I’m 96 and I’ve Had 3 Facelifts — Here’s What I Learned
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Facelifts were up (pun very much intended) 18% in 2022. As this ultimate of skin-tightening procedures — and the patient demographic getting them — evolves, Allure is exploring the phenomenon of the modern facelift in our new series, Want a Lift?
Joan Kron started working at Allure in 1991, at the age of 63. That first year, an assignment on plastic surgery consultations led Kron to get her own facelift. It was love at first lift, and Kron embarked on a 25-year-long, groundbreaking career in cosmetics procedure reporting, at a time when other magazines just weren’t covering the topic. She wrote a book on facelifts (LIFT: Wanting, Fearing and Having a Facelift), and made her directorial debut at age 89 with a documentary on plastic surgery called Take My Nose … Please!. Now, Kron is working on her second documentary, about Botox, and writing a book on her life in Pop Art in the ’60s — she was a driving force behind one of the country’s first Pop Art exhibits, and worked on projects with Andy Warhol, Roy Lichtenstein, and Robert Indiana. We sat down with Kron, who is now 96, to talk about her own facelifts and brow lift, and what she learned along the way (for starters: no salt after surgery).
My first marriage, which lasted 21 years, was to a general surgeon. I used to watch my husband operate, in awe. Mostly abdominal surgery. I was a New Yorker, living in Philadelphia, and it was the 1950s. At that time, there was only one plastic surgeon in Philadelphia. I went to a lecture he gave and I distinctly remember my 20something self turning to the woman next to me as graphic slides of a facelift procedure flashed on the screen, and saying, "Not me. Ever.”
Fast forward to 1991, and I am a journalist covering the psychology of appearance for Allure. I was 63, the contributing editor at large, and a veteran journalist — I had been writing for New York Magazine, The New York Times, and The Wall Street Journal and had published two books. We had a weekly staff meeting to plan the next issue, and editor in chief Linda Wells began the meeting by saying, “I’m interested in whether plastic surgeons try to talk potential patients into having surgery they don’t need…even though most of our readers are too young to be interested in surgery. And I’ve already assigned it.” The chosen writer was 35.
After the meeting, I went to Linda’s office and said, “A 35-year-old is too young to understand how a woman feels about losing her looks. I’m the oldest person here. I was married to a surgeon. I'm not intimidated by doctors. And I’m one of the few writers among the staff old enough to need a facelift — not that I would ever want one. Please let me do this.” Linda said she wasn’t calling off the other writer, yet, but “Okay, why don’t you try.”
The world of plastic surgery in 1991, much more so than today, was secretive. There was no Botox, yet, or cosmetic dermatology — all subjects we would eventually pioneer covering at Allure. There was no Bravo show about Housewives of New York or LA, no Botched on TV, no best-facelift surgeons lists in magazines or online. I asked a source — who knew Who had What work done When and Where — for recommendations. There’s nothing like a personal recommendation.
In a week I had all my appointments set up. My first consultation was with a doctor whom my source told me had done a facelift on a former first lady. When my name was finally called, there was no foreplay. The doctor had me stand facing the mirror of a small medicine cabinet over a tiny sink, while he stood behind me and pronounced my imperfections. And how he could improve them. The one I remember most was, "Oh dear, you haven’t seen your jawline in 15 years." And, “You’ll have to stop smoking.” I reminded him that in the questionnaire I filled out I explained that I had stopped smoking 30 years ago. He passed me on to his office manager. "That will be $19,500, plus anesthesia, plus hospital fees, plus private nurses.” (Inflation check: $19,500 would be the equivalent of over $40,000 today.) I did not set a date.
Three appointments later, however, I had crossed the line from stealth journalist to consumer. At the end of my fourth consultation, I signed up for a $15,000 facelift and eye lift, and a lip peel. My non-medical second husband, an advertising executive, said, “What are you doing? You said you didn’t want this.” And I said, “I think I need this.” And he said, “Well, this is your caper, Joan,” meaning he was not paying for it. And I said, “I have some savings. I’ll take care of it. Don’t worry.”
Wanting a facelift is between you and your mirror. Opting for one is a decision that inevitably invites the opinions of family and friends who you confide in. After I scheduled this surgery, I heard everything from “You're beautiful. Why?” (my stepchildren) and “You don't need this" (coworkers) to “Go for it. I regret that I never did it.” and “You'll love it, but don’t sign your name to the article about it.” (my agent). Prepare yourself. Everybody has an opinion.
