u/BorisAckermanMD

My 51-year-old patient underwent a face and neck lift to address early to moderate signs of facial aging, including softening of the jawline, early jowling, midface descent, and skin laxity in the neck.

A common misconception is that facelift surgery is only for patients in their 60s or 70s with more advanced aging changes. In reality, patients who choose facial rejuvenation earlier often achieve more natural and refined results because tissue quality is generally better, skin elasticity is stronger, and less correction is needed overall.

At 51, this patient was an excellent candidate to address aging changes proactively rather than waiting until they became more severe. The goal is always to create a refreshed, rested appearance—not an operated or over-pulled look.

Facial rejuvenation is often most impactful when performed at the right time, rather than waiting until changes are significantly advanced. 

Questions are always welcome below.

My 51-year-old patient underwent a face and neck lift to address early to moderate signs of facial aging, including softening of the jawline, early jowling, midface descent, and skin laxity in the neck.

A common misconception is that facelift surgery is only for patients in their 60s or 70s with more advanced aging changes. In reality, patients who choose facial rejuvenation earlier often achieve more natural and refined results because tissue quality is generally better, skin elasticity is stronger, and less correction is needed overall.

At 51, this patient was an excellent candidate to address aging changes proactively rather than waiting until they became more severe. The goal is always to create a refreshed, rested appearance—not an operated or over-pulled look.

Facial rejuvenation is often most impactful when performed at the right time, rather than waiting until changes are significantly advanced. 

Questions are always welcome below.

My 67-year-old patient featured in this post underwent a Deep Plane Face and Neck Lift to address age-related changes affecting the midface, jawline, and neck.

A common misconception is that facial aging is simply the result of loose skin. In reality, the aging process occurs at multiple structural levels. Over time, skin loses elasticity, facial fat compartments descend, retaining ligaments weaken, and the deeper support structures of the face begin to sag. These changes contribute to jowling, deepening nasolabial folds, marionette lines, loss of jawline definition, and heaviness through the lower face and neck.

A Deep Plane Facelift addresses these changes by lifting the skin together with the underlying SMAS and deeper facial tissues as a single composite layer. This technique allows for release of key retaining ligaments and repositioning of descended tissues while minimizing tension on the skin itself.

By working at a deeper anatomical level, this approach can restore softer, more youthful contours to the midface, improve jawline definition, reduce jowling, and rejuvenate the neck with results that appear natural rather than tight or overly pulled. It also tends to offer greater longevity compared with more superficial lifting techniques.

The objective is never to make a patient look like someone else, but rather to restore structural support lost over time and create a more refreshed, balanced version of themselves while preserving their natural identity.

Questions are always welcome below.

My 67-year-old patient featured in this post underwent a Deep Plane Face-Neck Lift to address age-related changes in the midface, jawline, and neck.

A common misconception is that facial aging is primarily caused by loose skin. In reality, aging occurs at multiple levels: skin loses elasticity, fat compartments shift and descend, retaining ligaments weaken, and deeper facial support structures begin to sag. This is what contributes to jowling, deepening nasolabial folds, marionette lines, loss of jawline definition, and heaviness in the lower face and neck.

With a Deep Plane Facelift, the skin is elevated together with the underlying SMAS and deeper facial tissues as one composite flap. This allows for release of key retaining ligaments and repositioning of descended facial structures without placing excessive tension on the skin itself.

The advantage of this technique is that it can restore softer contours in the midface, improve jawline definition, reduce jowling, and create a more natural-looking rejuvenation. Because the lift is occurring at a deeper anatomical level, the result is generally less “pulled” in appearance and often longer lasting.

The goal is not to make someone look like a different person, but to restore structural support that has been lost over time while maintaining natural facial identity.

Questions are welcome below.

My 60-year-old patient featured in this post underwent comprehensive facial rejuvenation with a deep plane face and neck lift, upper lip lift, endoscopic brow lift, and upper blepharoplasty.

Her main concerns centered around overall facial aging, including loss of jawline definition, neck laxity, brow descent, and heaviness of the upper eyelids. Rather than treating each concern separately, a combined surgical approach was used to create harmony and balance throughout the face.

A fundamental principle of facial rejuvenation is repositioning rather than simply tightening. The deep plane technique lifts and repositions the deeper facial structures as a single unit, allowing the skin to re-drape naturally without an over-pulled appearance. The brow lift and upper blepharoplasty work together to brighten and open the upper face, while the lip lift subtly enhances facial proportions in the lower third.

This progression—shown pre-operatively, at 6 months, and at 9 months post-operatively—demonstrates how results continue to evolve as residual swelling subsides and the tissues settle into their final position.

The goal is never to make a patient look different, but rather to restore a more youthful, refreshed version of their natural anatomy while maintaining facial balance and authenticity.

Questions are welcome below.

My 60-year-old patient featured in this post underwent a comprehensive facial rejuvenation, including a deep plane face and neck lift, upper lip lift, endoscopic brow lift, and upper blepharoplasty.

Her primary concerns were global facial aging—particularly laxity along the jawline and neck, brow descent, and heaviness of the upper eyelids. Rather than addressing these in isolation, a combined approach was used to restore balance across the face.

A key principle here is repositioning, not just tightening. With a deep plane technique, the deeper facial structures are elevated as a unit, allowing for a more natural re-draping of the skin without excessive tension. The brow and eyelid procedures help open the upper face, while the lip lift subtly improves proportions in the lower third.

The progression shown—pre-op, 6 months post-op, and 9 months post-op—highlights how results continue to refine over time as swelling resolves and tissues settle.

The goal in cases like this is not to create a different appearance, but to restore a more youthful version of the patient’s natural anatomy in a balanced and harmonious way.

Questions are welcome below.