Hi there, First off, I want to say that it looks like you take great care of your skin and you have very few telltale signs of facial aging. This is very important to understand and realize about yourself. With that being said, a deep plane facelift will help lift the corner of your mouth, but I don't think that the risks outweigh the benefit in your particular situation because there are less invasive ways to treat what you are seeing. The first one, which is very simple, is to inject Botox into the DAO (depressor anguli oris) muscle. This is the muscle that functions to pull down the corner of the mouth. The difficulty in the injection is identifying the correct muscle to target because it can create an asymmetric smile if the wrong muscles are affected. The next one, is to add some filler near the corner of the mouth to help support the tissue in the area. When I look at your photos, what I am seeing the most is the shadow of the cheek volume over the corner of the mouth causing it to look downturned when the corner of your mouth has actually maintained a nice position over time. Now, the question becomes -- when is the right time to have a deep plane facelift? Ideally, I think this is when you start to see descent of your mid-facial volume, the appearance of jowling along your mandibular border, and an aging appearance in your neck on a profile view (I almost always do a neck lift along with my facelift). Though, the best outcome comes when you also still have good skin and soft tissue quality. Most of the time, this is individuals in their early to mid 50s, but occasionally in their late 40s. I hope this helps!
Hi there! Compared to the pre-liposuction photo, it looks like you have achieved a tremendous result from the submental liposuction. Submental liposuction and Kybella (Deoxycholic acid) both focus on treating subcutaneous fat (the fat directly beneath the skin), but it does nothing to treat the underlying anatomical structures. For many people, the appearance of a "heavy neck" is likely genetic in nature -- many of their family members will have a similar appearance to their jawline and neck and it will persist, or only minimally improve, even if they lose weight. This is because the underlying anatomy needs to be contoured in order to achieve a more aesthetically ideal neck. You also have a slightly underprojected chin, which is also contributing to what you are noticing. With all that being said, the combination of an isolated neck lift and placement of a chin implant could improve the appearance of your jawline and neck. Though, the full benefit is difficult to assess without performing a physical examination. I can confidently say that Kybella would offer very little benefit.
