If the operation is done safely, and the incisions are hidden well, and the patient experiences minimal discomfort and time away from her normal activities, the operation can be performed in someone whose skin is not yet hanging down to her knees.  She had a nice smoothing of those jowls.

However, there must be something to improve, or the operation shouldn't be done.  I've visited with 25- and 30-year-olds who were scheduled for face lift surgery with another plastic surgeon, simply because they went to the surgeon's office and asked about the operation.