Will a facelift help with weak facial muscles?

My doctor told me that muscle weakness of the face is something rather common, especially for a woman of my age (48). She told me I suffer from decreased facial expression and eyelid drooping and recommended a facelift. However, this procedure sounds quite extreme for me. I'm not sure if this is what I need. Is this what people undergo for tightening facial muscles at my age?


F, 49, Virginia

You should be seen for an in person examination with a board certified plastic surgeon before considering any type of cosmetic surgery.  That being said it does sound like you would be an ideal candidate for a facelift, which does tighten sagging skin, when combined with an eyelid lift which gets rid of the drooping eyelids can restore your face to a more youthful appearance.  

Dr. Arthur Shektman has 3 Facelift, Necklift before & afters:

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Obviously an examination is needed but a facelift does tighten sagging skin and muscles to restore a more youthful appearance

Dr Corbin


I question the diagnosis of muscle laxity.  Although as we age the face typically drops. A component of a face lift is tightening the muscle layer followed by tightening of the skin. Together, this two layer procedure restores a more youthful appearance. This can best be assessed at the time of a consultation. The issue is not your age but, your concerns.

I have never heard of this. A facelift will treat sagging skin and attenuated connective tissue. Although it's very unlikely, weakness of facial muscles could signify another medical problem like Parkinson's or thyroid disease. I'd seek a second opinion from another internist, and see what your local board certified plastic surgeon thinks. Hope all is well, and I'm sure you look great anyway!

Dr. Jonathan Zelken has 4 Facelift, Necklift before & afters:

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