Dentist and a plastic surgeon can work well together
As you have heard, there are many factors that can affect the appearance of your lower face and jaw. You should be evaluated by a board certified plastic surgeon who can assess your tissue and understand your concerns. Then have this surgeon speak to your dentist. I would be hesitant in undergoing all that dental work on your bite, ESPECIALLY since you have no symptoms and your bits has never bothered you.
You may benefit from a lower face lift or orrthognathic work on your jaw where they can recontour your jawbone- not your teeth.
Have your Dentist and Facial Plastic Surgeon consult each other
Your privacy is very important but since you are contemplating procedures that may have impact on one another it is important that you have your individual Surgeons be able to talk to each other and discuss in detail what they are proposing to do for you.
In most cases a lower facelift can be done before or after orthodontic work without impacting the results or the ability of the Surgeon to execute their facelift technique of choice.
However, some orthodontic work can physically alter the underlying mandible (jaw bone) or maxilla (lower part of cheekbones) to a degree that would have an effect on your facelift surgery - therefore it is indeed best to do the oral surgery first.
The more information your two Surgeons can have allows everyone to be on the same page and avoid any confusion or potential harm and maximize the expected benefits as you undergo the individual procedures.
Dr. Kamran Jafri
Facelift/Lower Facelift and an Abnormal Bite
Thank you for sharing you concerns. Although your dentists assessment is most likely accurate, I would get a second opinion if you are not having any symptoms. It never hurts to have another professional opinion before committing to a series of interventions that could be taxing on your health and resources.
Although every surgeon has their own technique(s) for a Facelift/ Lower facelift/ Neck lift, the surgical intervention is focused on movement of the soft tissue. Once the neck is adequately addressed the tissue along the jawline and cheek is resuspended along the correct vectors to fixed structures like the periosteum in front and behind your ear. If your dental interventions include moving the teeth only and there is not any plan for changing the shape of the jaw (mandible), it should not matter when you have a facelift performed.
That said, a facelift is an elective procedure that should be performed when it works for you without adding additional stress or complexity to your life. Working with other physicians/dentist/medical professionals to make your experience perfect is the rule, not the exception. Once you have a firm idea about when/if you need the dental work done, I know that it will be coordinated to best meet your needs. I hope this helps. Take care.
Dentist and Plastic Surgeons working together
Without an exam it is hard to me to know what the issues might be. Often, dentists and plastic surgeons can work together to get great results. The dental work can influence the jowl work. It is best to see a few dentists and plastic surgeons. Have them talk to each other so that everyone knows what the goals are, and then formulate a plan to reach them.
Orthognatic surgery and lower face lift
If you have never experienced problems based on your bite and you are already in your 50s, I think it is a personal decision as to whether to undergo oral surgery. I would not consider it a prerequisite for the lower facelift and many patients would not want to expose themselves to painful and lengthy dental procedures to correct longstanding issues with which they have managed to live for many years. The concern in having a jowl lift first and then these dental procedures is that the dental procedures can cause swelling which could undermine the results of the cosmetic surgery.