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How to Know if You Need a Facelift or Nonsurgical Options

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Andrew G. Silver, MD, FACS

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12/28/2026

Deciding between a facelift vs. nonsurgical treatment options often comes down to the degree of facial aging and the kind of results you want to achieve. While injectables and skin treatments can address early signs of aging, a facelift is designed to correct deeper structural changes that nonsurgical approaches cannot fully resolve. At Plastic Surgery Vegas, board-certified plastic surgeons Terrence "Terry" Higgins, MD, FACS, and Andrew G. Silver, MD, FACS, help patients throughout Las Vegas, NV understand which type of facelift or nonsurgical facial rejuvenation approach aligns with their goals. The right choice is highly personal and based on anatomy, skin quality, and expectations. Taking a closer look at how these options compare can help clarify your next step. 

 

What's the best age for facelift surgery? 

There is no single "right" age for facelift surgery, as facial aging affects everyone differently. Some people begin considering a facelift at 40 or in their mid-forties, while others may not feel ready until their fifties or sixties. Genetics, sun exposure, skin elasticity, and lifestyle habits all play a role in what age you start noticing wrinkles and other signs of aging. Rather than focusing on age alone, our surgeons evaluate skin laxity, volume loss, and changes to facial contours. 

 

How do I know when it's the right time for a facelift? 

Many patients reach a point where fillers and other nonsurgical options no longer provide the lift or longevity they want. This is often when structural aging becomes more noticeable and affects overall facial balance. Some of the most common signs that you're ready for a facelift may include:  

  • Sagging jowls 
  • Deep facial folds 
  • Loose neck skin 
  • Mid-face descent 
  • Loss of jawline definition 

Recognizing these changes can help guide the conversation about whether surgical rejuvenation may offer a more effective solution than continuing with temporary nonsurgical treatments. 

 

Would a nonsurgical facelift be enough for me right now? 

Nonsurgical treatments for facial aging can be an excellent option for people with early to moderate signs of aging. Injectable fillers and neurotoxins can restore volume, soften lines, and refresh facial features without surgery. Advanced skin rejuvenation options, including lasers and other energy-based treatments, can also improve tone and texture. When comparing facelift vs. nonsurgical facelift alternatives, like injectables, the key difference is longevity and degree of correction. Nonsurgical options are temporary and ideally suited for subtle changes, while a facelift addresses deeper sagging. A consultation helps determine whether nonsurgical treatments can meet your goals or if surgery would be more appropriate. 

 

Can I still use injectables after facelift surgery? 

Injectables can still play a valuable role after facelift surgery. While a facelift repositions and tightens underlying structures, it does not stop the natural aging process. Over time, fillers and wrinkle relaxers can help maintain results by addressing fine lines, volume changes, and dynamic wrinkles. Many patients use injectables strategically to complement their facelift results both in the short and long terms. This combination approach allows for more refined, lasting facial rejuvenation. Dr. Silver and Dr. Higgins can recommend a personalized plan for continuing nonsurgical facial enhancements in the years and decades after facelift surgery based on how your face continues to change — helping to keep you confident in your look at every age. 

 

Wondering about a facelift vs. nonsurgical facelift alternative? Our Las Vegas facelift specialists can help 

If you are unsure whether a facelift or nonsurgical options are right for you, our team at Plastic Surgery Vegas can help you make an informed decision. Board-certified plastic surgeons Dr. Terrence "Terry" Higgins and Dr. Andrew G. Silver, work closely with patients in Las Vegas, NV to evaluate facial aging and discuss appropriate treatment paths. Each recommendation is tailored to anatomy, lifestyle, and goals. Understanding your options for facelift vs. nonsurgical facelift is the first step toward feeling confident in your choice. Contact our team to schedule your facelift or facial rejuvenation consultation in Las Vegas, NV today. 

 


Dr. Silver makes you feel like his new best friend! He is very attentive and explains very clearly to you on what to expect from your procedure. I am very happy with his work and would highly recommend him .

D.B. Google

My experience at "Plastic Surgery Vegas" practice has been amazing.Everyone I came in contact with was very welcoming and professional. I can not speak highly enough of Dr. Higgins and his close staff (Laura & Kristin). This was to be my 4th breast augmentation in 25years (my 1st with Dr. Higgins), which included reconstruction/lift due to wanting to go smaller with this surgery. After my initial consultation with Dr. Higgins, I felt very comfortable and confident to proceed, but as a nurse, I had a few more questions. His reception had no problem scheduling an additional appointment to address any additional concerns. In my career as a nurse, I have met and worked with many physicians over the years. I have come across very few surgeons as authentic, caring, skilled and talented as Dr. Higgins. I felt that Dr. Higgins really listened to me, and addressed my questions and concerns. As most people are,,,, I was nervous about the surgery but felt very taken care of by Dr. Higgins and his staff all the way into to O.R. and just prior to being put to sleep. In all of my previous surgeries, I had never been met with such attention and compassion up to and beyond my surgery. Additionally, my results are PHENOMENAL, and have far exceeded my expectations. I would trust & recommend Dr. Higgins, as well as "Plastic Surgery Vegas" not only to complete strangers, but to anyone I love and care about. Las Vegas is a city that attracts lots of Plastic surgeons, which can make choosing a quality Plastic surgeon VERY difficult. I took my time, I did my research, and am extremely happy I did. If you expect quality care and results, Dr. Higgins, and Plastic Surgery Vegas will far exceed your expectations.

M.N. Google

Love the team! Dr. Silver is super nice and great caring. Love my results. He knows what he’s doing 👌

V.N. Google

Dr Higgins is not only a gifted surgeon, but he is extremely professional and has impeccable bedside manner. I would definitely recommend Dr Higgins

M.W. Google

Dr Edwards is an amazing kind caring doctor. I am so very impressed with how meticulous he is with his sutures...and I had 0 bruising!! Love him and would highly recommend. He also has outstanding credentials!!

K.B. Google

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