Northwest Face & Body

fall logo

4 Top Plastic Surgery Treatments in Your Forties

Dr. Ludwig Allegra

December 11, 2025

The forties are often a turning point in people’s lives. These years bring confidence, wisdom, and perspective, but also mark the decade when the signs of aging become harder to ignore. Many individuals begin to notice changes in skin elasticity, volume loss, deeper lines, and sagging in areas that once looked firm and youthful. 

With modern surgical technique and evidence-based aesthetic treatments, it’s now possible to address these changes with precision and minimal downtime. In this blog, we’ll look at four cosmetic treatments commonly chosen by people in their forties to help you explore your options. 

  • Liposuction for Body Contouring 

In the forties, it’s common to notice pockets of stubborn fat in areas like the abdomen, hips, thighs, flanks, and under the chin. Interestingly, they don’t even respond to diet and regular workouts. Due to hormonal shifts, slowed metabolism, and years of weight fluctuation, they hold on to fullness long after the rest of the body has slimmed down. 

Liposuction is one of the most popular plastic surgeries in this age group, and consistently ranks as the top cosmetic surgical procedure overall in recent American Society of Plastic Surgeons (ASPS) statistics.

  • Facial Rejuvenation with Facelift

One of the earliest signs of aging in the forties appears on the face. These can include softening along the jawline, smile lines, neck laxity, and midface volume shift. Many people choose injectables and skin treatments like microneedling to improve surface-level concerns. However, facelift remains an effective way to address deeper structural aging. 

For many in their forties, combining a mid-facelift with a neck lift can target multiple aging zones at once, addressing both lower face laxity and jowling. These surgical options can be tailored to your anatomy and aesthetic goals, providing long-lasting rejuvenation that helps you look like the best version of yourself. Many public figures like Emily Simpson have helped normalize facelift discussions for people in their forties by openly sharing their experiences with aging and cosmetic enhancement.

3. Breast Augmentation for Restoring Fullness

The forties is the decade when natural changes in breast volume, shape, and position become more noticeable. So, breast augmentation has become a popular option for many in this age group. Pregnancy, breastfeeding, weight fluctuations, and hormonal shifts can all contribute to a loss of upper-pole fullness or a deflated appearance. 

Not just the forties, individuals in various age groups choose this procedure, which has made it the most frequently performed plastic surgery treatment. By using implants or fat transfer, breast augmentation helps restore volume, enhance symmetry, and create a rejuvenated, proportionate silhouette.

Modern breast augmentation focuses on personalization. Patients can choose among implant types, sizes, profiles, and placement options to achieve results that align with their anatomy and lifestyle. In many cases, augmentation is combined with a breast lift to correct sagging and reposition the nipple for a more youthful contour. 

4. Eyelid Surgery (Blepharoplasty)

The delicate skin around the eyes often shows aging before any other area. So, eyelid surgery is one of the most sought-after facial procedures for people in their forties. As collagen decreases, many individuals develop loose eyelid skin, under-eye bags, or heaviness that makes them look tired even when they feel well-rested. 

Blepharoplasty can be performed on the upper lids, lower lids, or both. It removes excess skin, repositions or trims fat, and tightens the surrounding tissues to restore a smoother, more alert appearance. The result is a naturally refreshed look that brightens the entire face.

This procedure also complements other rejuvenation techniques such as facelifts. Blepharoplasty remains a top choice for patients who want to look rejuvenated without dramatically changing their expressions or features.

Choosing What’s Right for You

Every person’s goals, anatomy, and lifestyle are unique, and the best approach in your forties is always individualized. 

You may be a good candidate for:

  • Liposuction if you have isolated pockets of stubborn fat that don’t respond to diet or exercise.
  • A facelift if you’re noticing deeper facial laxity, jowling, or changes in the jawline and midface that injectables can no longer correct.
  • Breast augmentation if you want to restore lost volume or enhance shape after pregnancy, weight changes, or natural aging.
  • Eyelid surgery (blepharoplasty) if sagging eyelid skin or under-eye puffiness makes you look tired even when you feel rested.

Combination approaches are also common in this decade. Many people pair a facelift with eyelid surgery for full-face rejuvenation or choose breast augmentation with a lift for a more youthful silhouette. 

A consultation with a board-certified plastic surgeon can help you evaluate all these options, understand expected results, and design a personalized treatment plan. With expert guidance, your forties can be a decade of feeling refreshed, confident, and completely aligned with your aesthetic goals.

Book a Consultation to Explore Your Options

Aging gracefully in your forties doesn’t mean resigning yourself to lines, volume loss, or sagging skin. With today’s advancements in plastic surgery and aesthetic treatments, there are options designed to help you look as youthful and vibrant as you feel inside. The right combination of procedures can refresh your appearance while preserving a natural, balanced look.

At Northwest Face & Body, our plastic surgeons focus on personalized treatment plans that reflect your unique anatomy, goals, and lifestyle. Call us at (425) 546-0854 to schedule a consultation. 

Additional Reads:

What Is The Average Age A Woman Gets A Facelift?

Benefits Of Adding Laser Resurfacing To Facelift Surgery

ABOUT THE AUTHOR

Dr. Ludwig Allegra

Dr. Ludwig Allegra has provided Bellevue, Kirkland, and the surrounding areas with premier plastic surgery procedures for over two decades.