At 58, Margot had no plans for cosmetic surgery—until she discovered Dr. Mike Nayak on Instagram. Captivated by his transparent and impressive before-and-after results, she made a spontaneous decision: if she ever got a facelift, it would be with him.
“It was a combination of great results and his total transparency,” Margot told People. “I had no other doctors on my list. I just felt confident in his skills, so it all clicked.”
Planning the Surgery
Margot booked a consultation with Dr. Nayak, a board-certified plastic surgeon at Nayak Plastic Surgery in St. Louis, Missouri. The consultation was set a year in advance. During that time, Margot said she became more sure of her choice as her skin began to sag.
“That year, I was 58, and things were going really wrong,” she recalled. “By the time of the appointment, I was fully prepared.”
In August 2024, she traveled from her home in Kentucky to meet Dr. Nayak in person and undergo surgery.
What Procedures She Had
Dr. Nayak performed multiple procedures on Margot, including:
A deep plane lengthening-sparing facelift
A deep neck lift
Upper and lower eyelid surgery (blepharoplasty)
Full-face CO2 laser resurfacing
Fat grafting to the mid-face
“Her whole face aged all at once,” Dr. Nayak explained. “So we treated everything at once—from the brows to the lower neck.”
Margot also has rosacea, which she noted caused redness in her post-op photos. This redness was unrelated to the surgery.
Complications and Recovery
Margot did face a temporary setback. Dr. Nayak said she experienced some nerve weakness in her lower left lip shortly after surgery.
“This happens sometimes,” he explained. “We talked about it at length in the Instagram video. Six weeks later, it was completely gone.”
She spent ten days recovering at the clinic in St. Louis. During this time, she documented her healing process on social media with full transparency. Her videos received millions of views and generated a lot of debate.
“Some people commented that it wasn’t the same person,” Dr. Nayak said. “Her earlobes were swollen during recovery and looked different, but they returned to normal once the swelling subsided.”
Facing the Public Eye
Despite the dramatic transformation, Margot said her appearance didn’t draw much attention in real life. As a commercial airline pilot, she doesn’t work with the same people regularly. Most of her colleagues didn’t even notice the change.
For those who did comment, she said she often felt tempted to confess to having a facelift.
“I’m probably more honest than most people,” she said with a laugh.
Feeling Like Herself Again
Now, eight months after surgery, Margot says she feels like herself again.
“Deep down, I always felt like I was still 35,” she said. “I was in great physical shape, but when I looked in the mirror, it didn’t match how I felt. Dr. Nayak helped me get that back.”
She emphasized that her decision wasn’t driven by insecurity.
“I was always confident. This wasn’t about changing my life or fixing something. I just wanted my face to reflect how I feel inside.”
Final Thoughts
Margot’s story highlights how modern plastic surgery, when done by a skilled surgeon and approached with realistic expectations, can restore not just appearance—but confidence and self-identity. Her openness has resonated with millions online, showing that aging gracefully can mean something different for everyone.
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