53 Years Old, Sagging Jowls, Chin Implant, Neck Lift - Boca Raton, FL

Beginning my journey. So very exciting. Looking...

Beginning my journey. So very exciting.
Looking forward to a nice tight neck and lower face.
My chin has always been a troublesome area. As I've aged unfortunately my chin, neck and jowls have started sagging. I'm very optimistic that afterwards my face will be so much more uniform. I feel that this is the right thing to do.
Upcoming Lower Lift, Neck Lift and Chin Implant

Been getting lots of fillers for my chin and jowls for the last 10 years. Tired of the money and pain for short term solutions. I'm 53 and have always had a receding small chin. Although I really wish that I didn't need this surgery so young, I'm at the better do it now and stop wasting money.
Will be getting some fat Transfer as well.
Very much looking forward to this. I've picked a doctor who comes highly recommended, I like his no nonsense approach. My goal is to tighten and tone while enhancing my chin and jowls.


Ok, here are my before pics. I'm thinking of hiding in my house till D day after seeing these. Mind you this is is the brightest of daylight and all my filler is gone.

Another before, not too long ago with my fillers

So excited, but still nervous. I'm not the best healer ....
Trying to keep strong and healthy.

Pre opt with my ps

So exciting, had my pre opt today to discuss the big day.
Got all my scripts and instructions. Tomorrow is bloodwork and EKG.
Two weeks to go, I wish it was tomorrow!

Pre surgical facial

Nice surprise today. My surgery package includes two pre-surgical facials with their skin specialist. Was wonderful! Next Monday is another one and I'll be getting dermabrasion. Nice touch Dr. Handal!!

Yay, I'm done!

Thanks to all of you for the well wishes and support. xoxo's
I'm actually feeling pretty dam good. Was overnight with a nurse and hubby picked me up this morning.got my beautiful new chin, face/neck and fat. Doing good with extra strength Tylenol and started a steroid pack this morning amongst antibotics.
Now I'm wide awake happy as a clam....
Have a tube for drainage which runs in my neck,looks creepy but feels fine. Here are some before and afters.

First night

Helmet head

48 hours

Feeling good, I love my chin and neck. Still have a drain that runs across my neck, comes out Monday. Swelling is really not to bad. I think the steroid pack is doing a good job.

Day 3

Anothrt day of rest. Swelling is going down little by little.
Been using arnica every couple of hours. Fresh pineapple and green smoothies.
Slowing down on the Tylenol, took 2 today. Have a rx for tramadol tha I've been taking a night along with sleepy time tea. Only sleep for a couple hours at a time though. Drinking tons of water as well. My dr called yesterday and today to see how I'm doing. I totally love my ps.

Day 4

Went to my doc this morning, tube was removed and incisions cleaned. Said I need to do a little better keeping the incisions clean. Otherwise all is good!

1 week

Boy I am ready to be done with this surgery!!!
Actually went to walmart yesterday out of sheer desperation to get out of the house....
Tomorrow stitches will come out, I'd like to get to the point where my hair can be worn down so I can go out without scaring anyone.
Still pretty swollen on the left side, and under chin.
Middle of my face is coming down, notiticed some of my old wrinkles around the mouth and where the cheeks meet the face when similng. Not sure if I expected to see that, was a bit disappointed. I guess fillers will always be needed.

Stitches out

Had most of my stitches out today. Doc left the stitches behind ears till next week. Was pretty easy thak goodness!
I did have fluid built up under my chin, doc removed with a needle; I guess I'm so numb there didn't even feel when he did it. That definety relieved some of the tightness I've been feeling for the past few days.
Had a wonderful day meeting a super sweet and totally gorgeous Joanne*.
Went for a little shopping spree and had a great time!

Two weeks tomorrow and final stitches out today

Doc said I'm healing beautiful!
This is no makeup and still plenty of bruising and some swelling.
I feel great though.

Before and afters

Is cool to see side by side the changes

Dolled up

My husband who is a hobby photographer took this picture of me yesterday.
I put makeup on and holy mackerel what a difference!!!

Completed my first week back to work

Was still bruised and a little swollen, everyone knew I was getting a chin implant so that pretty much made the transition easy. The black eyes were a bit trickier LOLs. I told them that they recommended a fat tranfer to help fill chin area and I figured "what the heck... Spread it around!
It became an office joke that I'd been doing female wrestling who while off.
All was good.
I did find that my implant area got sore and I can now actually feel the edge on one side. I'm going to talked to doc to see if maybe I need a little filler there to cushion it. Not sure if the other side is still swollen and that's why I can't feel the edge there. Time will tell.
I'm on the phone talking all day, practically every minute as is a busy work environment. That prolly irritated it. I also noticed under my chin area is puffer.
My recommendations to anyone having this surgery would be to take a minimun of 3 weeks. 2 is doable but a little tough.
Had some more pics with make up last night, I still cannot believe what a beautiful difference this surgery has made for me.

Previous neck injuries and face/neck lifts

Here is something to consider before having face/neck lifts.
I have old injuries to my neck which sometimes cause quite a bit of pain.
To manage I've learned how to stretch and maneuver my neck and shoulders to try to keep loose. On occasion when it locks up I've gotten cervical epidural's.
After my procedures I can no longer move or flex to break up the tension or try to realign.
So far I've been ok, but definety is scary for me.

