Facelift Review: A Woman in Her Early 60s Looks More Than 10 Years Younger

Hello.

I am Yu Young-gi, the CEO surgeon of ROI Plastic Surgery.

Today, I would like to introduce the surgical case of a female patient in her early 60s who came from Thailand.

She had long been interested in a youthful appearance, and at our hospital she underwent a facelift, neck lift, under-eye fat repositioning and under-eye fat grafting, revision upper blepharoplasty and ptosis correction, lip filler, and Juvellook skin booster treatment all at the same time.

Moreover, the patient personally allowed us to share her before-and-after photos, so we are now able to show the surgical process and the facelift review results in a little more detail, without mosaics.

I hope this case will be helpful for those who are struggling with various aging-related concerns!

Reasons for Deciding on Surgery

This patient is quite well known in the Thai community and has continued to be very active, making her age seem insignificant.

However, because she frequently meets people, the increasingly noticeable facial sagging, neck wrinkles, under-eye hollowing, and drooping upper eyelids became a major source of stress.

Let’s take a look at her preoperative photos.

• Decreased overall facial elasticity: Sagging along the cheeks and jawline made the face look heavy, and the drooping around the mouth made her expression look downcast.

• Neck wrinkles and double chin: Even after significant weight loss, the neck line remained lax, becoming more prominent after middle age.

• Under-eye hollowing and dark circles: A typical cause of looking tired and older.

• Drooping upper eyelids: A previously performed upper blepharoplasty had loosened again over time, making the eyes look congested.

In addition, the ptosis was severe enough to cover much of the pupils, and because she could not see well, she had developed the habit of raising her eyebrows, which made her expression look harsh.

• Reduced lip volume: Thinner lips from the passage of time made her appearance look colder.

• Overall loss of skin elasticity: Dryness and fine lines increased, and the condition was difficult to cover even with makeup.

The patient came in with a strong determination, saying, “I want a clear improvement before it gets any later.”

After consultation, we decided on a combined treatment plan — facelift + neck lift + under-eye fat repositioning + under-eye fat grafting + revision upper blepharoplasty + ptosis correction + lip filler + Juvellook skin booster — so that multiple signs of aging could be addressed all at once.

At that time, there was no noticeable excess skin under the eyes, so rather than an eyelid surgery that would remove skin, we chose a simpler procedure.

Surgery/Treatment Plan and Process

(1) Facelift & Neck Lift

• Facelift:

By lifting the sagging skin and SMAS layer around the cheeks and jawline, the overall facial elasticity is improved.

Through incisions made in front of and behind the ears,

the layers beneath the skin are carefully dissected,

the sagging tissues are repositioned to the correct location,

and the excess tissue is removed.

• Neck lift:

To improve the double chin and neck wrinkles,

the sagging area of the neck is additionally corrected.

By approaching through the area under the chin or behind the ears,

the platysma muscle layer is tightened, making the neck line look sharper and smoother.

At this point, ROI's signature surgical method carefully and skillfully handles the three components of the double-chin set: deep fat, submandibular gland, and enlarged digastric muscle. All of these are tissues located deeper than the platysma, so experience and equipment are both important in order to remove them safely without side effects.

(2) Under-eye Fat Repositioning and Under-eye Fat Grafting

• Under-eye fat repositioning:

When under-eye hollowness or dark circles are severe,

overly protruding fat is removed or moved,

and deficient areas are filled in

to balance the volume under the eyes.

• Under-eye fat grafting:

In cases like this patient’s, where fat has decreased overall and hollowing is severe,

volume is supplemented through autologous fat or specialized fat grafting (microfat, nanofat, etc.).

This improves the shading under the eyes

and creates a softer, younger-looking impression.

(3) Revision Upper Blepharoplasty and Ptosis Correction

• She had previously undergone upper blepharoplasty,

but over time the eyelids drooped again

and her eyes started to look congested.

• Through revision upper blepharoplasty,

the previous incision line was precisely corrected,

and the remaining fat and skin were refined.

• At the same time, ptosis correction was performed

to reinforce the weakened eyelid muscle,

restoring a clear and refreshed eye shape.

(4) Lip Filler

• Filler was used to improve the thin lips with reduced volume.

