Do I Really Need Facial Plastic Surgery?

facelift Inland Empire, neck lift Inland Empire, facial plastic surgery, Dr. Brian Machida
Before and After facial plastic surgery by Dr. Brian Machida

Millions of people want to look younger.  Facial plastic surgery, including facelift, brow lift, neck lift and blepharoplasty procedures, is common in Inland Empire, metro Los Angeles California where I practice.  Every year, hundreds of thousands in the U.S. have facial plastic surgery procedures.  Many more have nonsurgical procedures like Botox, fillers, laser resurfacing, Renuvion, RF treatments and chemical peels.  If you’d like to improve your appearance, you might well wonder:  “Could a nonsurgical treatment work for me?  Or do I really need facial plastic surgery?

Editor’s Note:  Dr. Brian Machida is a highly experienced facial plastic surgeon. In his career he has performed some 4,000 facial plastic surgery procedures, including facelift, neck lift, blepharoplasty and rhinoplasty procedures in Inland Empire and Beverly Hills, California. Today he practices as STC Plastic Surgery in Ontario, CA

In the next article we’ll discuss nonsurgical options in detail.  We’ll also talk about what might make you a candidate for one or more of them.  But first, we’ll talk about how to know if a surgical solution makes the most sense for you.

Age and Skin Health are key factors 

loose skin, skin tightening, skin aging, facial plastic surgery, Inland Empire
Pinched skin that won’t snap back may indicate low elastin levels

Nonsurgical treatments often rely in some way on your skin’s natural production of two key proteins:  collagen and elastin.  Collagen provides the key building blocks for healthy, younger-looking skin.  Elastin helps prevent skin from sagging.  It makes it hug your face’s natural curves and snap back when stretched.

As we age, our production of collagen and elastin decline every year.  At a certain point, your skin won’t be able to firm itself enough to make a real difference.  At that point, you’ll probably need surgery to tighten and redrape your skin.

So, if you’re in your 30s and 40s you may be a candidate for Botox, fillers or skin-tightening treatments, especially if you don’t smoke.

facelift Inland Empire, facelift, Before and After, Dr. Brian Machida
Before and After Facelift by Dr. Brian Machida

However, if you’re a nonsmoker in your 50s, 60s 70s or even your 80s, facial plastic surgery can give you great results.  It could be a much better option for you.

Where your loose skin is located makes a real difference in this.  If you have too much skin in your upper eyelids, eyelid surgery – an upper blepharoplasty – is what you need.  That’s also true if you have a sagging brow.  There’s no nonsurgical treatment that works for this.  You’ll need a browlift.  The same can be said of substantial jowls.  A lower facelift can work wonders to improve your jawline, and there is no real nonsurgical option at this time.

Carrying or losing too much fat is a factor

The CDC (US Centers for Disease Control and Prevention) reports that 71.6% of all Americans are overweight, including nearly 40% considered obese.  If you’re one of the majority of Americans carrying too much fat, this could make you a candidate for facial plastic surgery rather than a nonsurgical procedure.

neck lift, neck left Inland Empire, neck fat, horizontal banding
Excess fullness cannot be eliminated with nonsurgical treatments

Nonsurgical treatments to reduce face and neck fat, like Warm Sculpting, CoolSculpting, and Kybella, are limited in how much fat they can eliminate.  That is also true for minimally invasive methods like SmartLipo.  So, if you have too much fullness in your face and neck, facial plastic surgery might be your best – or only – option.

loose skin, facial plastic surgery, neck lift, Inland Empire, Dr. Brian Machida
Too much loose skin can only be effectively tightened with facial plastic surgery


On the other hand, you may have done a great job in reducing fat through diet and exercise.  If so, you deserve to be congratulated.  If you’ve lost a lot of weight, though, you may have more loose, hanging skin that can be tightened with nonsurgical methods like Renuvion or RF devices.  In that case you would need facial plastic surgery.

CONTACT Dr. Machida Inland Empire, CA

Muscle tone matters in determining whether you need facial plastic surgery

If your facial muscles are in good shape, jowls and wrinkles may primarily be caused by loose skin.  In some cases, nonsurgical treatments could work for you.  But if your face and neck muscles are sagging, they could be major contributors to your facial aging.  That is often the case as people get older.

If your face and neck muscles have atrophied and started sagging, facial plastic surgery might be your best or only option.  A good surgeon can tighten up sagging muscles and help you look years younger.  But no nonsurgical method can tighten muscles that sag too much.

Should you choose facial plastic surgery?

