WHAT YOU NEED TO KNOW
  • Dr. Terry Dubrow cautioned younger adults against pursuing facelifts before their facial changes warrant surgery.
  • Repeated fillers, lasers and tightening treatments cannot lift sagging tissue and may eventually produce unnatural results.
  • Waiting too long may allow tissues to descend farther, potentially requiring more extensive surgery.
  • Dubrow recommends consulting both dermatologists and plastic surgeons because facelift timing depends on anatomy, goals, skin quality and tolerance for surgery.

Facelift timing can be a delicate calculation, with surgery performed too early bringing incisions, scars and other risks before it is necessary. Waiting too long, however, may allow tissues to descend and could make a later operation more extensive, according to celebrity plastic surgeon Dr. Terry Dubrow.

Speaking during an episode of Josh Peck’s podcast, "Good Guys," the Beverly Hills plastic surgeon addressed growing demand for cosmetic procedures among younger adults. He said some women are pursuing facelifts before their faces show changes that warrant surgery.

"For those people in their 30s who want some skin tightening, they need to wait, 'cause there will be the technology that will allow early facelifts without cutting," Dubrow said.

He also discussed Kris Jenner’s recent facelift, suggesting her publicly shared results may have encouraged more women to consider the procedure. Her decision helped make facelifts seem fashionable and prompted people as young as 38 to arrive at his office asking for surgery, he said.

"That made facelifts like, ‘Oh, Kris Jenner did it and made it public. Now it's cool. Everybody get a facelift,’" Dubrow said.

Yet surgery carries consequences that younger patients may not need to accept, including incisions, scars, numbness and skin elevation. Dubrow said these factors, along with the potential for complications, should give patients with only early skin laxity a reason to pause.

He also warned against undergoing too many facelifts. "When it starts to relax, it can relax in weird ways," he said, describing how skin may eventually settle in an unnatural looking pattern.

"You've all seen it — people who look pretty good, but there's something about the way their skin lies on their face that looks unnatural, and it ruins the whole look," Dubrow warned.

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For patients noticing early laxity, his message was to resist rushing into a procedure inspired by a celebrity result. "If you have early laxity, don't go in for your ‘Kris Jenner facelift.’ Still wait, because that technology is just around the corner."

Delaying surgery indefinitely can create a different problem, particularly when patients repeatedly depend on nonsurgical treatments. "A lot of women are staying on the ‘nonsurgical treadmill’ for too long," Dubrow told Fox News Digital.

"They keep adding filler, lasers and tightening treatments, when the real problem is that the deeper tissues have dropped."

A facelift performed later can still deliver a strong result, according to Dubrow. But as skin loosens and tissues descend farther, patients may require a more extensive operation than they would have needed earlier.

"My feeling is that once those treatments stop producing a natural result, continuing to postpone surgery can actually make you look less natural," he said.

Dubrow emphasized that nonsurgical care still has an appropriate role when used carefully. "Fillers, lasers and tightening treatments can buy you time when they are used intelligently — but fillers cannot lift sagging tissue, and too much filler can make someone look distorted."

Aggressive energy treatments may also produce scarring beneath the skin and make a future operation more difficult, he cautioned. Patients should consider whether a treatment is genuinely postponing the need for a facelift or merely postponing the decision.

There is no universal age that guarantees the best facelift result, Dubrow said. "For some women, it is their late 40s. For others, it is their 50s or 60s," he explained, pointing to genetics, skin quality and changes around the jawline and neck.

Advice may also differ based on the specialist providing it because experts tend to view facial aging through the procedures they perform. Dubrow said a dermatologist can discuss remaining nonsurgical possibilities, while a plastic surgeon can identify when those approaches have reached their limit.

"A dermatologist may explain what can still be accomplished without surgery, and a board-certified plastic surgeon can tell you when those options have reached their limit … and when it is time to actually reposition the anatomy," he said.

Dubrow ultimately recommended seeking perspectives from both types of specialists. "The right time should be based on your face, not the doctor’s menu," he said, adding that anatomy, personal goals and tolerance for surgery should guide the choice.

"The best facelift is the one nobody knows you had, but the best advice often comes from hearing more than one point of view."