• By naturally refining the lip shape

and subtly balancing the proportions with filler treatment,

a fuller and more vibrant impression can be created.

(5) Juvellook Skin Booster Treatment

• Juvellook is a skin booster effective in improving skin elasticity and reducing fine lines,

and because it contains PLA particles, it helps with collagen regeneration over a long period.

• Along with improving the fundamental sagging through surgery,

the skin surface can also be managed healthily,

resulting in firm and radiant skin.

Before-and-After Comparison Let’s compare the preoperative and postoperative appearances again.

She was actually extremely busy, so some stitches were removed on day 7, and the rest were removed after she returned to Thailand.

However, since she visited while in Korea for a lecture in Thailand, she also stopped by for a progress check, and we were able to see the 3-month follow-up.

Before surgery

1. Sagging of the cheeks and jawline was noticeable, making her look especially older in profile.

2. Wrinkles in the neck and a double chin made her overall silhouette look heavy.

3. Under-eye hollowing and dark circles gave a tired impression.

4. The upper blepharoplasty she had previously undergone drooped again over time, making the eye shape look congested.

5. Lack of lip volume and increased fine lines made the signs of aging more pronounced.

After surgery

1. Facial and neck elasticity improved, restoring a younger and sharper overall image.

2. Improved cheek sagging made the contours clear from both the front and the side.

3. Under-eye volume was restored, giving a brighter and more energetic eye area, with reduced dark circles.

4. Upper blepharoplasty and ptosis correction created a refreshed and clearer impression.

5. Lip filler naturally brought back the lip line, creating a subtle change in impression.

6. After the Juvellook skin booster treatment and once the recovery period passed, skin texture and elasticity gradually improved.

The patient was very satisfied, saying,

“Looking at the before-and-after photos, I look like a completely different person. Not only do I look younger, but my expression has become much softer and brighter.”

In fact, after returning to Thailand,

she told us that people around her were saying things like “You look prettier” and “You look younger,”

and that she was feeling very pleased.

4. Recovery Process and Precautions

Because this was a large combined procedure,

swelling and bruising may be relatively significant immediately after surgery.

However, modern surgical techniques minimize bleeding and tissue damage,

so with appropriate treatment for pain control and swelling reduction

(cold compresses, compression bandages, laser management, etc.),

gradual and relatively quick recovery is possible.

• Initial 1–2 weeks: Swelling and bruising may be at their worst,

and the area around the eyes or mouth may feel awkward.

• Weeks 2–3: Swelling and bruising noticeably decrease,

and return to daily life becomes relatively easier.

• Weeks 4–6: The facial contours, under-eye area, and neck line settle into a more natural shape.

Usually, it becomes more natural by 3 months,

and prettier by 6 months.

Also, after a facelift or neck lift,

starting around 2–3 weeks later, gentle neck stretching and similar exercises can help loosen stiff areas,

and if you follow basic precautions such as avoiding alcohol and smoking and refraining from excessive exercise,

you can achieve better results.

This case involved a combined procedure performed in a patient in her early 60s, but based on the result alone, she looked as if she had become more than 10 years younger.

These days, because medical technology has advanced

and surgical plans can be thoroughly customized for each individual,

a youthful image can be achieved to a certain extent regardless of age.

However, for those considering combined procedures,

it is important to consult thoroughly with an experienced specialist when choosing a hospital,

and to carefully check whether postoperative care is also properly provided.

At ROI Plastic Surgery, we prioritize patient safety and satisfaction, and we propose the most appropriate surgeries and procedures according to each person’s condition and needs.

If you are worried about changes caused by aging,

or if you would like to regain a more definite and natural youthful look,

please feel free to visit us anytime for a consultation.

We will continue to come back with a variety of useful cases and information.

https://blog.naver.com/youngkeeyoumd/223715325142

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ROI Plastic Surgery Clinic (Subway Line 3, Sinsa Station) Main phone number: 02-516-5525

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ROI Plastic Surgery complies with medical law. The photos in this post were taken under identical conditions, and are images taken with the patient’s prior consent. Also, after plastic surgery and procedures, side effects such as bleeding, infection, and inflammation may occur depending on the individual, so caution is required.