Question: I am 43 years old. Many years ago an older friend told me you should get your first facelift when you are 50 years old to maintain your looks later in life. Is this true or is there any rule of thumb as to when you should get a facelift?
Answer: Facelift, or rhytidectomy, is performed to improve and rejuvenate the mid face and neck. They can be combined with a procedure to the forehead as well. The indications for this occur when the patient knows that they have changes in the aging face, such as drooping of tissues. Each patient’s skin is different. Also, the amount of sun exposure and genetics play a factor as to when this change will occur to a sufficient degree that a facelift is necessary. It is also very important to know each patient’s own subjective views. If the patient feels they do not need a facelift, they do not need a facelift. There is no rule of thumb as to when you should get a facelift. Getting a facelift before you need it is not advisable. I do not recommend surgical procedures unless indicated. There is no such thing as a “prophylactic facelift”, so doing a facelift before you need it will not affect your face or prevent you from needing the facelift later in life. It is best to consult with an experienced facelift surgeon if you have questions regarding your rhytidectomy.