Age 30 to 40 with early signs best option is Botox for forehead lines at Rs 8,000 to 15,000 per session and fillers for nasolabial folds at Rs 15,000 to 30,000. Repeat every 6 to 12 months. Good for prevention but cannot lift sagging tissue.

Age 40 to 50 with mild sagging consider a threadlift at Rs 50,000 to 80,000 lasting 1 to 2 years or a mini facelift at Rs 1,20,000 to 1,80,000 lasting 5 to 7 years. 

Age 50 to 65 with moderate to significant sagging a full SMAS facelift is the gold standard at Rs 1,80,000 to 2,50,000 lasting 7 to 10 years.Non-surgical treatments work well for early signs. But once gravity has caused real jowls neck bands and deep folds no amount of Botox or fillers recreates a facelift result. The key is matching the right treatment to your stage of ageing.

Dr. M. Ram Prabhu, DNB Super Speciality Plastic Surgery, Kondapur, Hyderabad. https://drramprabhu.com/