph Mele
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Dr. Terrence Higgins
Surgery - Plastics

In brief: Its complicated

Well, if skin excess is your issue, then there is no other way to address that excess other than skin removal and repositioning the underlying soft tissues.
.. Most patients truly will need a combination of skin care (topical), botox, fillers (fat/juverderm/restylane) as all as facial surgery. But i think starting with fillers and Botox is often a great way to get started.

In brief: Its complicated

Well, if skin excess is your issue, then there is no other way to address that excess other than skin removal and repositioning the underlying soft tissues.
.. Most patients truly will need a combination of skin care (topical), botox, fillers (fat/juverderm/restylane) as all as facial surgery. But i think starting with fillers and Botox is often a great way to get started.
Dr. Terrence Higgins
Dr. Terrence Higgins
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Dr. Frederick Coville
Surgery - Plastics

In brief: Great question

Your age has little to do with whether you need a facelift or not.
Just because you are 60 doesn't mean you need surgery. I love operating as much as the next guy, but only if appropriate. There are great options for rejuvenation such as fat transfer, platelet rich plasma, deep chemical peels , laser resurfacing and great medical skin care that can make a huge difference if you're right for them.

In brief: Great question

Your age has little to do with whether you need a facelift or not.
Just because you are 60 doesn't mean you need surgery. I love operating as much as the next guy, but only if appropriate. There are great options for rejuvenation such as fat transfer, platelet rich plasma, deep chemical peels , laser resurfacing and great medical skin care that can make a huge difference if you're right for them.
Dr. Frederick Coville
Dr. Frederick Coville
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Dr. David Sherris
Facial Plastic Surgery

In brief: Facelift alternative

Nothing does what a facelift can do, but if you go in with reasonable expectations Botox and fillers can provide modest improvements in your appearance.

In brief: Facelift alternative

Nothing does what a facelift can do, but if you go in with reasonable expectations Botox and fillers can provide modest improvements in your appearance.
Dr. David Sherris
Dr. David Sherris
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Dr. Francisco Agullo
Surgery - Plastics

In brief: No

Many of the alternatives to facelift such as injections, lasers, and Botox wil create mild improvements in the facial aging.
A facelift will remove 10 years and offer a more dramatic change.

In brief: No

Many of the alternatives to facelift such as injections, lasers, and Botox wil create mild improvements in the facial aging.
A facelift will remove 10 years and offer a more dramatic change.
Dr. Francisco Agullo
Dr. Francisco Agullo
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Dr. Otto Placik
Surgery - Plastics

In brief: Fillers, Botox, Fat.

There are plently of non-surgical atlernatives to facelifts but these results may be performed independently or in combination with facelift procedures.
Few of these will achieve the magnitude of correction that a facelift can achieve, some will supplement and enhance the results of a facelift. Procedures include peels, laser, radiofrequency, high intensity ultrasound, fillers, fat, botox, etc.

In brief: Fillers, Botox, Fat.

There are plently of non-surgical atlernatives to facelifts but these results may be performed independently or in combination with facelift procedures.
Few of these will achieve the magnitude of correction that a facelift can achieve, some will supplement and enhance the results of a facelift. Procedures include peels, laser, radiofrequency, high intensity ultrasound, fillers, fat, botox, etc.
Dr. Otto Placik
Dr. Otto Placik
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