I Had a Facelift 4 Years Ago and Don't Want Another One What Can I Do to Help Sagging?

I had a facelift approximately 4 years ago and have started to get the deep fowls around my mouth. I'm 60 years old and want to look vibrant for my age but do not want a another facelift. Are there other alternative that will help the wrinkles and jowls?

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28 Doctor Answers | Asked by Sharla DeCelle in Las Vegas, NV

Doctor Answers (28)
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4 years after face lift want to fix jowls and wrinkles

If you don't want a traditional full Face Lift to remove and tighten the jowls you have 4 options, IMHO: A Minimum Incisison Face Lift that's much smaller, of an operation, recovery and healing time to tighten the joowls and remove excess skin. Skin resurfacing with chemical peel or laser to tighten the skin (somewhat) and reduce wrinkles Use fillers liek perlane to fill in the Marrionnete lines (Jowls) and peel, laser or use skin care for the wrinkled... more

There are many non surgical options for facial rejuvenation

You have not posted a photo, so my answer will be generic, not specific towards your particular needs. Many things can contribute to making a face look older. The skin ages and sun damage makes wrinkling and pigmentation problems worse. The soft tissue or fat of the face changes. We lose volume in our cheeks and gain it in the lower part of the face. This contributes to jowling, nasolabial folds and lower eyelid poochiness. Injectable fillers can be used to... more

Deep folds after face lift

Although it is difficult to answer your question without seeing your pictures – based on your description it appears that you may be a good candidate for facial fat grafting

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Face Lift

You should be wearing a facial sunscreen preferably zinc or titanium based physical blocker every day, and over neck and chest, reapplying every 4 hours. Then, consider fillers or fat transfer, whichever is applicable. Speak with a Board Certified Plastic Surgeon on how to manage your maintenance.

Early Sagging After a Facelift

Usually you should not have a lot of facial jowls or sagging so early after a facelift. If the sagging is just skin and in the cheeks only, you can do a short incision face lift with deep layer SMAS manipulation and filling of the deep malar compartments for a youthful longer lasting facial rejuvenation.

Rod J. Rohrich, MD

10 reviews

Dallas Plastic Surgeon

Facial Fillers and Volume Replacement

Without a photo it is difficult to say. But, in general, as one ages they loose facial volume and the face begins to sag. You have had a face lift so your skin is fairly tight. I would consider fat injections for facial volume replacement and possible a light tca chemical peel. I would also add fillers for the wrinkles that concern you. The fat injections can soften the jowls only. Surgery is obviously the best. see video

Jowls four years after facelift

It's difficult to respond meaningfully without a photograph, but the first question would be the nature of the facelift you underwent. If it was a minimal lift, then I would not be surprised that the results have not lasted more than four years. There are many non-surgical options including Thermage, facial fillers and laser therapy and you should seek a board certified plastic surgeon to assess which of these would be viable for you. None are as efficacious as surgery but... more

Conservative management of jowels after face lift

If you are starting to notice sagging of jowls and deepening of the nasolabial and marionette lines, you have a few connservative options before resorting to a second face lift in 5 years. Botox injection (nefertiti injection) can cause a subtle but noticible elevation of the jowles. Non-invasive soft tissue tightening with Thermage and the new Ultherapy may be an excellent maintenance strategy. Fractional CO2 peel will not only inprove the texture of the skin but it also causes... more

Non-Surgical options for wrinkles

There are many non-surgical options for wrinkles. Unfortunately no substitute for surgery to treat jowls. You can consider CO2 resurfacing to treat wrinkles on the face. This will provide some degree of skin tightening as well. It is important to be on a medical skin care regimen as well. Botox/ Dysport will treat facial wrinkles as well depending on where they are. Fillers can be used to treat smile lines very well.

Alternative options for deep jowl areas...

A key thing to understand is that as a person ages, volume is lost in the face. That contributes to things such as jowling or folds around the mouth. So instead of surgery, if you do things to restore the volume then you can look rejuvenated. Alternative options instead of a facelift to treat the jowl area are injectables such as Juvederm and Radiesse. These are an affordable, noninvasive temporary solution. Another possibility is fat injections... more