Normal swelling?

Curious what others have experienced
I'm noticing some puffy areas under my chin that make it look like I have a double chin when I tuck my face Downward?
Also experiencing some scrunching of the chin area muscels that I think will need fillers or botox. Disappointed .

Swelling follow up

Called doc and asked if a chin strap might help. They wanted me to stop in so he could examine. The swelling was not too bad according to my dr. He did inject a medicine on the left side to help with the swelling.
Said the chin strap prolly wouldn't make a difference.
We talked about the scrunchie wrinkles that I have, bottom line is to wait for min 6 months to a year before making any decisions on whether I'll need fat transfer or filler. Hoping the swelling goes away soon.
Boca Raton Plastic Surgeon

Dr. Handal is 100% about making sure my results were natural and youthful. I am so very lucky to have had him perform my surgery!

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Comments (365)

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You look wonderful! Love your pictures and posts. Lilygirl
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Thank you Lilygirl..... xoxo
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Think of you, sending swelling reducing vibes your way... I think it's probably even harder when you look so fabulous early and then have to deal with swelling, etc. maybe the injection will help, and I'm sure you know that you look simply amazing!
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Thanks still southern, Swelling is improved today. I'm happy and will be patient, as the saying goes... All good thing are worth waiting for. :-) Your a real sweetheart.
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Anon you'll be in my prayers. my chin took 6 mnths and more than 1 year to feel less tight and weird sensations going on. Definitely wait 6 months. I hope no fillers needed or fat transfer. Have a good night. Let's stay positive&wish for the best!
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Anon, I saw my doc today and I expressed concerns about a part of the scar on my left upper eye, he told me he thought it would be gone by the 6 months post op and if not he's fix it. We need to be patient, I know it's not an easy thing to do.... I will call you or you can call me, I've had so much going on lately. New puppy, physical therapy, daughter moving in with us, etc.....lol
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Thanks Bella, The swelling seems to have gone down a little more today. When I first get up it looks pretty good, as the day goes on is when it gets more swollen. I'm staying positive, I know it will work out. Just frustrating and disappointing after the initial thrill of looking so tight and smooth.
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Hi Joanne, I saw your new pictures, you look gorgeous! The difference is amazing. Will talk to you soon for sure. XOs
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i understand,especially because we pay A lot of$,take time off work and our busy lives and we expect what we expect. I think it will all work out for the best.,speaking from what i experienced,it all subsided with A lot of time. Hang tight. :)
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XOs Bella. Your so sweet!
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Anon,i just want to it all to work out. I am staying positive for the both of us. Thanks :) I stil think you look Beautiful and i love your hair :)
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Oh anon7226 I'm struggling with disappointment too. I hope it's just swelling for you. (Hugs)
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You look fabulous! You had a great body to begin with and now the gorgeous face! You still look like you only new and improved. I bet you're so happy with it. Thinking about getting the lower face lift in the next couple of years. For now I am happy with the smart lipo I had on my neck. Absolutely gorgeous! Well done, you!
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Thank you for such a sweet compliment.
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Anon did you get lipo on neck as well? I was just wondering if that is part of the neck lift or not. Thanks
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Hi Bella, I'm not sure whether he did lipo. I'd imagine so, I think what I have is swelling (I can feel tightness and somewhat hard). Time will tell. How are you doin?
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I was just wondering,you should ask him. I had it and the chin implant. If he did then you will be swollen&puffy. it's common/normal from my experience. I am doing good,thanks :) Happy Hump Wednesday!
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Thanks, I go back in 3 weeks. Hopefully the swelling will have gone down.
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ok,i'm sure by then it will have subsided. It seems this swell Hell is an epidemic. :/
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Thanks, I'm going to ask him about a chin strap. Maybe that will help.
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ok great,just wanted to make sure. I Never had a chin strap just a drain,which i HATED. am pretty sure it will be fine.
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You look great. I only had smart lipo, but at 5 weeks post-op, I have swelling in the exact same area of my neck. I'm using a hand massager and it is helping.
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Thanks Trudey, I'm also using my clarisonic. Did your doc have you wear a chin strap? Mine said I didn't need it.
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As a physical therapist, I MIGHT be able to help with your usual neck realignment that you cannot do at this time. The genuine need is to have your head facing fwd, neither looking up nor down. Then, just pull your chin in toward your spine. It looks gross in the mirror (double chins) BUT if you also ensure your shoulders are DROPPED, not elevated, and you pull your shoulder blades together in your upper back (it makes your bust stick out, I always laugh and say it's like having your headlights on high beam!) Just hold a few seconds, do 3 to 5 times each time, and do it as often as you like. It will strengthen the muscles that hold your cervical spine in the correct curve, and stabilize your shoulder blades. Try to NEVER elevate your shoulders (most of us do it when we are tense, and it can cause neck ache or headache. I really hope this helps you out a bit. xo Maggie
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Thank you Maggie. I am so bad with raising my shoulders and tensing my neck. Your suggested is great. About 25 years ago when I had really bad issues a physical therapist had taught me to do this. I pretty much forgot about it. Thanks for being so nice to comment to me. I'm really doing my best to keep it moving, is so scary when it goes out.
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