Still Some Jowls After Face Lift and Neck Lift? (photo)

I had a vertical face lift and neck lift 3 months ago and it was to help with early sign of aging and also it was supposed to get rid of the jowls completly. I am pretty happy with the overall result but was wondering if there is a way to further improve the result by doing lipo, or what would be appropriate to remove was is left of them or if I am just being too picky. I included a pic of me before the surgery and one after with an arrow to show what I mean.

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12 Doctor Answers | Asked by Lolita2010

Doctor Answers (12)
Community Comments (2)

What to do 3 months after a Facelift?

Judging from your thumbnail photos, you appear significantly younger in a natural way, without a "windswept" appearance. Therefore, congratulations are in order! This is THE goal of facelift surgery. At 3 months, I wouldn't worry over residual areas of fullness or subtle irregularities. It is common to have such things at 90 days and they typically resolve with additional time. Often, no one sees these except perhaps you and your doctor. So give it a bit more time, and ENJOY your fabulous... more

Good Facelift Result

From a professional standpoint, I think that you have a rather good initial result at 3 months. The slight depression on the right side is most likely the area where the SMAS was mobilized and should resolve soon. As other posters have noted, more time (at least 12 months) is required before a final analysis can be made. Be careful: the stigmatic look of an overdone Facelift is best avoided and sometimes impossible to correct.

Jowing after facelift

I would concur with the other opinions that you have a good result. Three months is far to early to consider any other supplemental procedures. I would wait for at least six more months as the final results of the facelift come into effect. At that point you can assess whether or not you would want supplemental treatments such as facial fillers, laser resurfacing etc.

Todd C. Miller, MD

10 reviews

Orange County Facial Plastic Surgeon

www.toddmillermd.com

What To Do About Jowls After Your Facelift? Start With a Smile

Your results after a vertical facelift are actually quite good. Remember, when people look at you they are not looking at specific areas (to see if you have jowls, areas of slight fullness, or mild contour abnormalities). Instead they are looking at the overall appearance your face and using the overall effect to determine whether you look young or old, tired or refreshed, and pretty or not so much. After looking at your photos I would say this (and would say it fairly emphatically), "the... more

Facelift results may still be evolving at 3 months

It looks like you had a nice result, with a little residual "pulling" in the cheeks. It is not uncommon for some swelling and "dimpling" to last for several months after surgery. This is why we suggest looking at one year photos to determine the long term results from surgery. At 3 months I would not recommend any further treatments - other then waiting and enjoying the early improvement.

After a facelift, sometimes it's best to leave a good result alone.

I think you have a good result from the facelift. I'm not sure what the contour abnormality of the right cheek is but your plastic surgeon will. Save for that, things appear to have worked out quite well for you.

Nice Results After Facelift

You have an outstanding result, and ANY plastic surgeon would put you on the website. I think you should thank your plastic surgeon.

Pretty Happy With a Very Good Facelift

Lolita, I think you answered your own question when you opined that you may just be "too picky". At one month you look and seem to feel good about your result. In fact, your arrows do not indicate recurring jowls but you seem to have a little retained swelling in the area of your SMAS tightening. This would be totally normal and any treatment other than gentle massage would likely make it worse. You should smile and continue a good skin care regiment in some way based on the use of Retin A.... more

Paul S. Howard, MD

3 reviews

Birmingham Plastic Surgeon

Consider Ulthera

Hello, Thank you for the question and photo. For some patients the jowls are the most difficult to fully correct. When this occurs several options are available including Ulthera. Ulthera is a non invasive ultrasound based deep tissue tightening treatment that can be used to tighten the jowls. It will not produce results as powerful as a face lift but it can potentially give you the improvements you seek. All the best, Dr Remus Repta more

Residual Jowls After A Facelift

In facelift sugery, natural improvement is the goal, not looking pulled. Your early results look promising. As your tissues continue to heal, you may notice some areas which may improve with further procedures which may include facial fillers. see video

Still Some Jowls After Face Lift and Neck Lift? (photo)

You have wonderful results! I don't think any additional treatment is necessary at this point. Plastic surgeons have been adjusting their techniques for decades to avoid the operated look to their results and a vertical approach has helped. If your jowls do return to a more significant degree, I would agree with your plan of liposuction. In my practice, we would offer the patient with jowl recurrence after facelift, laser liposuction treatment... more

Ridding Loose Jowls

If you've had a face lift recently and are anxious to see further results, then you might consider adding Ultherapy. Ultherapy is a non-surgical device that can be an excellent complement to those who choose surgery, helping to further lift, tone and tighten skin. We often combine both surgical face lift - the "gold standard" - with this non-surgical treatment to maximize lift. Our patients love their results. see video