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What to Do About Remaining Jowls After Lower Facelift?

asked 2 years ago by oakley54 in dallas
Latest answer by Richard W. Fleming, MD
Question viewed 1,639 times
Tags: face, jowls

I have had a lower facelift and my jowls did not move. How can a lower facelift correct and not correct the jowls? Do I have to do more lifting into my face? If not, what else can I do to correct the remaining jowls?

21 answers to What to Do About Remaining Jowls After Lower Facelift?

Jowls after a facelift

Mini lifts are notorious for leaving behind jowls. They just don't pull efficiently on the deep layer through the mini surgery dissection. Neck Lifts alone seldom produce good results on the jowl, since the face has not been lifted above the jowls. If either of these is the cause, the facelift should be redone with a proper facelift and necklift done by an excellent plastic surgeon. If this was already done, there may be anatomic reasons why some patients have residual jowls including bone... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

Treatment for residual jowls.

The way to correct jowls that remain after facelifting are either redo the facelift and suspend the jowls with or without liposuction. See an experienced facelift surgeon and let him feel the area and tell you what would be best.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Remaining jowls after lower facelift may be due to mini facelift

Without before and after photos to see exactly your issues, I can only guess you had a poor mini facelift. Was it a Life Style Lift?, or was the operation done by a NON boarded Plastic Surgeon? I recommend you go see 3 boarded plastic surgeons who do all types of face lift. You most likely need a revisional facelift surgery. Best of Luck and Merry Merry!

Darryl J. Blinski, MD
Miami Plastic Surgeon

Jowls after Facelift Surgery

There are many types of facelifts. Lesser procedures may leave residual jowls. Discuss your pre-operative expectations with your surgeon. It sounds like you will need revision surgery with a different technique to improve the jowls.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Revision lower facelift to correct remaining jowls

As long as the neck is in good shape, a revision lower facelift can be performed to lift the jowls up above the jawline. This will take another surgical procedure to correct, lift the jowls along with the facial muscles to re-suspend the jowls up into the normal anatomical position.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Jowels after a facelift

Hi, Thank you for your question! It is difficult to determine what is best for you without examining you. There are so many different versions of facelifts that vary from surgeon to surgeon. Your best option would be to find a plastic surgeon who specializes in this area. Most likely you will need another procedure or to redo the facelift all together. Do not be fooled by all of the brand name facelifts out there. Best regards, Dr. Speron

Sam Speron, MD
Chicago Plastic Surgeon

Facelift and Jowls

The jowls result from the descent of the facial fat/tissue that was on or above the jaw. To correct jowls this tissue must be repositioned. This can be done by either plicating or suturing the lower cheek tissue up to where it used to belong or lifting this tissue and re-suspending it in its proper location. For very mild jowling I perform a facelift (which of course includes the neck) with SMAS (the deeper facial tissue we've been talking about) placation. However, if it's anything but... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Still with jowls after a lower facelift

The lower face addresses the neck and jawline (includes the jowls). It sounds like you had a necklift only. If the jowls were lifted by your surgeon and still there, most likely you will need another procedure to correct the residual sagging jowls. It may also require lifting the cheeks or midface area to remove the jowls.

Andrew Turk, MD
Naples Plastic Surgeon

Lower Facelift Result

I am not sure what you exactly mean by a lower facelift. A facelift in general treats the lower face, meaning the neck and jowl area. You may just have had a neck lift which may not have corrected the jowl area. If your incision goes around the ear anteriorly, up to the sideburn area, then you had a formal face lift and should have had correction of the jowl area. If the incisions are limited to around the ear lobe and mainly posteriorly only then you essentially had a neck lift which... more

Farbod Esmailian, MD
Orange County Plastic Surgeon

Facelift and Jowls

I concur with my colleagues. I lower facelift should have significantly corrected/improved your jowls. There are *many* different face lift techniques. Even a skin only facelift should improve your jowls. Most plastic surgeons also treat a superficial muscle layer in your face called the "SMAS". I would recommend you visit with your surgeon to discuss your concerns.

