The average age of a facelift patient in my practice has dropped by about a decade, and I know exactly why. I'm Dr. Johnny Franco, a board-certified plastic surgeon in Austin. AMA.

Hi Reddit. I'm Dr. Johnny Franco, a board-certified plastic surgeon in Austin, Texas. I've been in practice for over a decade, and in the last several years the people sitting in my consult room have gotten noticeably younger.

The reason is GLP-1s. When you lose weight quickly, you lose it in your face early and disproportionately, and skin that's been stretched for years doesn't always snap back. The result is hollowing, laxity, and a tired look that filler can't always fix. I'm now having facelift conversations with people in their 30s that I used to only have with people in their 60s.

I'm here to answer questions about any of it: what's actually happening under the skin, what's reversible without surgery, when a lift is the wrong call, what these procedures really cost, and what I'd tell my own family member on a GLP-1.

I'll also happily tell you when the answer is "do nothing."

Proof: https://i.imgur.com/aAxZMUc.jpeg

Ask me anything.

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