MDSkin Lounge - Park City

Based on the photos submitted, ideally I’d recommend a facelift/neck lift with facial fat grafting. You may also benefit from an endoscopic midface lift as well, or this can be done separately. This plan will give you the most natural and comprehensive approach to address you jowls, neck contour as well as your cheek shape and lift

Based on your age and phots submitted, as well as you prior history of neck/chin lipo, I would recommend a more invasive central necklift procedure where a platysmaplasty and direct fat removal and contouring is done. This will nicely sharpen your neck and jawline contour. This is a short outpatient procedure done through a center incision under your chin without any need for an incision behind you ear.

Based on your age and photos, I would recommend a face/neck lift for the best most natural and long-lasting result. Non-surgical options are not going to give you the neck contour you are looking for in my opinion, but you could consider thread lifts, radio-frequency microneedling, or NeckTite minimally invasive treatments to stimulate collagen.

A facelift in a younger patient isn’t taboo, as much as it is typically not needed in younger patients who don’t have the skin excess to warrant the surgical recovery and scars (although hidden). Still, in patients that have enough skin laxity/excess which can be genetic, or related to weight loss, a facelift is definitely an option on a younger patient. I think that it is somewhat taboo, simply because traditionally most facelift surgeons would tell a patient to wait or seek non-surgical options first.

Jowls are a normal and often have a genetic component of most faces that in time drop and lead to poor neck and jaw-line contours. Facelift and fat transfer can improve jowling in most patients. An endoscopic midface lift can sometimes improve jowls, but mostly improves the cheek and lower eyelid areas. Other than facelift, you may consider facial injectables like Volux to improve and reshape the jawline and chin. PDO threads may help as well. In our practice we offer a minimally invasive option for jowl call face-tyte.