Is it time for a facelift? (Photo)

Based on that single photo, it appears that a facelift is potentially the best solution to correct the areas you are concerned about. I would NOT recommend anymore filler as this can lead to a very doughy appearance when injected incorrectly or into the wrong locations. You should see a board-eligible or board-certified plastic surgeon with extensive training in aesthetic plastic surgery of the face.

Based on your photograph you are showing signs of normal face aging including elongated facial features, a more rectangular facial shape and jowls. Without side picture, your neck cannot be assessed. An « in person » exam is obviously needed to assess the elasticity of your facial and cervical skin. If there is still good elasticity you may benefit from less invasive procedures such as strategic micro liposuction with or without RF (FaceTite) and fillers or fat transfer utilizing Caisson Contouring.

If you are looking for a more glamorous look with higher cheek bones, a « heart shaped » face, an endoscopic mid-face lift combined with micro liposuction to minimize your jowls could be performed.

A variant of a traditional facelift such as a deep plane one is the gold standard to tighten your neck, define your jawline and reduce your jowls but obviously an « in person » exam by a board certified surgeon is needed.

Best of luck !

Randal Haworth

You may consider a Facelift in the far future but there are excellent non-surgical options available to address lax skin of the jawline and neck that offer rapid recovery, minimal downtime and no open visible large scars. A combination of procedures will afford you the optimal rejuvenation. Patients with moderate skin laxity of the lower face and neck are ideal candidates for the Endolift Laser which is FDA approved and used throughout Europe. The Endolift Laser targets pockets of fat in the jowl, face and neck. It stimulates collagen so the skin looks significantly better and tighter. The benefits are that the Endolift Laser is placed through tiny pin holes so there are no scars and the healing is rapid. This is an outpatient procedure with minimal discomfort during or after the procedure. The Endolift Laser is amazing in the hands of well trained individuals who understand how to avoid complications and know the optimal manner in which to target lax tissues. When used in combination with PDO Threads and possibility facial fillers, the results are ideal and the downtime is minimal. You may also benefit from selective facial fillers: Radiesse, RHA or Restylane to contour your jawline and cheeks. This will support lax skin and muscle of the lower face. The combination of the Endolift Laser, PDO Thread Lift and selective Facial Fillers is the choice for patients who wish rapid recovery, have moderate laxity of facial and neck skin and wish a natural and rejuvenated appearance. Botox will not assist sagging skin but when appropriate can diminish prominent neck bands or muscles. Seeking a consultation with a well qualified individual is the first step.

Your pictures demonstrate early skin laxity of the face and neck that manifests as facial decent - squaring off your lower face and neck. There is a chance you may be able to get away with a mini lift to tighten along the jaw and upper neck. To re-establish the aesthetic triangle, however, a modified mini face and neck lift with deep plane tightening of the SMAS and platysma - to lift the jowls and sharpen the neck - would give you the best improvement. Typically, I do that procedure as part of our Wide-Awake-Surgery program – surgery done under local anesthesia in the office. The same surgery is also available in the OR under anesthesia.

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

Hello, hope you are well. Generally speaking, your anatomy is more important than your age when considering facial rejuvenation treatments. Botox cannot correct jowling. Fillers can camouflage undesirable facial contour, but they do so by adding volume to the face which is antithetical to the change you want (a reduction of volume in the jowl area, and slimmer jawline). Even with good intentions, sometimes fillers simply make the face appear heavier. A facelift with appropriate technique that is well-executed can reduce jowling with excellent results. However, you may want to consider Morpheus8+FaceTite (both radiofrequency energy treatments) which is a good solution for mild jowling and skin laxity of the lower face and neck. It can be performed under local anesthesia without the need for incisions, and relatively short 'down time.' I would recommend finding a surgeon who offers both treatment modalities (or surgical / non-surgical) to explore the advantages and disadvantages of each option (without getting an overly biased opinion). Good luck!
Best,Dr. Tower

Great question and thank you for asking! Based on your photo, it is a bit challenging to confirm the need for a Facelift, it would be helpful to see a profile (side) view to get a better idea of gravitational issues. I do have a few suggestions though. One thought is that you may be a great candidate to continue injectables, however your injector may not be utilizing enough filler to provide full correction based on your aesthetic goals. Another thought is certainly exploring the idea of a Deep Plane Facelift to provide you with the absolute best result, should you be a candidate. I would love to assist you in accomplishing your aesthetic goals. You may call my office at (281) 990-8487.

Hello ! Thank you for your queation You don't have a face sagging enough to have a face lift, I recommend your jawline filler, your jaw lines will be more prominent
Thank you! regards

Thank you for your question and photo. You don’t appear to be a candidate for a facelift at this time, but various non-surgical options can enhance your Botox and dermal filler results. RF microneedling is a favorable option for improving your skin’s elasticity and reducing the appearance of early jowl formation. This treatment option uses radiofrequency technology to stimulate your body’s natural collagen production and improve its quality and texture for a smooth and firm result.
I recommend scheduling an in-person consultation with an experienced injector who can review your injectable treatment schedule and help you decide on the best approach.