Financially, is there a point where it makes more sense to get a facelift?

I just turned 60. I have been getting injectables and fillers in my face, but it seems like I’m constantly going in my purse for more money. What is the best route for me to go? Continue and spend, or just get a facelift?

Since I’m not a big fan of facelifts, you may be asking the wrong person!  🙂  But, here are some things to consider and think about in making your decision. You deserve a good facelift pros and cons list to help you make your decision. Before we get into it, a thought on the money investment. Good skin health does take an investment of money. Sometimes it can feel like a lot. But consider it this way.  How much time do you spend in your skin every day, compared to how much time you spend in your car?  Now think about the money you’ve spent on a car over the years. It might help put things into perspective 🙂

Cons for Facelifts:

  • Consider your age and health first.   If you are under 70, in good health, and don’t take many meds, the anesthesia risks are reasonable.  If your health isn’t good, or you are over 70, your risk of serious complications with  general anesthesia and surgery go up.
  • Facelifts can look too tight, aggravate or create more asymmetries, not look like YOU, or just plain look scarey.  So can nonsurgical aesthetic work, though.
  • It might not solve the problem you are trying to solve. For example, patients with heavier lower faces, pronounced jowls, and a sagging neck often are the most satisfied with a facelift.  Conversely, patients with a good jawline who have mostly wrinkles, are often not that pleased.  Facelifts don’t solve problems with sun damage, many wrinkles, skin texture, or blotchiness whether red or brown.
  • They can cause an odd elfin look to the ears. This is particularly important if you wear your hair short.
  • The scars don’t always heal well or blend with the hairline, and may be visible.
  • There is usually a month of some bruising and soreness. It takes several months to see the final results.
  • Financially, it’s one big outlay, but then some maintenance nonsurgically is usually still needed, just not as much.

Pros for Facelifts:

  • If you have clear expectations, for somewhere between $12K-30K (depends on where you live), you may be able to achieve most of your goals with a one-time procedure.
  • An excellent surgeon can usually create a very natural look for the first one. Second and third facelifts, often don’t go as well.
  • An excellent surgeon can usually create almost invisible scars.
  • A lower facelift solves sagging in the neck area better than nonsurgical, at this point in time.
  • Facelifts can be combined sometimes with other procedures like a a medium depth peel or laser for better results. But…..your risk of complications also goes up.  I generally vote for separating the two.
  • Facelifts can be combined with fat transplantation, but more complications are common. The fat may not “take” or persist evenly, causing odd asymmetries that are difficult to fix.
  • Financially, payments are spread out over time, but they can really add up over the years for some.

Here are some related blogs that might interest you, too:

  • Should you wait for fillers and injectables to wear off before getting a facelift? Read more.
  • Non-surgical solutions for droopy eyelids (hooding). Read more.
  • Can fillers get rid of jowls? Read more.
  • Before you get a facelift, make sure you know the difference between a plastic surgeon, a facial plastic surgeon, and a cosmetic surgeon. Read more.

Hope this helps,  Dr. I


Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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