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Do I Need Lipo or a Facelift? (photo)

asked 6 months ago by Happy_Girl
Latest answer by Sam Naficy, MD
Question viewed 265 times
Tags: jowls, excess skin, sagging, comparison, opinion

I am 50 years old and have noticed fat under my chin, slight jowling and some slight puckering/wrinkles in my neck. I have seen two plastic surgeons. One says I am a good candidate for neck lipo with fat injections to the pre-jowl area and a small sub-mental skin excision. The other said my skin is borderline and may sag after lipo. Both are Board Certified Plastic Surgeons. I don't know which opinion to trust more. Any help would be greatly appreciated.

13 answers to Do I Need Lipo or a Facelift? (photo)

+2

Face lift or camouflage

The changes in contour that your have described are common. The laxity and descent of the cheek fat pads tends to roll around the more fixed mouth muscles which leads to jowling and submental skin excess. Performing liposuction of the submental region regardless of the method used will help remove volume but will not typically address the skin issue. Fat grafting will serve as a camouflage technique, while a high SMAS lift will reposition the cheek fat and correct many of your concerns... more
John Renucci, MD

Grand Rapids Plastic Surgeon
+2

Do I Need Lipo or a Facelift? (photo)

Some type of expertly preformed mini face/neck lift. Additionally, Smart Lipo 12 t0 18 watts to treat the submental area. Fat grafting enhanced with PRP to areas of the face.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

Do I Need Lipo or a Facelift?

I have performed Face Lifts for over 20 years and IMHO, from these photos your face has excess fat and skin. A minimal incision Face Lift with micro-liposuction of the excess face and neck fatty tissues of the face would address these issues. The chin is weak which could be balanced using a chin implant placed through an incision under the chin. The same incision could be used to remove some of the excess neck skin. These limited dissection Face Lifts can be... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+2

Liposuction versus facelift

Most women that are 50 years old will need a facelift or neck lift to improve the submental area and jowls.
Donna Rich, MD

Houston Plastic Surgeon
+2

Alternative plan would be lipo and a Mixto "shrink" of the neck and face

We have done patients just as you with a combination of liposuction and laser. The new fractionated CO2 lasera in experienced hands can be used for skin tightening of the neck. This allows us to use liposuction in the neck at the same time as the Mixto in the entire face and neck to get some very nice results. It is done under just oral sedation and some local anesthesia and is less expensive than a surgical neck lift. However, it does not give as dramatic a... more
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+2

Lipo, facelift, or both

It's hard to determine precisely what you need from the pictures that you posted. From the picture on the far left it looks like you would benefit from lipocontouring of the neck in order to remove excess submental fat. Given your age, it is possible that liposuction alone could leave you with some skin sagging due to loss of skin elasticity due to the aging process. Because of this I think that a facelift in combination with lipocontouring of the neck would give you the best result. more
Todd C. Miller, MD

Orange County Facial Plastic Surgeon
+2

Facelift or liposuction of the neck.

A facelift with liposuction is what you need to correct the sagging skin and fat. Your skin will sag if you do not remove the excess with a facelift.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+2

Facelift and liposuction

Usually after the age of 40, liposuction alone won't get you your desired results. When you remove the fat, the skin will then hang. Unless you have the elasticity of younger skin, you will need a tightening procedure. A facelift is a good option. If you are mainly interested in just the neck, then our trademarked U-Lift would be a good option. Good luck.
David Alessi, MD

Beverly Hills Facial Plastic Surgeon
+2

Facelifting or Liposuction?

Thank you for the question and pictures. Although it is hard to give you good advice without direct examination, based on your description of “slight gelling and puckering/wrinkles in the neck", I think it is relatively clear that you will have a better result with face lifting rather than liposuction surgery. Liposuction surgery is very dependent on skin elasticity which may be decreased about the age of 40. I think you will be able to make the best... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Lipo or lift

The short answer is that it is hard to know. But if you are 50, even if you get away with lipo alone now, you will likely need a lift in a few years
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Treatment of the Neck and Jowl

Your question leads to an either/or answer regarding the need for liposuction and fat injection or jowl tightening with a procedure such as a midface lift. Noting that you have 50 year old skin, I think both of your consultants are correct and you need both liposuction of the neck, fat harvesting for fat injection in the perioral area and the marionette lines as well as a midface lift concentrating on the jawline. I believe you cannot get a nice tight jawline without surgery nor can... more
Paul S. Howard, MD

Birmingham Plastic Surgeon
+1

Lipo or Facelift

Judging by these photos you would benefit nicely from the combination of the procedures. Just performing one or the other will not ultimately give you the best result.
Jeffrey Hartog, MD

Orlando Plastic Surgeon
+1

Loose Submental Skin in a 50 year old - Facelift or Liposuction?

Every women has different needs and desires. Women start to have skin laxity in their late thirties and early forties. Your plastic surgeon will evaluate how much excess fat you have in your neck, whether you have muscle plications and weather their is loose skin. Liposuction will help extra fat, and if their is mild loose skin. A better result can be obtained by aperative Necklift or a Facelift - depending on how much laxity you have in the cheek and jowl region... more
Richard Greco, MD

Savannah Plastic Surgeon

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