Lower Face Lift: Q&A
Ask a QuestionCan Jowls Come Back After a Lower Face/neck Lift?
Is it true that jowls can reappear just a few years after a lower face/neck lift? i know a few women to whom this has happened. They are older than I am, and had more jowling to begin with. I am not yet 50 with very little jowling and neck skin. Can I hope for a longer lasting result?
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39 Doctor Answers |
Asked by
Eva S
in Seattle, WA
+5
Lower facelift is a no-man procedure
A necklift does great things for the neck and modestly improves the jowl.
A cheek lift or mid-face lift works on the cheeks and jowl.
The combination of the two is a facelift.
A lower facelift is the jowl without the cheek. The only problem is the jowl should be lifted vertically and that involves working with the cheek.
+4
Lower facelift is not a good solution for jowls.
A lower facelift by itself is not really a good solution for jowls. The lower facelift deals with aesthetic issues below the angle of the jowls. Although jowls descent below this angle, the originate above it. Usually a full facelift is indicated to correct the neck, cheek, and jowls.
+4
Yes, the jowls can return
Regardless of what type of facelift you have had done, you will start aging the minute it is finished. This includes gravitational descent of the cheeks which causes jowling. If the first procedure really addresses this well, the result is going to be longer lasting. Other factors such as your skin elasticity and weight profile also affect the longevity of your result.
Even if you never do the surgery again, you should always look better than if you never had it done. Hopefully, if you...
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+3
How long it lasts depends on the cause of the jowls, sagging or fat bulging
This is a great question. Of course, we know that facelifts don't last forever, and the face will continue to age over time. But you bring up an excellent point, which is important for people considering facelifts to understand prior to having a face and/or necklift surgery.
Why do facelifts last longer on some people and shorter on other people?
If a regular layperson understood what exactly a facelift is for, they may be able to better predict how long the...
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+3
Treatment of jowls with a lower face or neck lift
If done properly, a lower face or neck lift can produce a long lasting result. A lower facelift will identify the tissue that has sagged in the jowls and resuspend it to strong and firm tissue. This will create a clean jawline and a recontouring of lower face. You should expect this result to last for a minimum of 5 to 10 years. As you continue to age, all tissue will begin to sag. In time this area will sag along with the rest of your tissues.
+3
Jowls and Facelift
As others have noted, jowls can be a perplexing challenge in Facelift surgery. "Jowls" can be likened to a fibro-fatty hammock that hang over the jawline, attached by deeper ligaments. Adequate treatment of more severe jowls requires a combination of aggressive liposuction along the jawline (but below the face), along with elevation of the SMAS in a deeper plane with vertical suspension. Techniques that rely simply in folding the SMAS on itself (mini-lifts, etc) are less likely...
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+3
Recurrence of jowls after lower neck lift is multifactoral
After a facelift the skin can stretch again as we continue to age. Recurrence of jowls after a facelift is multifactorial, that is it will depend on your quality of skin(lax skin will stretch more,) the technique used(how much dissection and SMAS worked was performed and who is doing the procedure.
Long Island City Plastic Surgeon
+3
How to minimize jowls
The facelift technique you have will directly influence how quickly the jowls come back. Stringlifts and Minilifts are the first to go. Deeper techniques with SMAS adjustments and aggressive platysmaplasties all help.
There is an inherent difference in the thickness of the jowl tissue vs. the tissue right in front of it. While this is minimized with the performance of deeper facelifting techniques, it is not eliminated. Volume restoration in front of this thicker area can help to...
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+2
Longevity of lower facelift
This question is made difficult by the myriad factors that impact on the outcome of lower facelift surgery. These include the quality of the tissues, the extent of the problem, facial shape, age at the time of surgery, the type of operation, and the fact that patients continue to age after the surgery. As a rule of thumb, the majority of patients are not symptomatic of their jowls for 7-10 years.
+2
Return of the jowls
Jowls can certainly return after a facelift. The key is to perform the correct procedure. Too many women have had Lifestyle Lifts which do not last or mini-lifts when a full facelift is required. I personally will not perform the "wrong" operation if that will not produce a lasting result. Lifestyle Lifts may not last more than six months. The SMAS is appropriate in patients with jowls. The trend toward minimally invasive procedures is a...
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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.
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