FAQ
Direct to camera
The people we tell not to have a facelift
Draft body, not yet adapted
There are patterns that make this a poor operation for a given person and a surgeon should name them rather than schedule around them. Active smoking is the clearest: nicotine constricts the small vessels supplying an elevated skin flap and the risk of tissue loss climbs steeply, so this practice requires a genuine cessation window and will not operate inside it. Uncontrolled hypertension raises haematoma risk enough to matter. Someone whose main concern is skin texture and fine lines rather than descent will get a technically good lift and see almost none of the change they wanted, because those are different problems with different answers. Significant weight change planned in the next year will move the result. And there is a category harder to name kindly: a person under acute pressure from a divorce, a bereavement, a job loss, for whom the timing is doing more of the work than the anatomy. None of these are permanent refusals. Most of them are a conversation about sequence rather than a no, and roughly one in four surgical consults here ends in not now rather than a date.
Call to action. If the answer is not now, you will be told why and what would change it.