Raymond E. Lee, MD

Thanks for sharing. In general, current neck rejuvenation procedures include: A NECK LIFT* with a LOWER FACELIFT would be the gold standard and gets the best results usually reserved for patients with enough aging in both the face and neck. A neck lift result is even better when combined with a lower facelift because the lower facelift also improves the neck. LOWER FACELIFT will treat both the lower face laxity (think jowls) and neck skin laxity. A NECK LIFT* stand alone tightens only the neck. CHIN LIPO and/or LASER LIPOLYSIS if only fat removal is required with good skin elasticity, typically in a younger patient. A Platysmaplasty can be added for further muscle tightening PROFOUND RF, FaceTite, and ULTHERAPY are FDA approved minimally invasive tightening technologies using using radio frequency or ultrasound energies. KYBELLA injections for a double that melts fat under the chin and takes a few sessions BOTOX to the platysma bands to decrease their activity and show Fractional CO2 Laser skin resurfacing helps with skin texture, fine lines, and brown spots *It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles. It would be best to be examined in person. You likely would be a candidate for Option 1 Lower face and neck lifting for optimal results. Talk to several board certified surgeons experienced in neck and face lifting.

Thanks for sharing photos. Based on what I can see in your case, a lower face and neck lift (which would include some liposuction and a plastymsplasty) would be needed for best results. Ultimately an in person visit would be required for definitive recommendations but you appear to be a great candidate with potential for great results. Consult with a few board certified and experienced facelift surgeons. Best of luck!

Good question. I know everyone seems to be afraid of drains, but I do believe drains can only help you recover faster. I call it bruising and swelling in a bottle. This post op fluid is removed via the drain outside of you and not stuck in you causing your skin to bruise and swell. It is typically removed the next day but sometimes one more additional day. Drains are your friends.

Hi and thanks for the question. Facelift incisions well placed and sutured nicely should not leave a "scar" if you are white or olive or a darker complexion. Also, surgical incisions on the face typically heal better than other parts of the body due to the better blood supply. Make sure to consult with an experienced facelift surgeon and look at before and afters. Other things to look is the ear, specifically the tragus and earlobes for any distortion. Best of luck!

I agree with the general consensus of the experts here.  There may have been some mis understanding.  Lasers before surgery is fine and lasers with a facelift surgery is fine as well as long as the surgeon knows what he is doing.  So you are fine for a lower facelift having done lasers in the past.  However, sometimes previous RF devices, smart laser, facetite, kybella, thermi tite can cause some fibrosis under the skin and can make facelifting more challenging.  Consult with experienced facelift surgeon for a definitive answer. 

Buccal fat pad reduction can be performed under local anesthesia only, local anesthesia and oral sedation, and IV sedation.  General anesthesia can be fine too but not needed in our practice.  Healing is not dependent on the type of anesthesia.  

Ideally, one would be at a stable weight before chin liposuction.  However, if one is somewhat overweight and has been for many years and will continue to be then chin lipo can still be performed.  If there is a lot of weight loss and you are young then one may not need the lipo. Consult with an experienced facial plastic surgeon to see if you are a candidate. 

Thanks for asking.  I agree with the general consensus that a Facelift which should include a neck lift is needed to get your desired result and ultimately best patient satisfaction. A necklift alone will not be enough to remove all the loose skin that we see here. erformed in an experienced surgeon's hands the incisions should be barely noticeable and result natural.  You appear to be a great candidate.  Best of luck!

Thanks for inquiring.  In a facelift the underlying SMAS and PLATYSMA muscles are typically tightened.  There are a variety of techniques that include tightening with sutures only and also lifting and excising the loose portion of the muscles.  I like to lift and remove the excess SMAS muscle and suture tighten the Platysma muscle.  Excess skin is then carefully trimmed.  This graphic video shows how the SMAS muscle lifted and how it helps lift the jowls for a natural result.  

Thanks for asking.  It looks like you have a nice result from your lift.  However, a small portion of facelift patients will get an additional benefit of a secondary tuck.  Those with preceding very loose and older skin with less collagen content my need that extra boost.  It is safe to do after a year.