Is it time for a facelift? (Photo)

Hello and thank you for your question. From what I can tell based on the picture you have provided, there is some possible early/minimal jowling. This occurs with age as the soft tissues of the face start to descend and as we lose volume from fat atrophy and bone loss, resulting in the characteristic changes of facial aging. You appear to have some excess neck skin- I cannot see if there is platysmal banding in your neck. Based on all that, you could make an argument for getting a facelift at this time- but you could certainly hold off a little if you'd like. A facelift would be the best way to address jowls, lower face skin laxity, and soft tissue descent- there are different techniques to manipulate the SMAS layer (an important soft tissue layer under the facial skin) to really control the symmetry achieved in a facelift. At the same time, facial fat grafting can also be done to address volume loss and help further correct asymmetries and restore facial balance. This can be done at the same time as a facelift.
With all that said, it is difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the one photo with one view that you have provided. 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

Thank you for sharing your concerns. It's commendable that you've taken proactive steps to address your jowling with filler and Botox.
Based on your description, it appears that you are seeking a more long-lasting solution to address the jowling and achieve significant improvement. While non-invasive treatments like Morpheus8 can provide some skin tightening benefits, they may have limitations when it comes to correcting more advanced jowling.
Considering your age and the progression of jowling, a facelift could be a suitable option to achieve a more profound and enduring outcome. A facelift allows for the repositioning and tightening of facial tissues, creating a more youthful and lifted appearance.
However, I recommend consulting with a skilled and experienced facial plastic surgeon to thoroughly assess your facial anatomy and understand your aesthetic goals. They can provide personalized recommendations and guide you towards the most appropriate treatment plan.
If you decide to pursue a facelift, it is crucial to choose a surgeon with a proven track record in facial rejuvenation and an artistic eye for natural-looking results. A facelift performed by an expert surgeon can produce remarkable improvements, providing you with long-lasting satisfaction.
Feel free to schedule a consultation with me, or seek out other reputable facial plastic surgeons to explore your options thoroughly. We prioritize personalized care and can discuss how a facelift can help you achieve your desired rejuvenation goals.
I hope this information helps you in making an informed decision. Remember, the right surgeon and the right procedure can make a world of difference in restoring your youthful radiance.
Best wishes on your journey towards renewed confidence and timeless elegance.

Thank you for your question. Based on your picture and description of your concerns, a mini facelift procedure could be a good option for you at this point. A mini lift is usually most suitable for people with early aging changes in their 30s and 40s. It can help restore a youthful jawline, remove jowls and improve cheek contour for an overall more refreshed look. If you feel Botox and fillers are no longer achieving the result you're looking for, a surgical approach could be a good long-term solution. If you feel like you are not ready for a facelift yet, non-invasive treatments such as Morpheus8 could be a temporary option to tighten up the skin until you are ready for a more definitive procedure. Take a look at the attached video to determine whether you are a candidate for a mini facelift. Best wishes! Dr. Konstantin