Ask a doctor

Could you tell me if I am a candidate for neck/jowel liposuction or a mini lift? (Photo)

I am in my early 30s so I expect to hear "no" in response to a lift. But I wanted to hear expert opinion. My concern is that the skin seems to be sagging especially on the left side of my face. If you look at the image my lip is not even. This is why I thought a lift might be appropriate.

Doctor Answers 5

SAGGING NECK SKIN, MINI-FACELIFT

A mini facelift will only result in minimal temporary improvement in the jawline and cheeks.
Tightening of the neck skin requires a direct approach to the neck. Options include the Precision Tx internal laser to improve the wringling, tighten the neck and reduce jowls. Liposuction of the submental region and jowls will tighten and smooth these areas. Botox or excision of Platysma muscle bands will improve subcutaneous banding. A neck lift will tighten neck skin; some patients are dissapointed due to recurrence of the fine wrinkles under the chin.
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.


New York Plastic Surgeon
4.5 out of 5 stars 12 reviews

Have a question? Ask a doctor

Alternatives to mini facelift surgery

Although you do have slight facial asymmetry, I would not recommend a so called minilift, because a less invasive procedure can help address your concerns. One new minimally invasive technique called Thermi RF or Thermi tight uses radiofrequency energy to precisely dissolve fat and tighten the skin, with just a local anesthetic to the treated areas. A notable improvement is often achieved with just 1 treatment, and very little downtime. 

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Micro Liposuction of Jowl

A complete exam is of course required for the best recommendation. Based on your limited photos (no side view given) I think that micro-liposuction of your jowls (more on on one side to even it out) would be appropriate. Realistic expectations are also very important, as no patient is perfectly symmetric.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 60 reviews

Facial asymmetry correction

Could you tell me if I am a candidate for a neck/jowl liposuction or a mini lift? The patient states that she is in her early 30s and expects a “no” response in regard to the possibility of a lift. Photograph shows there is mild asymmetry with perhaps some slight sagging on the right side in the area of the jaw line. Generally speaking the rest of the face is excellent. This provides an interesting insight into patient's expectations. It is not for the plastic surgeon to interpret the effect of a problem on a patient's self-esteem. While the occasional observer may feel a defect to be slight, and unimportant nevertheless the patient may feel considerable loss of self confidence because of it. Most people appreciate that virtually everyone has some mild asymmetry. There are few people who are so affected by a rather minor difference as most would see it that it affects their self-confidence, ability to function or creates other problems. If the patient has a significant psychological problem associated with an insignificant defect counseling may be more appropriate. However in this instance I think a slight mini lift would probably help the patient. The patient would have to weigh the disadvantages, cost, recovery and other considerations against the possible benefit. Unless this were a severe handicap to the patient I probably would not recommend surgery. Liposuction, and perhaps even the new Thermitight could help improve without being overly aggressive.

Richard O. Gregory, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 5 reviews

Mini lift and chin implant may be indicated.

Mini lift and chin implant may be indicated but I need to examine the skin to determine if this is needed. Everyone ages differently. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.