Can a facelift get rid of deep wrinkles above and below cheek line? (photo)

Doctor Answers 21

About Facelift Surgery

There is not just one facelift procedure, but a whole range of #facelift procedures. These different techniques have been developed over the years, involving different incisions and lifting the skin to varying degrees. A facelift may also involve the tightening of certain muscles and tissues, or liposuction of areas such as the jowls or chin.

It is important to understand that facelifts are meant to remove major folds and wrinkles, not fine wrinkles. A facelift which removes every line and fold would be too aggressive and would result in an unnatural result. Fine lines and #wrinkles are better addressed by skin treatments such as chemical peels or microdermabrasion, which we also offer at our office.
Incisions vary depending upon whether the patient is male or female, the hairstyles, hairline, age, previous surgery, and other factors. Generally, the #incision starts in the temple, in front or within the hairline. It continues in front of the ear, sometimes partially hidden within the ear. It then goes under the earlobe, behind the ear fold, and ends within the hairline or at the hairline behind the ear. The newer, shorter scar #techniques, which do not include scars in or by the hairline, can be used for most patients. Frequently another small and hidden incision is made under the chin in a natural skin fold. This allows fat removal and tightening of the platysma muscle in the neck if required.

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Deep wrinkles and Facelift

We really cannot see the deep wrinkles from your photos since you are smiling in one, and the other is almost a side angle with a scarf. For removing deep wrinkle laser resurfacing is likely your best option. The facelift will correct the sagging skin for a fresher look.  Consult with a Board Certified Plastic Surgeon certified by the American Society of Plastic Surgeons (ASPS) for an in person evaluation to discuss your goals and expectations. Best wishes!

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

Great news! You are a great candidate.

Atlanta has many great plastic surgeons please select one carefully. Your PS will talk about the specifics as we cannot tell from your pictures. Good luck and post your results on RealSelf. You are a very pretty woman and the you'll love your facelift!!!

Max Gouverne, MD
Corpus Christi Plastic Surgeon
4.6 out of 5 stars 26 reviews

Can a facelift get rid of deep wrinkles above and below cheek line?

 I have performed Facelifts for over 25 years.  A non-smiling photo would be better for evaluation but from the attached photos there does appear to be evidence of "jowls" and excess skin of the face and neck.  If you have "jowls" this is sagging facial tissues and an indication for some form of a facelift.  My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:

  • very small incisions
  • minimal tissue dissection = less bruising and swelling = rapid recovery
  • can be performed in 90 minutes or less, with or without general anesthesia
  • no incisions within the hair = no hair loss
  • excess fat can be removed
  • excess skin removed
  • cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implants
  • most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews


It's hard to tell much from your pictures because you are smiling in one and covered with a scarf in the other.  A facelift will elevate the tissues of the mid and lower face as well as the neck.  When you stand in front of the mirrror and pull your face up and back, that is essentially what you are achieving with a facelift procedure.  I would suggest scheduling a consultation with a board-certified plastic surgeon who can examine you in person and review your options with you.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 23 reviews

Wrinkle removal - facelift is not the answer

For removing deep wrinkle laser resurfacing is likely your best option.  The use of autologous fat transfer to add volume may help as well to lift the wrinkles from underneath.  You would need an in person exam to better advise you on your best options.  You should consult an American Board of Plastic Surgery certified plastic surgeon to discuss your concerns and options.

Todd C. Case, MD
Tucson Plastic Surgeon
5.0 out of 5 stars 54 reviews

Facelift candidate

 The primary goal of a lower face and neck lift is to tighten loose facial neck skin including the cheeks and jowls, removal of any fatty deposits in the neck, and tightening the neck muscles in 3 locations. It's important to have the surgery performed to give a very natural look.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 126 reviews

Facelift to Remove Deep Wrinkles

A facelift will elevate relaxed muscles under the skin and elevate and remove excess skin. If you're calling the obvious grooves "deep "wrinkles" they will be reduced or eliminated. Fine lines will not change; these can be treated with skin care, chemical peels, or laser. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Facelift for Deep Wrinkles

Certain wrinkles, especially in the lower face and neck, can be removed by a facelift. Wrinkles above the "cheek line" can sometimes be treated with a brow lift. Those wrinkles under the eyes can be treated with a blepharoplasty or injections. What is best for you is impossible to even make a supposition since the pictures are of such poor quality. You need a consultation with a board certified plastic surgeon with significant experience in facial rejuvenation.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 5 reviews

Facial rejuvenation options

Thank you for the question and photos.  I suspect that after meeting with a plastic surgeon(s) and discussing your goals and options you will most likely at least discuss if not proceed with facelift/necklift, fat transfer, and  laser resurfacing.  Often times the face requires all three to rejuvenate the three main areas of aging:
-aged skin
-loss of volume (fat)
-laxity of soft tissue (jowls and neck)

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 153 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.