1. I would like to remove the fat around my jaws and under my chin followed by a facelift. I’m not interested in doing injections or devices (CoolSculpting, ...etc.). Am I good candidate for liposuction followed by facelift? 2. I’m concerned about the sagging and hollowness under my eyes. I’m not interested in doing dermal fillers or fat grafting under the eyes. I’m wondering if a mid face lift, cheek lift, or blepharoplasty will help? maybe combined with fat/ tissue repositioning?
June 19, 2023
Answer: Neck and lower lid solution 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.
Helpful 1 person found this helpful
June 19, 2023
Answer: Neck and lower lid solution 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.
Helpful 1 person found this helpful
June 12, 2023
Answer: Face and neck definition 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!
Helpful 1 person found this helpful
June 12, 2023
Answer: Face and neck definition 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!
Helpful 1 person found this helpful
