@ion

I had a lower facelift in my 60s, no regrets. I paid out of pocket. I had considered it for years. Prior to face lift I got breast cancer, treatments took 2 years and told myself if I make it through this I am going to do something for myself. Many people say it is part of aging, and they are right, but after dealing with breast cancer having a lower face lift boost my self image! My 'turkey neck" was mostly genetic, my mom had it. No amount of weight loss or creams would ever change it.

I found a great local plastic surgeon with great reputation. They quoted a price that was all inclusive. It was out patient procedure, so cheaper then a surgery that required total an anesthesiologist.

If you can afford and it would improve your wife's self image and there is no medical reason not to, she should investigate.

As a side note, because I felt little guilty about spending money on cosmetic surgery when others can not afford deformity surgery, in my will I have left money to "Operation Smile" to correct cleft lip condition in under served areas.

Whatever your wife's decision, hope you support her.