Orange County Lower Face Lift doctors

A: Jowls After a Lower Face/Neck Lift

It is not uncommon to have some jowling after a lower facelift.  However,  this generally does not happen for many years after your surgery. There are many factors to consider. If you have a facelift that mainly addresses the skin  with no muscle tightening, you probably will see jowling earlier. It is better to have a facelift that takes care of the excess skin and tightens the muscles.

A: Hair regrowth after male Facelift I see patients from other surgeons who come in and have hair loss in front and above the ears this is typical with bad incision placement where they have removed the natural hairline area and reshifted the flaps altering and elevating the natural hairline. This is more commonly seen in women and is a tell tale sign of a bad facelift. It is important to place the incision in the ear and follow in front of the hairline upward so you keep the natural appearance of each patients hair growth. If your case is simply hair regrowth that is temporarily not growing due to the surgery then the hair follicles should return in the next growth cycle. Which would mean you should see hair growth coming in for the next three to six months. I would go in and see your surgeon and discuss your concerns so that he/she may be able to answer your questions and hopefully give you some peace of mind. Best regards!

A: Neck Lift versus facelift

A neck lift addresses sagging or banding in the neck. It is often effective as an isolated procedure in patients who are relatively young, have skin laxity in the neck, but do not have signs of jowling in the face. Incisions are usually made underneath the chin and behind the ears so that they are well hidden. The platysma muscle (the sagging muscle in the neck) is tightened in the middle and anchored behind the ears in order to position it in its more natural, youthful position. Excess skin is trimmed as well and the result can create a very refreshed, youthful appearance.

A lower facelift is a bit more involved. The lower facelift addresses signs of aging in the lower third of the face, primarly being jowling. A lower facelift and neck lift are done in combination more often than not. In my practice, I combine a facelift and a necklift about 75-80% of the time. When a lower facelift is done, the incisions are extended in front of the ear and the muscle layer (SMAS) in the face is elevated and anchored in its more youthful, natural position. Excess skin is trimmed which adds to the more refreshed appearance.

I would consult with an experienced facial rejuvination surgeon to determine which options are best for you. Good Luck!