Facelift at 70 can provide impressive rejuvenating effects with proper patient selection. But since at this age sagging skin is not the only problem—most patients also have turkey wattle neck appearance and loss of facial volume or fat—simultaneous procedures such as neck lift, fat transfer, and eyelid surgery are generally warranted to achieve more natural, balanced results.
Leading Los Angeles plastic surgeon Dr. Tarick Smiley says one of the most common misconceptions is that the patient’s chronological age has a large influence on one’s candidacy.
In his recent Snapchat video post, the celebrity plastic surgeon has shown a 70-year-old female patient who had facelift and neck lift about six months ago; she came to his office for a follow-up visit.
The patient shown in the video has expressed her satisfaction with the result. When viewed from the side, there is now a smooth angle between her chin and neck, as Dr. Smiley had incorporated her facelift with a highly individualized neck lift.
The patient’s postop appearance is a significant improvement from her “before” photos when the sagging skin along her jowl made her chin almost “disappear” from the neck, said Dr. Smiley.
Dr. Smiley had also tightened her platysma neck muscle in the midline using sutures. He was able to access this anatomical layer by creating a hidden incision precisely made at the chin’s natural skin crease for optimal scar concealment.
To further achieve a smooth transition between the neck and chin, he had also removed the fat pad beneath the platysma muscle.
While facelift at 70 can provide impressive results, health remains the most important issue since aging comes with increased risk of diabetes and other age-related conditions. For this reason, Dr. Smiley are extra strict when dealing with patients over the age of 65—i.e., he requires them to present medical clearance and to undergo comprehensive physical evaluation to ensure that they can handle the surgery.
To further ensure the safety of facelift at 70, aspirin, non-steroidal anti-inflammatory drugs, and supplements with blood thinning properties are discontinued 2-3 weeks before surgery and a week afterward, said Dr. Smiley.