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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?

Doctor Answers (27)

4 years after face lift want to fix jowls and wrinkles

+2

If you don't want a traditional full Face Lift to remove and tighten the jowls you have 4 options, IMHO:

  1. A Minimum Incisison Face Lift that's much smaller, of an operation, recovery and healing time to tighten the joowls and remove excess skin.
  2. Skin resurfacing with chemical peel or laser to tighten the skin (somewhat) and reduce wrinkles
  3. Use fillers liek perlane to fill in the Marrionnete lines (Jowls) and peel, laser or use skin care for the wrinkled skin
  4. Use a RF treatment to tighten (somewhat) the skin with one of the above to decrease the wrinkles

Hope this helps.


Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

There are many non surgical options for facial rejuvenation

+2

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 restore fullness in the cheeks.  They can also be used to improve lines such as the nasolabial folds and the marionette lines (those that run from the corners of the mouth to the jaw).  Skin care and/or laser resurfacing and/or photofacial can improve wrinkles and dark spots from aging and sun damage.  Some of the broad band light treatments such as Skintyte can firm up loose skin, but you should be aware that this is temporary. I know that you do not want further surgery, but in some cases, minor procedures such as liposuction of the jowls can be beneficial and easy to do under local anesthesia.  Even a mini face lift can improve the jowls through your previous facelift incisions.  There would be no additional scarring and the recovery is often significantly easier than that of a full face lift.  Make sure your surgeon is appropriately board certified and can offer the variety of procedures I have illustrated.  That way you know that your treatment options are broad, not based on the limitations of the physician's experience.

Elizabeth Slass Lee, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 33 reviews

Deep folds after face lift

+1

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
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

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Face Lift

+1

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.

Vivek Bansal, MD
Danville Plastic Surgeon
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Early Sagging After a Facelift

+1

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
Dallas Plastic Surgeon
5.0 out of 5 stars 18 reviews

Facial Fillers and Volume Replacement

+1

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.

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 30 reviews

Jowls four years after facelift

+1

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 may offer some improvement.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 12 reviews

Conservative management of jowels after face lift

+1

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 tightening and a microlift

Cheek and or chin implants can reestablish good facial skeletal projection and elevate the jowls effectively

finally, if jowls are the main concern, and the above conservative options are not appealing or appropriate, you may see significant improvement with a midface lift as opposed to another traditional or mini-face lift.

 

Edwin Ishoo, MD
Brookline Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Non-Surgical options for wrinkles

+1

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.

Melanie L. Petro, MD
Alabama Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Alternative options for deep jowl areas...

+1

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.  Injecting fat is a minor procedure that is easy to go through under local anesthesia to harvest the fat, usually from the upper thigh area.  The fat is then injected into the nasal labial  folds, and is built up over a period of a year.  You also might be a great candidate for Sculptra.  Sculptra works by a series of injections over time that stimulates your body's own collagen production.  Consult your board certified facial plastic surgeon to see what your best possibly options would give you the results for you. 

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.5 out of 5 stars 50 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.