“I’ve seen more and more women and men in their 40s coming in, looking for a way to turn back the clock with reliable results,”

-Dr. Mark Karolak

 So let’s talk about why on earth a 40-something patient would ever ask a plastic surgeon about a facelift:

Face Time

Technology has become such a large part of our lives. From texting with family and friends, to catching up on social media, to responding to the endless string of work emails, it can seem like we’re always staring at a screen. This constant staring at screens, as well as the quest for the perfect “selfie” has made us more aware of the aging process.

A recent consumer report shows that 79% of the population between the ages 18 and 44 have their cell phones with them almost all the time—with only 2 hours of their waking day spent without their cell phone on hand.1

In addition to the self-awareness that it has created, constantly looking down into our devices puts undue pressure on the spine2. leading to forward posture syndrome, while also creating wrinkles in the neck. Some cosmetic surgeons theorize these wrinkles may become permanent, just as we see with smile lines on the face.

If looking down into a smartphone is bad, sitting at a computer all day may be worse. Many people lean into their computer screens, struggling to focus for hours at a time. Not only can the screen’s display strain the eyes, causing us to squint (creating crow’s feet), but it also strains the neck muscles and pulls our posture out of alignment.


  • The NvLift for Face and Neck restores an aging neck from the foundations up, starting with tightening loose muscles, then removing excess fat, and finally smoothing away excess skin. By starting at the foundations and addressing the 3 layers of change, the NvLift gives a natural and long-lasting result.
  • Botox can help relax overactive muscles, like those in your neck and around your eyes, to help prevent future damage (think preventative maintenance).

Fitness Fanatics

We’re living longer and healthier lives.  Sometimes that doesn’t translate into aging more gracefully. Many activities that help us stay fit and live healthier lives, actually cause us to look older at a younger age. For example, running has been linked to an older appearance, but not for the reasons you think. It turns out that running doesn’t cause muscles to sag from the bounce trauma (as some have suggested), but rather the lower body fat percentages of most runners combined with the sun damage accumulated on those runs leads to poor skin quality and a hollowed face.3 For those in their 40s or beyond, muscle loosening and skin laxity have already begun as part of the normal aging process. This compounds with the effects of exercise to create a weathered appearance.


  • Laser skin treatments can help erase sun damage, and sunscreen is the key to preventing future damage
  • If your BMI is low, restoring volume is the key, and there are a couple of options:
    • Dermal Fillers made of hyaluronic acid (Juvederm, Voluma, Restylane, etc.) are great for localized volume replacement
    • Sculptra, a different kind of dermal filler, works to create new collagen and restore volume to the entire face
    • Fat Transfer – the longest lasting option, transfers fat from your stomach or love handles to your face to replace what’s been lost in the aging process

A Safer Surgical Alternative

The availability of a facelift procedure under local anesthesia removes the concerns about general anesthesia that hold many patients back when considering a facelift. The NvLift, Reflections’ unique surgical facial rejuvenation procedure, is performed under Comfort Calm Local Anesthesia™ in our private, state-of-the-art surgical suite. Local anesthesia allows for a safer procedure, while at the same time providing more predictable and precise results.

Preventative Maintenance

There’s a strong desire to maintain a naturally youthful look– which means making small tweaks over the years to reset the clock – rather than waiting for a large, noticeable overhaul later. Many patients tell us that they know their areas of concern aren’t going to get any better without some sort of corrective treatment. They would rather take action, so that they can enjoy the results now and age gracefully. Because the NvLift seeks to precisely correct the many small changes that accumulate in our face as we age, the results are long-lasting and continue to look natural, even as aging occurs.

You can learn more about our unique approach to facial rejuvenation that restores the natural microvectors of a youthful face, using Facial MicroVector Analysis™ here.

It’s No Wonder 

If you asked about a facelift as a 40-something year-old twenty years ago, I think most surgeons would have rightly turned you away. People saw a facelift as a last resort. Today we are aging differently, and there’s a feeling in our society of not wanting age to hold us back from continuing to experience the best of life. Now that we are able to create results that will continue to age well and look natural, it’s no wonder that younger patients are open to considering a facelift in their 40s.

Is a Facelift the next right step for you?

Meet with our Facial Plastic Surgeon, Dr. Mark Karolak, to find out what he recommends based on your aging pattern.

Call (973) 740-2444 to schedule your consultation today!


  1. Always Connected: How Smartphones and Social Keep Us Engaged
  2. Lee S, Kang H, Shin G. Head flexion angle while using a smartphoneErgonomics. 2015;58(2):220-226.
  3. Guyuron B, Rowe DJ, Weinfeld AB, Eshraghi Y, Fathi A, Iamphongsai S. Factors contributing to the facial aging of identical twins.; Plast Reconstr Surg. 2009 Apr;123(4):1321-31. doi: 10.1097/PRS.0b013e31819c4d42.

Medical Director at

Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.

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