Do I need some aspect of a facelift or will fillers help? Early 40s. Jowls bother me a lot (Photo)

A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.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.Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are patients 35-60 years old with early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. Lite Lift™ surgery is individualized for each patient. The best candidates for Lite Lift™ surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined and do not smoke.

Hello, The answer to your question really depends on your goals (the amount of correction you desire) and your preference for something longterm versus more temporary.Fillers have the following advantages for you:-little downtime-can "camouflage" the jowls by adding some volume to the chin and jawline-can add some volume to the cheeks to give the appearance of higher cheek bones and improved contoursThe downsides are:-can only achieve partial correction-not really addressing the problem, but are improving the region by hiding shadows and restoring lost volumeFor a facelift, the advantages are:-can achieve true correction of the jowls-can reposition fallen cheek volume to an elevated position-results will last 7-10 yearsDownsides are:-requires recovery period for 2 to 3 weeks-increased cost-you are still young, and may want to wait a few yearsMake sure to see an experienced facelift surgeon who can help you come to the right decision for you.Best wishes,-Dr. Asaria

Thank you for your question.  At this point, the skin laxity in the jowls area looks a bit too advanced to get significant improvement with fillers alone.  If you are looking for a definitive improvement of your jawline, you would need a surgical rejuvenation procedure.  And here is a good news: you facial structure is very favorable for a facelift.  Should you decide to go with surgery, your result will be striking.  You will easily get back your beautiful jawline and your attractive neck contour.  Neither of these could be achieved with fillers.Best wishes!

From the photographs it looks as though the facial aging is very modest. I think you can get a good result with fillers. In the end however it depends on your expectations. Consult with the plastic surgeon who is experienced in facial aging.

By looking atyour pictures, you do have early signs of aging face. You could benefit from amini facelift to improve your jowling, and Fat Grafting with PRP to ad volumeto your mid-face area. This is your best permanent option. The other option is fillersand Co2 laser resurfacing. Chronological aging is not a determining factor fora facelift rather physical aging. In my practice, I have seen some 40 year oldthat needed full facelift and there were some 50 year old that only benefitedfrom Botox and fillers. Having a facelift surgery at an early age has nodisadvantages, as long as you’re a good candidate for it. Since you’reexperiencing an accelerated aging face, you probably need another one in 10years to maintain a refreshed look.
I wouldrecommend mini facelift and fat grafting with local anesthesia and oral sedation.

Good candidates for a facelift include anyone who is experiencing sagging skin on the face and jawline, deep creases around the nose and mouth, jowls, a double chin, or creases and folds on the neck. Ideally, candidates will enter the process with realistic ideas and will expect that the result will not be a new face but rather a return to their own younger face.I would encourage you to schedule a consultation with a board certified facial plastic surgeon and/or a board certified plastic surgeon.

Fillers are a reasonable starting point for you but understand that they do not correct jowls, they just hide them.  This may be enough for you.  A facelift will correct your jowls but it is a much more involved procedure than fillers which take 5 min and no down time.  Speak to a board certified plastic surgeon in your area to have him/her explain the options for you so that you can make a proper decision on which route will make you happier in the long run.

From your photos you would seem to need both a mini facelift (e.g. MACS, LiteLift, LifeStyle Lift, etc) and fillers. You age by loss of volume in the cheeks and other area, as well as sagging, and skin surface aging. All need to be addressed for the best rejuvenation

The answer depends on what bothers you. You appear to be volume deficient in the midface with mild form of jowls These can be improved with Voluma and Juvaderm.

You will benefit from injectable Fillers or Autologous Fat as the main problem in the upper and mid face is loss of volume. The jowls can also be camouflaged by small amount of fillers in front of the jowls. Chin can also be enhanced with fillers. This would be a procedure with little downtime but would need to be repeated after 1 year or so. A Facelift would be long lasting but I would still add some Autologous Fat in the mid face area and possibly a Chin ImplantDR. AJAYA KASHYAP, MD, FACSDiplomate American Board - Plastic Surgery