If you want to look years younger, a facial plastic surgery procedure should be at or near the top of your list of options.  Facelift and neck lift procedures are among the safest surgeries you could have.  That is particularly true if your facial plastic surgeon uses local anesthesia plus oral sedation, which one expert called the “safest method” now available.  We offer it here at STC Plastic Surgery in Inland Empire California.

Facial plastic surgery results usually look great as soon as you heal, which can be in a relatively short period of time.  Some nonsurgical methods, in contrast, may take months to provide the results you want.  So, while many people prefer to go the nonsurgical route, there are some real benefits to getting a surgical procedure.  Every year, hundreds of thousands of Americans get one.  If you’d like to consider your options, why not see a board-certified facial plastic surgeon in your area.  If you’re in Inland Empire California, I’ll be glad to provide a free consultation at STC Plastic Surgery in Ontario.

Please share this article using the links below:

About Dr. Brian Machida, MD, FACS

Dr. Brian K. Machida, MD, FACS is a double board certified facial plastic surgeon. He has an exceptional level of experience, having performed ( read more )

Articles by Dr. Brian Machida, MD, FACS

Acne Scars – How Can You Successfully Treat Them?

Bothered by acne scars? Which acne scar treatments are effective? Inland Empire, California expert Dr. Brian Machida discusses some excellent treatments for mild, moderate and severe acne scars. One even works for darker skin. [Read More]

Fillers – Getting the Most from Fat Transfer or Bellafill, Radiesse and Voluma Injections

Fillers to restore facial volume are very popular. Is Juvederm Voluma, Radiesse, or Bellafill best for you? Or is fat transfer using the BeautiFill fat grafting system a better option? Inland Empire expert Dr. Brian Machida gives you the facts. [Read More]

Blepharoplasty (Eyelid Surgery) and a Facelift – Should You Have Them at the Same Time?

Should you consider having a facelift and blepharoplasty together? Each can do a great job of helping you look younger. Is it a good idea to have a facelift and eyelid surgery at the same time? An expert facial plastic surgeon from Inland Empire, metro Los Angeles California shares his insights. [Read More]

Is Plastic Surgery or a Facelift Safe During the COVID-19 Pandemic?

Is getting plastic surgery, such as a facelift safe during the COVID-19 pandemic? Highly experienced facial plastic surgeon Dr. Brian Machida, who taught for years at USC’s Keck School of Medicine, highlights the kinds of precautions surgeons take to protect patients against coronavirus. [Read More]

How to Make a $16,000 Beverly Hills-Quality Facelift Cost Much Less

How much should an outstanding facelift cost? A highly experienced facial plastic surgeon, who performed 4,000 facelifts and taught at the University of Southern California, shows how the right surgeon using the right methods can make a great facelift much more affordable. [Read More]

Battling Lines and Wrinkles – From Microneedling to Laser to Renuvion – What’s Best for Your Skin?”

Wondering if microneedling, fractional laser or Renuvion can best treat your wrinkles? Inland Empire, California expert Dr. Brian Machida has some excellent advice on which treatments work best for different skin conditions. [Read More]

Facial Plastic Surgery Innovations Lead to the Best Facelift Results

If you’re considering facial plastic surgery, such as a facelift, you want the best results. Expert Dr. Brian Machida, who has practiced in Beverly Hills and Inland Empire, California shows how small innovations can make a big difference in getting you the best facelift. [Read More]

Safer Pain Management After Plastic Surgery – Avoid the Opioid Crisis with Exparel

Plastic surgery can improve your looks and your life. But it can expose you to the dangers of the opioid crisis, since opioids are often prescribed to control post-surgical pain. Could a new surgical pain medication, Exparel, help reduce that risk? Inland Empire, CA expert facial plastic surgeon tells how it could. [Read More]

Bellafill vs. Fat Grafting, Juvéderm, Voluma, Restylane, Radiesse and Sculptra – Which Filler NOW Provides the Longest Lasting Great Results?

Bellafill is an FDA approved filler to improve nasolabial folds, marionette lines and wrinkles for up to 5 years. Inland Empire, CA expert facial plastic surgeon shows how it compares with fat transfer, Juvederm, Voluma, Restylane, Radiesse and Sculptra. [Read More]

Better Fat Grafting to Restore Facial Volume and Improve Nasolabial Folds – Look Beautiful Again with BeautiFill

As we age many of us start to lose volume in our faces. Marionette lines and nasolabial folds start to appear. Inland Empire expert facial plastic surgeon describes a revolutionary fat grafting improvement, BeautiFill. Is it a better option than Juvederm and Restylane? [Read More]