I'm 44 years old and have sagging in my lower face and neck. Should I do a lower facelift or a deep plane facelift? (Photo)

Question

I do have hashimotos thyroid disease and human growth hormone deficiency so I feel I store fluid in my face also.

Gary M. Horndeski, MD · Answer

I would not recommend a facelift but I do recommend a necklift or possible liposuction of the neck.  You need to be examined to see how much fat you have there.

Best Wishes,

Gary Horndeski, M.D.

Jacob Tower, MD · Answer

Hello, hope you are well. I think you would do best with a short scar neck lift, alongside FaceTite and NeckTite. It is not apparent from the photos that you submitted that incisions around the ears and hairline (per traditional facelift techniques) for skin removal are necessary. However, neck and lower face contouring and skin tightening can be achieved with the procedures mentioned above with minimal downtime, risk, and visible scarring.
Best,Dr. Tower

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

Because your jawline contour is relatively good and it is predominantly the visibility of the marionette lines that disrupts the aesthetic balance, you could consider just a deep plane neck lift intervention as it produces improvement of the the jawline and to a more limited extent for the marionette lines.

If you are in favour of facelift intervention there is no particular reason against a deep plane facelift. It has a tendency to produce more consistent improvement for the marionette lines and jawline. The contouring effect however would make the contrast with the neck more significant and I would say that it is probably better to have either facelift and neck lift or just neck lift.

I think just facelift would not be the best outcome for your situation.

It is also fair to say that surgeons achieve good results for their patients with a variety of techniques both for the face and neck and a discussion in consultation and review of some of the past results is an important part of the decision process.

Zoran Potparic, MD · Answer

it appears that some improvement along the jawline-neck and mid-cheek areas may be considered. This can be achieved with an anterior neck lift and periorbital fat grafting. In-person or telemedicine consultation with a board-certified plastic surgeon with expertise in these procedures is recommended. Good luck.

Tanveer Janjua, MD · Answer

No you don't have enough laxity at this time to get a facelift. You would be better served with Chin/Neck Liposuction and Thermitight at the same time. 
Chin Liposuction and Thermitight
Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
Click on the video link below
Regards
Dr. J

I'm 44 years old and have sagging in my lower face and neck. Should I do a lower facelift or a deep plane facelift? (Photo)

Answers (10)

Answer: Neck lift and periorbital fat grafting

Answer: Neck lift and periorbital fat grafting

Answer: Facelift or not

Answer: Facelift or not

Recommended reading

Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.

I'm 44 years old and have sagging in my lower face and neck. Should I do a lower facelift or a deep plane facelift? (Photo)

Answers (10)

Answer: Neck lift and periorbital fat grafting

Answer: Neck lift and periorbital fat grafting

Answer: Facelift or not

Answer: Facelift or not

Browse related questions

Recommended reading

Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.