Best solution for sagging lower face and neck? (Photos)

Based on your photos, you are a great candidate for a deep plane face and neck lift with targeted fat transfer at the same time. With your good bone structure you should have a great result that lasts many years. Be sure to see a facial specialist for consultation.

Based on the photos and limited information, it looks like you have thin skin laxity and facial volume loss. I have had good success with patients who have similar anatomy employing a combination of a deep plane facelift with some volume support, ideally through a fat transfer. This potentially may be an option for you, pending a thorough history and exam. Best start would be an in person consultation to see if you are indeed a good candidate.

At 51, if the main concern is sagging in the lower face, jowls, jawline, and neck, the most effective option is usually a lower face and neck lift. Non-surgical treatments can improve skin quality slightly, but they usually cannot lift true tissue descent or redefine the neck in a lasting way.
From your photos and description, filler alone would likely not be the best solution. Filler can soften hollows or folds, but if too much is placed in a thin face, it may create heaviness or an unnatural look rather than correcting the sagging.
A good facelift should address the deeper support layer, not just pull the skin. Depending on your anatomy, this may involve a SMAS or deep plane technique, combined with neck work such as platysmaplasty, conservative fat contouring, and skin redraping.
Because you are petite and low body weight, volume loss may also be contributing to the aged appearance. In that case, small-volume fat grafting or very conservative filler can be useful as an addition, but it should not replace lifting if the tissues have descended.
My advice would be to consult a facial plastic surgeon or plastic surgeon who performs many lower face and neck lifts. Ask whether your main issue is skin laxity, jowling, platysma, fat, or volume loss. The best result will usually come from a customized lower face and neck lift, with subtle volume restoration only if needed.

Thank you for your question. Based on your photos I think it would be an excellent candidate for a deep plane face and neck lift which would really give you a sharp neck and jawline and help eliminate your marionette lines and elevate your cheeks and decrease that weight of your nasolabial folds. I typically perform these procedures under oral and IV sedation. Best to talk to a board-certified plastic surgeon who specializes in these procedures.

Based on your concerns, I believe a facelift combined with a neck lift would be the most effective option for improving sagging in the lower face and neck. While non-surgical treatments may offer subtle, temporary improvement, they generally cannot reposition descended tissues or restore a well-defined jawline to the same extent as surgery.
The ideal treatment plan depends on your anatomy, skin quality, and aesthetic goals, so I would recommend consulting with an experienced facelift surgeon. After a proper evaluation, they can determine the most appropriate technique to achieve a natural, balanced, and long-lasting result.

From the photos, you appear to have developed moderate laxity in both the lower face and neck, with soft tissue descent contributing to the loss of jawline definition. While photographs provide a helpful starting point, an in-person examination is necessary to evaluate skin elasticity, platysmal laxity, and the underlying facial structure.
In my opinion, the most effective approach would be a deep plane facelift combined with a neck lift. By repositioning the deeper facial tissues rather than simply tightening the skin, this technique can restore a more defined jawline and achieve a natural, long-lasting result. A neck lift would further improve the neck contour and enhance the transition between the jawline and neck.
If facial volume loss is also present, fat grafting using your own fat can be performed during the same procedure. This helps restore youthful fullness to areas such as the cheeks and midface while maintaining a balanced, natural appearance.
The objective is to restore facial support and improve the harmony between the face and neck rather than create an overly tight or operated look. The final treatment plan should always be individualized following a detailed facial examination.

When one has significant sagging of the lower face with a resulting jowls and also sagging skin in the front of the neck, the most effective treatment by far his surgical. This is essentially what a facelift is designed to do. There are a number of techniques for facelifting and with each technique there are a number of sub techniques and your surgeon will discuss with you all aspects of this and how it relates to your particular concerns and your anatomy. Unfortunately, other modalities have failed to live up to marketing claims for this. Lasers or radiofrequency type treatments or even ultra sound and armed threads have not stood the test of time in improving jowling and tightening neck skin to any significant degree. Mild results are sometimes achieved but by far, a facelift is the correct solution.

Hello!

The best solution for you would more than likely be a face lift and a neck lift combination. It would be beneficial to come into the office and have a consultation. Please call 312-944-0117 to book a consultation !

What you're describing is completely real: laxity in the midface and lower face. For these types of changes, the best treatment is a Deep Neck Lift combined with a Deep Plane Face & Neck Lift. Currently, this approach provides the best results for repositioning the facial tissues and restoring them to the natural position they were in when you were younger.
The areas that typically show the most noticeable improvement are the jowls, the nasolabial folds, the labiomental (mentolabial) crease, and the overall definition of the jawline.
After surgery, treatments such as radiofrequency or ultrasound can further enhance and help maintain the results.

I advise that the only definitive solution for significant lower face and neck sagging is a combined lower facelift and neck lift (platysmaplasty). Aging originates in the deep structural layers—the SMAS and platysma muscle. Non-surgical alternatives like threads or lasers cannot lift these heavy tissues and often yield unnatural results.Surgically, we reposition the deep SMAS layer vertically to restore a crisp, defined jawline and tighten the neck muscles like a corset to eliminate sagging. This anatomic correction delivers a natural appearance, effectively resetting your aging clock by 10 to 15 years.