Liposuction and face lift for 44 male. Interested in doing surgery in my 40s rather than later in my 50s/60s (Photo)

Hello and thank you for your question. From what I can tell based on the pictures you have provided, there is obvious fullness to your chin/submental region into the neck, and loss of jaw definition, as you had mentioned. You do not appear to have visible platysmal banding in your neck. Based on all that, you would definitely benefit from facelift/necklift with liposuction to your submental/neck region. This would be the best way to address the fullness you're concerned about, and restore a more youthful appearance to your face and neck. At the same time, facial fat grafting can also be done to help further correct any asymmetries or restore volume to focal areas of concern.
Regarding your eyes- I see what you are referring to, however, I would not recommend any of the surgeries you asked about in your case. If there was instead some bulging of the lower lids ("bags under eyes") which commonly occurs with age, then you would be a good candidate for a lower lid blepharoplasty, but that is not present in your case, so this would not be indicated. The only thing I would recommend which might help soften the transition from lower eyelid to cheek would be facial fat grafting, done at the same time as the face/neck lift as mentioned above. If you do not wish to address the eyes at this point in time though, they can always be addressed later or if you start to develop the bulging I mentioned.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from photos. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

I would suggest neck and chin liposuction first and see if you're satisfied with your results. If not then proceed with a facelift, most likely a deep plane. To rejuvenate your eyes, I would suggest a fat transpositioning procedure to soften the tear trough. Good luck!

The best option for addressing the fullness in your neck would be a deep plane necklift, together with some liposuction. You are unlikely to be happy if just liposuction is performed without addressing the deep structures.

This could be combined either with an extended deep plane necklift or a deep plane facelift to address the resulting skin excess.

For dealing with the hollowing under the eyes, my preference would still be to start with fat grafting, but importantly not an excessive amount to prevent making you look feminine. A midface lift is an option, but I find it doesn't work quite as well.

Hello, hope you are well. The most impactful procedure to address your neck is a neck lift to address the subplatysmal fat, and possibly the submandibular glands and digastric muscles. Liposuction would not only be insufficient, it could worsen the appearance of the neck. You are not an obvious candidate for lower blepharoplasty with fat repositioning, but a modified technique or lipotransfer could help.
Best,Dr. Tower

Thanks for including these excellent photos with your question as it allows us to really see what your concerns are and how to best addressed them. If you want a result that looks as natural as possible, my recommendation would be doing an extended deep plane facelift. This would do two things that would address your concerns. 1) this is the only type of deep plane facelift that releases the zygomatic ligament, which teathers the mid face and prevents rejuvenation of the lower lid cheek junction. When those ligaments are released, the sagging tissue from the area around the mouth and lower cheek is able to move up and fill the lower lid cheek junction. Unfortunately, you do not have lower eyelid fat herniation that would allow for a successful fat repositioning blepharoplasty. As for your neck if you’re doing a deep plane and you are under the platysma, you very rarely need any liposuction. Liposuction can lead to central submental depression, what we call a Cobra Nexk deformity. Depending on the lipo to thin the under chin and neck area can remove the subdermal fat necessary to maintain a natural look, leading to a thin skin, skeletonized look. You can click on the link below to see some of the improved lower eyelid and upper cheek results with my extended deep plane facelifting.

Hi, thank you for your question. It is my recommendation and opinion that you would benefit mostly from a neck lift using a deep plane technique and performing a platysma muscle plication, anterior deep fat removal and digastric muscle plication using a submental incision. This will address the fat deposits that you have around your jawline as well as the under chin area, providing you with a more defined neck and jawline. As for the hollowing under your eyes, it's hard to determine from the photos provided, but a lower blepharoplasty may address this situation. But again, the photos attached are not the greatest in order to give you a firm recommendation concerning the hollowness under your eyes. Wishing you the best!

Based on your photos, I feel that defatting of your neck with either liposuction of direct fat excision, coupled with a necklift or facelift would be appropriate. Also, sometimes following fat removal from the neck, loose platysma muscle bands are uncovered and they can be tightened and lift as part of the lift.
As for the lower eyelids, I really would need to examine you but it appears that the hollowness could be improved by a mid-facelift, although I myself don't have experience with that procedure.

Hello, the volume of your neck would be reduced in two ways. First option is a neck lift with a midline incision under the chin, and remove the deep fat layers and the submandibulary gland if needed, then strecthing the platysma muscle for a better defined angle. This would be the most effective method. A face lift may be added but It doesnt seem that you have too much skin excess. My recommendation would be a temporal face lift through the hair incision to lift the midface, to avoid all visible scars. The second option is reducing the superficial fat layer with liposuction and lifting the neck to the sides with threads. The manual physical examination changes everything because that will reveal the majority of your fat volume on the neck, deep layer of superficial layer. Regards

Thanks for your question! I think that a treatment like FaceTite (which combines liposuction and radiofrequency heat) would get you a great result. You don't have any platysmal banding or visible loose skin. Regarding the hollowing under the eyes, I do think fat grafting is your best option at this stage in life. Good luck!

Based on these photos and your age, it appears that best surgery would be a neck lift with liposuction. It will allow your surgeon to remove deep and superficial fat and contour your anterior neck muscles, gland. Lower, transconjuctival bleparoplasty would be an excellent option. Consultation with a board certified plastic surgeon with expertise in neck lift of this kind (check the website, ask many questions), is recommended. Good luck.