What Facelifts Can (and Can’t) Fix: Realistic Expectations in 2025

In 2025, the popularity of facelifts is continuing to grow, offering increasingly refined and natural-looking results.

However, in the throes of excitement over advanced techniques and impressive before-and-after photos, potential patients should cultivate realistic expectations for the long term.

A facelift is arguably one of the most powerful tools in the arsenal against aging, but it is not a cure-all. If you’re considering the procedure, you should understand what facelifts can and cannot achieve.

Read on to learn more about the capabilities and limitations of modern facelift procedures in 2025.

What a Facelift Can Fix

A well-executed facelift specifically targets and corrects the visible signs of aging that develop in the mid-to-lower face and neck. It mechanically addresses laxity and gravitational descent of tissues, helping to improve the following concerns dramatically:

  • Sagging skin along the lower face and jawline: Re-drapes and tightens loose skin that has lost its elasticity over time.
  • Lifting jowls, tightening loose skin: Jowls that obscure the crisp line of the jaw are lifted and refined, restoring a more defined mandibular border.
  • Deep folds around the mouth and nose (nasolabial folds): Mechanically lifts and repositions the deeper tissues, substantially softening these prominent lines.
  • Loose skin under the chin and neck: Often accompanied by a facelift, a neck lift tightens the platysma muscle and removes excess skin, eliminating horizontal bands and crepiness.
  • “Turkey neck” or double chin improvement: By addressing laxity and sometimes underlying fat, a facelift can significantly reduce “turkey neck” or a pronounced double chin, creating a smoother neck-chin angle.
  • Overall facial contour restoration: Re-establishes graceful curves and definition of the face lost with age, creating a more youthful, harmonious look.
  • Sharper jawline, youthful profile: Tightens underlying structures and redrapes skin to sculpt a more defined jawline and improve the overall profile.
  • Long-lasting results compared to non-surgical treatments: A surgical facelift provides results that typically last 10-15 years or longer.

Also read: Top 10 Anti-Aging Facelift Benefits

What a Facelift Cannot Fix

Equally important to understanding its capabilities is recognizing a facelift’s limitations. It’s not a universal solution for every sign of aging, and attempting to use it for conditions it can’t address can leave you unhappy with the results:

  • Fine lines and wrinkles: Surface imperfections like fine lines, especially those caused by chronic sun exposure, are not significantly altered by a facelift.
  • Skin quality and texture: A facelift primarily repositions and tightens the skin; it does not intrinsically improve quality, tone, or elasticity of the skin itself.
  • Discoloration, pigmentation, and enlarged pores: Age spots, sun spots, hyperpigmentation, redness, or enlarged pores are skin surface issues requiring targeted treatments like laser resurfacing, chemical peels, or specialized skincare regimens.
  • Volume loss in cheeks or temples: Tightens existing tissue but does not replace lost volume. This is instead best addressed with dermal fillers, fat transfer, or implants.
  • Upper face aging: A facelift profoundly impacts the lower two-thirds of the face but does not address signs of aging in the upper face, like drooping eyelids or sagging brows.
  • Permanent stop to aging: Facelifts can make you appear significantly younger than your chronological age; however, the aging process continues from that baseline.

Advances in Facelift Techniques in 2025

Minimally invasive approaches and shorter recovery times

Traditional facelifts involve more extensive incisions, whereas modern techniques will utilize smaller, more discreet incisions, sometimes combined with endoscopic tools. This precision results in shorter recovery times, reduced bruising, and less swelling, allowing patients to return to their normal routines sooner.

SMAS (Superficial Musculoaponeurotic System) and deep-plane facelifts

These advanced techniques go beyond simply tightening skin by lifting and repositioning the deeper muscle and tissue layers (SMAS or deep-plane facelifts). This approach yields more durable, natural-looking results that avoid the pulled look of older, skin-only facelifts.

Combining a facelift with non-surgical treatments for more natural results

Surgeons often combine facelift surgery with non-surgical treatments, such as fillers for volume restoration or laser treatments for skin texture improvement. This holistic strategy creates a more harmonious, comprehensive rejuvenation that looks completely natural.

Robotics and precision tools for smaller incisions and reduced scarring

While still emerging, the integration of robotics and advanced precision tools is enabling even smaller, more meticulously placed incisions, thereby further minimizing visible scarring.

Also read: Facelifts in Your 40s: A Preventative Approach to Aging

Who Makes a Good Candidate?

  • Healthy people with realistic expectations
  • Patients in their 40s–70s with moderate to severe facial sagging
  • Non-smokers or those willing to quit before and after surgery
  • People seeking long-term results rather than temporary fixes

Combining Procedures for Best Results

As facelifts don’t address the upper face, complementing it with an eyelid surgery (blepharoplasty) to refresh tired-looking eyes or a brow lift to elevate sagging eyebrows creates a cohesive, youthful appearance across the entire face.

To address the skin texture, fine lines, and pigmentation that a facelift doesn’t improve, laser resurfacing can be performed to achieve smoother, more radiant skin.

And to combat a hollowed appearance, dermal fillers or autologous fat transfer can be strategically used to plump cheeks, temples, or other areas of volume deficit, enhancing the lift provided by the facelift.

Finally, while often integrated into a comprehensive facelift, a neck lift specifically targets neck bands, excess fat, and loose skin in the neck area.

Risks and Limitations

Swelling, bruising, and recovery timeline

Post-operative swelling and bruising are inevitable and can last for several weeks. The initial facelift recovery timeline involves discomfort, limited activity, and visible signs of surgery, requiring patience and adherence to post-operative instructions.

Potential complications

While rare, potential complications include infection, noticeable or hypertrophic scarring, nerve injury, hematoma, and adverse reactions to anesthesia.

The importance of a board-certified, experienced surgeon

Minimizing risks and maximizing results hinges on choosing a board-certified plastic surgeon with extensive experience specifically in facelift surgery. Their expertise will make sure you receive proper technique, meticulous care, and effective management of any potential issues.

Why unrealistic expectations lead to dissatisfaction

Patients who anticipate perfection, an entirely different appearance, or a permanent halt to aging are most likely to experience disappointment, regardless of how technically successful the surgery might be.

Also read: Facelift Recovery Tips: What You Should and Shouldn’t Do

How to Set Realistic Expectations for Your Facelift

During comprehensive consultations, your surgeon should provide a detailed explanation of the procedure, illustrate potential outcomes using before-and-after photos of previous patients, and perform a thorough facial analysis to determine what is achievable for your unique anatomy.

As the patient, engage in honest and open conversations with your surgeon, ask all questions, and clearly express your goals. The surgeon will then discuss the capabilities and limitations of the facelift as they relate to your aesthetic goals.

A facelift does not exempt you from the need for diligent skincare, a healthy lifestyle, and protection from sun damage. Understand that maintenance treatments (e.g., injectables like Botox, touch-up lasers) and potentially future minor procedures might be necessary to sustain results over time.

Is a Facelift Right for You?

Facelifts with advanced techniques available in 2025 remain the gold standard for rejuvenating the lower face and neck. They are unparalleled in dramatically improving sagging skin, lifting jowls, and restoring a sharper jawline and youthful profile.

That said, they don’t address every sign of aging: fine lines, skin texture, pigmentation, and volume loss in the upper face typically require different or complementary interventions. And combining procedures is often key to the most natural, harmonious results.

Find out if a facelift is right for you! Book an appointment today at Park Facial Plastics to get started.