Board Certified Plastic Surgeon
Dr. Michelle Lee is a board-certified and Harvard-trained plastic surgeon with an expertise in facial rejuvenation and aesthetic and reconstructive breast surgery. She founded PERK plastic surgery, a destination for elevated aesthetics, informed choices and na
Asked By: X_O_X_O
ANSWER
Thank you for your question! While it's true that a Facelift wouldn't–or shouldn't–completely correct nasolabial folds (that would be too tight of a pull/unnatural), it will improve them. A Facelift involves lifting/repositioning the cheeks and mid-face to a higher point, taking the heaviness off of the folds. The addition of Fat Grafting to a Facelift achieves even more improvement in that area. I always transfer some fat to the areas that have lost volume, such as the nasolabial folds.
Asked By: Cheerful471796
ANSWER
Hi there. First of all, you look great! Based on your photos, you are a great candidate for a Facelift with Facial Fat Grafting. Your comment that you want the outside to match how you feel on the inside is a very common thing that I hear from Facelift patients. You should always look like yourself afterwards, but a younger, more youthful version. The Facelift would reposition the descending tissues and address the marionette lines, jawline and loose skin under the chin. The goal is essentially to put everything back to where it used to be! The Fat Grafting restores the volume that you've lost with age and will complement your procedure very well. Regarding price, this varies from practice to practice. Most offices can provide a rough price range over the phone to inquiring patients. Hope this is helpful!
Asked By: Phenomenal294687
ANSWER
Hi there! The incisions for a lower face and neck lift are typically around the ears and one small incision under the chin. In front, they follow the natural curves of the ear and go slightly into the hairline. In the back, they are placed within the crease of the ear and again slightly into the hairline. Incision technique can vary between surgeons so it is important to talk with your doctor. Hope this helps!
Asked By: VioletLyon
ANSWER
Hi Violet! The best procedure for you will depend on your goals and how dramatic of a transformation you are looking for. It appears that a Neck Lift with Chin Implant Augmentation would suit you well and achieve a more defined jawline and chin. A Facelift should only be recommended if you are also looking to address nasolabial folds and the lower face (above the jawline), so if that's not your concern, then that's not necessary at your age. I do not recommend liposuction alone as it appears that you don't have much fatty tissue and if you remove the bit that is there without tightening the skin, you would likely be left with another problem of loose skin without a tighter jawline. Morpheus might achieve a subtle tightening effect but it is important to consider the risks of radiofrequency treatments. I hope this helps!
Asked By: Brave640037
ANSWER
Hi there! You are a great candidate for a deep-plane Facelift with fat grafting based on your photos. This procedure would involve tightening the muscles of the neck that are causing the "neck cords", lifting and trimming away excess skin to refine the jawline (addressing jowls) and repositioning the facial tissues to a more youthful contour. Fat grafting will also suit you well to restore the areas of volume loss such as your temples, mid-cheek, nasolabial folds and pre-jowl sulcus. Hope this helps!
Asked By: bufflehead
ANSWER
Congratulations on the engagement and the success in your weight loss journey! This is a common concern that is often genetic. A Neck Lift will be best for you. Skin removal/tightening is needed in your case. Otherwise, if you refine the fatty tissue and tighten the underlying muscles alone, you will more than likely be left with loose, hanging skin on top–therefore trading one concern for another. Hope this is helpful!
Asked By: heidim466
ANSWER
Hi Heidi! It is possible to have a successful neck lift without a facelift. It all depends on the patients age, concerns/goals and the extent of laxity. A neck lift on its own best serves patients with a minimal amount of laxity beneath the jawline that they are wanting to correct. For patients wanting to fully correct jowling, nasolabial folds or those with moderate to significant laxity, a facelift may be necessary to achieve their goals.
Asked By: Courageous2675
ANSWER
Hi there! There is nothing wrong with doing the fat transfer after a facelift, however, it is highly recommended to do them together. The fat transfer does not extend recovery and is not a painful procedure in itself. Most patients cannot differentiate the downtime or discomfort from the facelift vs fat transfer. When doing a facelift, it is helpful to address the different aging factors (descending/loose tissues and volume loss) at once. Hope this helps!
Asked By: Gregarious2918
ANSWER
First of all, you don't appear to be in your 60's at all! You're looking great. To maintain graceful aging, you might consider a revision lower facelift to reposition the tissues back to where they used to be–lifting the cheek mound and refining the jawline/jowls will make a huge difference. I also highly suggest fat grafting with your facelift to restore the loss of volume. Particularly, fat grafted to the temples, mid-cheek, nasolabial folds and jowl area. For the breasts, the best option for upper-pole fullness is an implant. You could consider a lower profile implant to avoid too much projection. However, because your breasts are naturally large, it will be important to consider that the implant size itself would need to be on the higher size in order to fill out your natural breast envelope.
Asked By: valeeria1
ANSWER
Hi there! Neck liposuction without skin tightening/excision isn't the best idea for anyone above the age of 40 (ish). It's very unlikely for the skin to retract after removing the tissue beneath. You should consider a neck lift or lower facelift to correct and reposition the tissues in a natural, youthful manner.
Dr. Michelle Lee is highly regarded for her expertise in various cosmetic procedures, including , , , , , , , , , , , , , and . Patients consistently praise her professionalism, attentiveness, and the natural results she achieves. Her staff is also commended for their kindness, helpfulness, and professionalism.
