
Scrubs to Stilettos The Real Truth About Facelifts, Fillers, and Botox in Your 40s
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Oct 16, 2025 In this discussion, Dr. Kay Durairaj, a double-board-certified facial plastic surgeon, debunks the myth that facelifts in your 40s are ideal. She suggests waiting until around 55-60 for surgery to avoid dissatisfaction. Dr. Kay also expounds on the benefits of collagen stimulators and shares insights on Botox, emphasizing its preventative power if started early. Other highlights include the advantages of microneedling and the rising trend of eyelid surgeries for a youthful look. It's a deep dive into age-appropriate beauty enhancements!
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Delay Facelift Until Clear Laxity Appears
- Avoid getting a facelift in your early 40s unless you have clear skin laxity of about a centimeter to pinch.
- Expect a facelift to last ~10 years and plan surgery timing accordingly to avoid multiple early repeats.
Facelift Is Not A One-Time Preventive Fix
- A facelift gives roughly a decade of visible benefit and can require future maintenance like fillers and Botox.
- Doing it too early risks needing additional surgeries and disappointing long-term results.
Use Collagen Stimulators As First-Line Option
- Try collagen biostimulators (e.g., Radiesse, Sculptra) before surgery to naturally grow dermal collagen.
- New collagen can act as a long-lasting foundation, with effects lasting up to about 10 years.
