Effective and Long-lasting Procedure for Lifting Jowls?

Effective restoration of the face which is done with a “Lift & Fill” facelift where the central facial and malar deep fat compartments are filled with your fat and then the deep layer SMAS is used as an anchor to lift the deep layers of the face, This facelift has longevity and allows for a natural, youthful result.

The correction of the aging perioral area is more complicated. If there are deep folds around the lips (commissures) then the facelift will help with deep nasolabial folds. If there are deep creases as well as fine perioral wrinkles, then a facelift with fat compartment lifting, and filling, as well as laser resurfacing are in order.

In summary,


• If there are jowls with extra skin and deep nasolabial folds, then restoration using the “Lift & Fill”
SMAS facelift is essential.


• If there are deep creases in the corners of the mouth and deep perioral wrinkles, then deep fat augmentation of the commissures, Juvederm injections to the lips, and perioral Erbium-type laserbrasion works well.
 

The important factor to remember is that each face is different and an individualised approach to surgery is required. One type procedure or technique does not correct all parts of the face and a facelift should not be considered as ‘one’ technique. Often ancillary procedures are required to achieve the best results.

In this case the jowls should be considered separately from the lines at the corners of the mouth. Jowls are best treated with facelift surgery with tightening of the deeper layer called the SMAS which produces the lifting effect.

However, the lines around the mouth need ancillary procedures. The nasolabial lines are the deep folds that extend from the side of the nose down to the corner of the mouth. The marionette lines are the grooves which extend from the corner of the mouth down to the jaw line. These areas can be treated with filler since facelift surgery only has a limited effect for these problems. However, if you have had a limited result with fillers then the best option is fat transfer to fill these areas. This should be long lasting since it is your own fat. It is ideally performed at the same time as a facelift.
From your photographs some liposuction in the submental area ( under the chin) would also help to redefine the neck and jawline to provide the best rejuvenation.
If you have finer lines around the mouth on the surface of the skin are best treated with fractional laser and this again can all be performed at the same time as facelift surgery. There are very few surgeons in London offering a unified approach to facelift surgery, but if performed together very good and effective rejuvenation of the jaw line and area around the mouth can be achieved.
You should be wary of surgeons promoting their own branded form of surgery which claims to be the magical solution to all facial ageing issues. This is simply a marketing ploy to gain business. It is more important to have an experienced surgeon provide an honest and realistic opinion in your individual case.  

For addressing jowls, especially when past filler treatments like Restylane have provided limited results, you may want to explore more targeted and longer-lasting options. Consider treatments such as non-invasive skin-tightening procedures like C02 laser or radiofrequency microneedling, which stimulate collagen production for a firmer appearance. For more significant lifting, surgical options such as a mini facelift or a neck lift may provide the most effective and durable results. Since your skin is in good condition, these treatments can likely enhance your natural structure beautifully. Consulting with a qualified professional will help determine the best approach tailored to your specific needs and goals.