Talk about the appearance you want to keep, including your expressions. Surgical technique and planning matter, but no technique guarantees a natural appearance or removes the risks of surgery.
03 / Melanie Petro, MD
The Surgeon’s POV
It has to work for your life.
I will meet with you and evaluate your face. The structure, ligaments, muscles and skin all play a role in determining the very best option.
Sometimes, a facelift is the best aesthetic option but lifestyle, downtime and medical issues can prohibit surgery. If there are non-surgical options, I will make sure you know their limitations and what to expect from them.
From my original Facelift Booklet, January 2024.
What has moved?
The jawline can change with tissue descent, volume changes and skin laxity. The neck may change along with it. A plan should explain which concern a lift addresses and which a skin or injectable treatment might address.
Nonsurgical treatment is not an interchangeable version of surgery. It is reasonable to choose a smaller change, wait, or choose no treatment when the recovery or tradeoffs do not fit.
Facelift and neck-lift options can be discussed when tissue laxity is the concern. Skin or injectable treatments have different limits; ask what each option would leave unchanged.
The Recovery Reality:
Plan for bruising, swelling, incision care, follow-up and activity restrictions. The time you need away from work or social plans is individual, and healing continues after you first feel ready to go out.
The Timeline:
The result develops as swelling settles. Surgery does not stop future aging; timing is part of a decision about your health, support and goals.
The Bottom Line:
Your quote should identify the procedure, surgeon’s fee, facility, anesthesia and follow-up, including what is and is not included. The full total is discussed after assessment and before you decide.
05 / Real life, in my own words
Real & Raw
“To hear what I don’t say.”
She cares enough to figure me out. To hear what I don’t say to see what I don’t see.
That’s exactly what we want to give to the people that come see us.
Originally shared 2025-05-18. A conversation about being understood, not a promise that everyone needs a facelift.
A few questions.
The things people ask.
Am I too young for a facelift?
Age alone does not decide. Anatomy, health, goals, alternatives and the recovery you can manage all belong in the assessment.
Will I look pulled?
Discuss your natural appearance and expressions before surgery. Planning and technique matter, but no technique guarantees a particular appearance or eliminates complications.
What is the recovery?
Expect swelling, bruising, incision care and activity restrictions. Your procedure and healing determine the schedule. Discuss time away from work, practical help and follow-up; early return to activities is not the end of healing.
Can filler fix jowls?
Filler can change selected contours but does not reposition descended tissue in the way surgery can. More volume is not the right answer for every jawline.
Where is it done?
By me, start to finish. Where the day happens, and the anesthesia, are part of the consultation.
I want between-visit skin care to fit your skin, too. Bring your routine; we’ll look at it together. Skin care has a different role from changing facial structure or removing excess skin.