For years, facelifts had been handled as a final step—one thing to think about solely after injectables stopped delivering outcomes. However within the newest episode of The Magnificence Authority, we sat down with London-based plastic surgeon and 111SKIN founder Yannis Alexandrides, MD, who says that mindset not displays how surgeons strategy timing at this time.
“Evidently we’ve formally entered the golden age of facelifting,” Dr. Alexandrides says. Nonetheless, he’s clear that age alone isn’t the deciding issue. “The age of this operation will depend on the one that is requesting it as a result of getting older isn’t the identical for everyone.”
From his work at London’s 111 Harley Avenue Clinic to his U.S.-based apply, Dr. Alexandrides says facelift choices are more and more guided by facial construction, pores and skin high quality and main life adjustments, relatively than a selected birthday.
Forward, we unpack how these elements—and trendy way of life shifts—are reshaping the facelift dialog.
Why Timing Appears to be like Completely different within the GLP-1 Period
Faces age at completely different charges, formed by genetics, way of life and shifts within the physique. One of many largest accelerators Dr. Alexandrides is seeing proper now could be weight reduction, particularly amongst sufferers utilizing GLP-1 medicines. “That may create a state of affairs the place somebody would possibly want a facelift prematurely,” he explains.
Speedy fats loss can go away pores and skin with out the assist it as soon as had, notably within the decrease face and neck. In these instances, sagging or hollowing might not reply to nonsurgical remedies the way in which sufferers count on.
When Injectables Can’t Substitute Construction
Injectables nonetheless play an necessary function, however Dr. Alexandrides stresses moderation. “Injectables in small quantities may give nice outcomes, and they’re an ideal device in the precise arms,” he says.
Issues come up when filler is used to compensate for deeper structural loss. “If we attempt to do an excessive amount of with injectables, particularly with fillers, then we will get into hassle.” That may result in distorted contours, lack of pure definition and longer-term points like migration. “The fillers might be displaced in locations that they’re not meant to go,” he provides, noting under-eye swelling as a typical instance.
One of many clearest indicators that nonsurgical remedies could also be reaching their restrict is frequency. “Should you really feel that you want to see your physician very ceaselessly for fillers and injectables, it could imply that they’re not working properly anymore,” he says.
Pores and skin High quality Nonetheless Issues
A facelift can restore construction, however it will possibly’t appropriate poor pores and skin high quality by itself. Texture, elasticity and solar harm all affect how properly surgical outcomes age. “There are individuals who have this leathery sort of pores and skin that facelifts can not appropriate,” Dr. Alexandrides says, which is why he usually pairs surgical procedure with remedies that assist collagen and pores and skin tightening.
Throughout each his European and U.S. practices, affected person objectives are remarkably constant. “Individuals don’t wish to change after they have facial rejuvenation surgical procedure,” he says. The most effective outcomes protect identification—the face nonetheless appears like itself, simply higher supported.
The Takeaway
The appropriate time for a facelift isn’t dictated by age or traits. It’s when the face not responds to nonsurgical remedies the way in which it as soon as did, and when construction—not quantity—turns into the limiting issue. With training and planning, surgical procedure turns into a thought-about selection relatively than a final resort.





