I had marionette lines and loose skin in the jowl area. They were not fatty. I had a Mini lift that included lifting and trimming of the SMAS muscle. Now my jowls look like this. I am not happy with this. My doctor's only solution is to do either Lipodissolve or liposuction.
Updated 5/22/09:
I hope this isn't confusing. I added another photo (more photos are posted in my review). The doctor swears that he lifted my SMAS muscles. The left side of my face was aggressively pulled higher than the right side. Leaving the right lower side of my face sagging. And a horrible sweep mark on the left side. He will only do lipo to correct my lower face. But honestly he says he can't see anything wrong.

19 posts
21 May 2009
I added more pictures in another question. I don't know if the question will show all the pictures. I only see one picture.
19 posts
21 May 2009
Dr. Francis, I looked back at my previous questions and I believe the picture you are referring to is actually an after picture taken about 4 months post op. I have posted another question as to be able to send the real before picture. It has not been published yet. There was a window to my left, which exagerated the appearance of my jowl. In the after picture you saw.....I intentionally stood with the lighting to my left again. There is a difference...but not. I am 47 years old. I was heavy in my early 20's but lost the weight. After I hit 40 the skin began to fall off my face. My surgery involved a neck and lower lift with SMAS lifting and trimming. The neck bands were attached at the top of the neck. The incision starts at the top of the sides of my forehead and goes all the way down and around my ear and extends back about an inch. The left side of my face was pulled all the way up. Leaving pleats along the side of my forehead. That cheek is up by my sideburn and a lateral sweep running from the corner of my mouth to the top of my ear. The right side of my face was not lifted the same. Leaving the cheek lower and a hanging, loose lower face on that side. Once again. My doctor can't see what I am talking about.