Facelifts and Facial Feminization

Facelifts, Aging, Gender, and Rejuvenation

Aging is a natural part of life, yet a man’s face ages differently in comparison to a woman’s face. Men tend to develop more fullness in the submental or under-chin area, which creates excess skin and fat, whereas women generally develop more excess facial skin.

Over time your skin’s elasticity, firmness, and underlying bone, fat, and muscle support are each affected by the aging process. Lifestyle factors also affect aging. Exposure to the sun, weight gain and loss, smoking, lack of skin care, and quality of health all affect your skin as it ages.

Therefore, depending on your age and skin condition, you may want to consider a facelift as well as Facial Feminization Surgery (FFS).

How does aging affect the feminized face?

The answer to this question depends on the facial area affected. For example, when the forehead is decreased in size during feminization, the upper face does not experience any aging issues because the skin is usually tightened by the procedure itself, and/or an accompanying brow lift.

The lower features of your face however respond differently. As the lower jaw is made smaller with feminization, it also loses some tissue support. Tightening this area cannot be accomplished with, or during, feminization because it takes at least 3-6 months after jaw tapering for the swelling and muscle mass changes to settle.

If you are at an age when your skin still has sufficient elasticity, the excess skin left after a feminizing process will contract nicely. If, on the other hand, you are older (your 40’s or 50’s) loss of elasticity will become an issue that needs to be anticipated. This loss can show up in sagging jowls, a fold of skin on your upper throat, or deeper nasolabial grooves.

When should I have a facelift with regards to the timing of my feminization surgery?

Whether or not you have had Facial Feminization Surgery (FFS) you may still wish to look younger, especially if you are over forty. In terms of timing, if you are deciding on having both FFS and a facelift, you should not plan for a facelift until about six months after your FFS procedure.

Also, if you are trying to lose weight, the facelift shouldn’t be completed until after your weight loss has stabilized. When you lose weight after a facelift, some of the weight will come off your face — potentially leading to an excess of sagging skin. This might then require another lift sooner than you would like.

Is there a specific type of facelift for feminization? Or is it the same procedure as a typical facelift?

Typically your facelift procedure will be the most commonly used, known as the or Deep Plane Facelift or SMAS an acronym for Superficial Muscular Aponeurotic System – the deep, underlying layer of facial muscle and fibrous tissue under your skin.

Gone are the days of the “Hollywood” facelift, when the facial skin was simply stretched, lifted, and tightened across the face. Modern facelifts work on a much deeper, structural level that literally lifts the underlying facial structures for a more natural-looking, longer-lasting result.

As an additional aspect to your facelift you may also want to consider the use of Fat Transfer using Stem Cells for facial rejuvenation. The fat transfer process involves liposuction to harvest fat from your stomach or thighs. The fat is then purified and concentrated – a process that allows the stem cells to be somewhat concentrated. This fat is then injected into the facial area/s to be treated– usually the hollows of the cheeks or around the eyes, along the jaw line, around the nasolabial folds, eye lids, and marionette lines.

Fat transfer can be performed either within the context of a surgical facelift procedure, facial feminization surgery, or, you may elect to have as a standalone, non-surgical procedure.  

Will I also need a neck lift along with my facelift?

In most people, the neck will show signs of aging even before the face, so a neck lift may be recommended in tandem with a facelift. Undertaking both of these procedures at the same time amplifies the positive results and ensures facial aesthetic harmony.

However, depending on your age, a full surgical neck lift may not be necessary, and you may also want to explore non-surgical options such as Botox® Cosmetic injections for a rejuvenated and youthful appearance.

Read more about face and neck lifts here.

What about non-surgical alternatives to facelifts?

Invasive plastic surgery is not always necessary. Sometimes, depending on your desired results, a non-surgical approach is best to achieve a more youthful appearance. Facial volume restoration via injectable dermal fillers or stem cell fat transfer may also work to lift the cheeks and restore lost facial volume.

For non-surgical options, we recommend the safest and most proven dermal fillers including: Restylane®, Restylane Lyft®, Restlane Silk®, and Juvéderm®.

Read more about our non-surgical facial procedures here.