Joan Kron at her 96th birthday party
A few months later, I was recovering at New York’s premier plastic surgery facility — Manhattan Eye, Ear, & Throat Hospital — bruised, swollen, and sedated after a three-and-a-half-hour operation. My husband stood at the foot of my bed, shaking his head and muttering, “You couldn’t pay me to have this done.” My mother came to see me and said, “Is this Joan?” The first night you’re bandaged, though not as much as people might think. It’s not like Liz Taylor in Ash Wednesday, where she had mummy-like wrapping around her head for a month.
The surgery was an in-patient procedure because my internist said that was safer for someone over 60. Today you’d most likely recover in a hotel with a nurse. It’s important to have a nurse the first night no matter where you recover. You don’t want a girlfriend taking care of you. You will want a professional monitoring your blood pressure and checking for a hematoma, which is bleeding under the skin, for those first 24 to 48 hours. You may be unrecognizable those first two days, and most friends or loved ones won’t want to see you looking like that. They only want to see the “after.”
Prepare yourself. Everybody has an opinion.
Once I got home, I took pictures every day with a Polaroid camera, and within two weeks, I was flabbergasted at how great I looked — a little bit of swelling can actually be very flattering. I had graduated from Tylenol and codeine to plain Tylenol. The change in my appearance was remarkable. I was still myself, but a 10-years-younger-looking version of myself. The result, for me, was worth the temporary aches and sleeping propped up — and yes, even the money. Two weeks after my facelift, I had a family celebration for a new step-grandchild. A relative of my husband’s ex-wife walked in and said, “I don’t remember you being this good-looking.”
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What is the best age to have your first, and perhaps your only, facelift? There’s no agreement because everyone ages differently. In my opinion — and perhaps some doctors will disagree — you shouldn’t start until you see some unpleasant signs of aging. I don’t believe in doing it proactively. (As they say, if it’s not broke, why fix it?)
After the surgery, if someone remarked on my refreshed look, I never lied or denied it. I usually said, matter-of-factly, “I had a facelift.” In return for my honesty, I was rewarded with an outpouring of confidence from women and men, who were considering cosmetic changes and needed a sounding board.
If someone remarked on my refreshed look, I usually said, matter-of-factly, “I had a facelift.”
No matter how much you want it, the prospect of a facelift evokes fear, shame, and embarrassment. Perhaps the hardest thing about cosmetic surgery is admitting that you find something about yourself unacceptable, that you don’t measure up, and worse, that you care. How uncool!
Nearly five years after that first lift, when a recurring sinus condition required an operation under general anesthesia, I reasoned, why not have a few aesthetic adjustments on areas I hadn’t dealt with before? I hadn't had a brow lift during the first surgery because you would have a scar in your hairline from ear to ear, and a lot of people lost hair along the scar line. But in the few years since I had my first facelift, a new scarless endoscopic brow lift had been invented. You would just have five little incisions and they would heal over — today, I have no idea where those scars are; they are completely gone.
So I chose to have an endoscopic brow lift to raise my brow slightly and smooth out the scowl etched there, making me look angry when I’m not, and a minor refinement on my nose. I remember a doctor I interviewed later saying, “If you do one thing, you get a good result. If you do two things, you get a better result. Do three things, you get a great result.”
For round two, I was not curious to try another surgeon. My original facelift doctor had done well by me. Why switch? Many women feel the Astroturf is greener elsewhere, traveling to Dallas or LA for a facelift. And it’s fine to travel for the best care, but today, with excellent doctors in every part of the country, you shouldn’t have to travel that far to find a good plastic surgeon. Whether you stay home or travel, you'll want to make sure your surgery is done in an accredited operating room. My anesthesia was administered by an MD anesthesiologist. There are some good nurse anesthetists, but shopping by price for anesthesia can be dangerous. [Editor’s note: Kron wrote an Allure article on “Finding Dr. Right — and Avoiding Dr. Wrong” with tips for choosing a surgeon.]
No matter how much you want it, the prospect of a facelift evokes fear, shame, and embarrassment.
Two days after the second surgery, I wen
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9 of May 2024
