Wellesley Facelift doctors

A Facelift incision is normally placed behind the ear and down along the nape of the neck but it must be hidden in the hair above the hairline along the neck so that it is not visible.

This incision is necessary to adequately tighten the neck and re drape the tissues properly after the facial skin is tightened and the excess removed.

This "posterior " aspect of the face;lift incision should not be visible and should be concealed by the hair at or above the hairline of the neck

If you are starting to notice sagging of jowls and deepening of the nasolabial and marionette lines, you have a few connservative options before resorting to a second face lift in 5 years.

Botox injection (nefertiti injection) can cause a subtle but noticible elevation of the jowles.

Non-invasive soft tissue tightening with Thermage and the new Ultherapy may be an excellent maintenance strategy.

Fractional CO2 peel will not only inprove the texture of the skin but it also causes tightening and a microlift

Cheek and or chin implants can reestablish good facial skeletal projection and elevate the jowls effectively

finally, if jowls are the main concern, and the above conservative options are not appealing or appropriate, you may see significant improvement with a midface lift as opposed to another traditional or mini-face lift.

From the limited pictures you provided I suspect you've had more significant weight fluctuation and possibly extensive sun exposure that has caused loss of skin elasticity and joweling. Also, it appears that you may not have a great facial bone structure with low profile cheeks and chin. Frequently in such cases, I recommend cheek and chin implants which can dramatically improve the volume, contour and projection of the face and bring every thing into better balance. It is important to maintain your weight and undertake routine skin care with adequate sun protection especially since you live in Florida.