Question About Lipo to Tighten the Jowls and Neck After a Facelift

Hi Mia 229With regards to the face - the skin looses elasticity over time. The tissues under the skin tend to drop due to gravity and there is a degree of loss of volume of the face. It is important to address each of these issues that are present in any individual to achieve a desirable and long lasting outcome. The skin needs to be lifted and tightened as does the muscle layer underneath, called the SMAS and this gives it the longevity of a facelift that should last 7-10 years.Some surgeons perform a skin only tightening without tightening the SMAS which has a good outcome immediately after surgery but has very little longevity and lasts only a few months.With lipo, this reduces the volume under the jowls and its good for contouring of the jaw line but does nothing to make the procedure to last longer. Commonly face and neck tightening are performed together and in the neck typically, the skin, the fat under the skin and the muscle called the platysma, are addressed to different degrees on any individual. The lipo to the neck and skin tightening improves the contour but if there is laxity of platysma underneath then tightening the muscle will give the contour of the neck a longer lasting result. It is important to ask your surgeon whether he has performed skin only or he has tightened the underlying muscle for your facelift.

The rate with which you will continue to age after your facelift procedure is not something that surgeons can predict.  Long-term results will often vary patient to patient depending on ethnicity, hormones, the use of topical therapy and medical grade-skincare, sun avoidance, etc.  If what you are describing is loose skin (not fat) at the jowls and neck, liposuction will do nothing to address your concerns in a way that will make you happy.  Some docs claim that using radio frequency will aid in tightening skin in that area of the face, but I have yet to see a device that yields the type of results that would justify asking price for the procedure.  Having said that, there is probably a facelift revision procedure in your future, as no surgery, treatment or topical can ultimately stop the aging process.  

Sorry but liposuction will not tighten your jowls, especially if your problem is skin laxity. If you have recent post lift skin laxity, your skin elasticity may be the culprit. It's best to see your surgeon for follow up and get a treatment plan for your individual condition.

A well-performed face and neck lift should last muchlonger than just a year or two. If adequate fatty tissue was not removed, lipo-sculpturingof the area or laser liposuction may help to reduce the bulkiness of the jowls.

Some area more than other tend to loose volume with age, a facelift might help but it might even help with the facial muses tones. Still the results do wear off after some time.