I’d like a facelift to get rid of my deep wrinkles.

Question:
I’ve been a smoker for the past 50 years of my life. I’d like a facelift to get rid of my deep wrinkles. Would it be possible to really eliminate their appearance?

Answer:
Assuming that you did not start smoking at birth I am estimating your age to be in the sixth decade. Usually individuals in that age group require multiple procedures to achieve the desired result. This usually entails some sort of skin resurfacing with either a laser or chemical, volume replacement with either fat transfer or filler and a lower facelift. None of these procedures however will eradicate the appearance of wrinkles. Each of them will provide an improvement and combining multiple procedures will provide the best result. However, if you are a current smoker, smoking cessation will be necessary prior to proceeding.