46 and Am Not Happy with my Jawline and Neck? (photo)

I'm 46 and feel like the last 6 months my face has just kind of fallen. I've seen several plastic surgeons with varying responses; from mesotherapy to a mini lift (where only the skin is lifted) to a full mid and lower facelift including neck. I know best results come from full facelifts but... I live in Europe where Aptos or thread lifting seems pretty popular. Is it safe? How long will the results last? Why did it fall out of favor in the US?

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age 45-54 long-lasting

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2 Doctor Answers | Asked by Creampuff

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Thread lift

There are dozens of various ways to deal with jowls: Mesotherapy (yes in small areas it does work) but it may require several treatments and may be quire tender; Lipo - you may choose to have microlipo done with small cannulas to decrease the appearance of jowls but it will do nothing for cheeks. Adding cheek augmentation with fillers can help, though; Thermage, Ultherapy, other RF methods can also be helpful. Thread lifts can be performed as Aptos suture, or... more

Option to Improve Jawline and Neck

With a mini-lift, only the lower face -- from cheek to chin -- is lifted, which effectively eliminates jowls and redefines the cheekbones. As with a face-lift, the mini-lift is often accompanied by a neck lift, which removes fat from below the chin and tightens the neck's platysma muscles, all through a tiny incision under the chin. The best candidates for the mini-lift are those who are unhappy with the contour of their lower face and neck, and whose skin has good resiliency. It's also an... more