C. Bob Basu, MD
Houston Plastic Surgeon

Jowls after face lift

A cheek lift portion of the face lift (cheek & neck = lower face lift) should take care of jowls. If you still have them, you will need to most likely have a secondary cheek lift to correct them. You should discuss this with the doctor. Be sure it is a board certified plastic surgeon.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Lower facelift should have corrected jowls

Hi, Your lower facelift should have corrected your jowls. If that did not happen, then you would need a jowl lift procedure. It is very unusual that you had a lower facelift but your jowls were not corrected. Best, Dr. S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Management of residual jowls after face lift

Jowls can be attributed to skin and/or fat. Depending on the cause, different options are available for managing the condition. This may require additional tightening of the SMAS or skin. Alternatively, conservative liposuction is another possibility. In some instances, treatment of the area in front of the jowl, the so called pre-jowl. labiomandibular line, or marionette line. This area of the jawline can be augmented with fillers, fat, or implants

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Jowls after a facelift

Each patient is different and each surgeon is different and there are many versions of a facelift including all the mini lifts that are pushed especially by non-plastic surgeons. Consequently there are many variables that may explain why you are not seeing the changes you want. In my opinion you will need more surgery to get the result you want. If your first surgery was a mini lift, you will need a real lift. If it was a full facelift, you should discuss with the surgeon why the result... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

What to do if you still have jowling after a facelift

Hi Oakley54 - Your answer depends on when you had your facelift. If it was several weeks or a few months ago, you may have some residual swelling. However, if it has been a while, you may want to consider a modified lower facelift that only addresses the jowls. It won't be as extreme as a full facelift and the recovery should be easier. Consult with several plastic surgeons before proceding with any further surgery.

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Jowls respond to filler and facelift combo

The facelift can address the jowls in most cases. However sometimes the depression between the jowls and chin (called prejowl sulcus) will continue to make the jowls look prominent. In those cases you need to fill it up with a filler. Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Jowls

Patients, as well as surgeons, talk about jowls as if they are a specific anatomical entity. They are not. The anatomical reasons for jowls are multifactorial including fat content and location, laxity of skin, volume of mid-face, presence of adequate or inadequate malar bone support, size and dimension of the chin bone, dental occlusion, etc. A facelift, no matter how well performed and how specifically directed to the jowls, may not correct them if the anatomical reason for the jowls is... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

You need a more complete lift of the face.

If your jowls did not move, there was not sufficient release of the area under the jowls and insufficient vertical lift to move them upward rather than backward. However, some patients with large jowls have to be realistic as to what can be achieved even with the best technical lift.

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Treatment for remaining jowls after Facelift surgery

During Facelift surgery, the jowls are corrected by a combination of lifting the deeper tissue/skin and Liposuction. If you have significant jowls remaining after having had surgery and are not happy with the results, I would advise you to seek consultation with a plastic surgeon experienced in facial surgery. You will most likely need to have another procedure done but it is difficult to make a recommendation without seeing you.

Caroline Min, MD
Los Angeles Plastic Surgeon

Remaining jowls after Facelift

Not all Face lifts are the same and not all doctors performing face lifts have the same level of experience and judgment. With so many brand name "Facelifts" out there which way over-sell their capabilities, a lot of people unknowingly are blindly undergoing procedures which are NOT suited to their degree of facial aging and which would therefore NEVER correct such changes properly. In you case, without a photograph, I would assume that you are one of the many who had undergone a... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

This is pretty much part of the definition of a failed facelift.

Dear Oakley Jowls and neck cords are two significant indications for a Lower face lift. A surgeon that can't correct these issues for whatever reason should know in advance and prepare you for this possibility to manage disappointment. Generally, this happens because the surgeon does not adequately understand the surgical management of these issues. Facelifts are not taught in any depth in a residency training program including general plastic surgery. Surgeons learn facelifts in... more