The answer depends on the commitment you want to make. As you have seen, lesser procedures such as fillers. skin resurfacing, mini-lifts, and imlants will minimally improve the appearance. There is nothing wrong with this approach, but the ultimate result would be achieved with a facelift including liposuction and a pre-jowl implant. It would be benificial to loose weight prior to any procedure. I strongly suggest you do this and then re-evaluate your alternatives.




