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.

Hi there. From the photos, it looks like you have mid face soft tissue descent with jowling and cervicomental laxity with platysmal banding. A deep plane lower facelift would help address the jowling and mid face soft tissue descent. It would improve the marionette lines and soften the nasolabial folds, and improve the contour of the jaw. The platysmaplasty would resolve the platysmal banding and improve the cervicomental angle and neck laxity.

Thank you for your question and for sharing your pictures. From your photos, there appears to be laxity of the lower face and neck, with some loss of definition along the jawline. I often find that once skin laxity reaches this point, non-surgical treatments can't meaningfully tighten the area. The gold standard for a natural, long lasting correction is a deep plane facelift combined with a neck lift, which repositions the deeper tissues rather than just pulling the skin. This is what keeps the results looking natural and not "done." The key is that a deep plane facelift offers more natural and longer lasting results than a skin only or mini facelift, especially for the neck. I recommend scheduling an in person consultation so we can assess your skin quality and degree of laxity and determine whether a face and neck lift alone, or with any adjunct procedures, is the right fit for your goals.

High SMAS deep plane neck left to address the redundant skin and jowls. You also have significant loss of facial volume that would benefit from fat grafting to the jawline. A chemical peel or CO2 laser could be used to address lines around the mouth.

Hello. My recommendation would be consider facelift with neck lift with fat transfer to give some volume at nasolabial crease and tear trough. Corset platysmaplasty will help in taking care of neck bands if required. Eyelids needs to be examined for upper or lower bepharoplasties if required for full face rejuvenation. We routinely do full facelift with fat transfer at our Centre for Cometic Surgery, Mumbai, India.
Thank you.

Regards,
Dr. Sameer Karkhanis,
Centre for Cosmetic Surgery, Mumbai, India
+919833571333

Based on your photos, your primary issue appears to be soft-tissue descent through the lower face with jowling and loss of jawline definition, along with some neck laxity. For meaningful and durable correction, I would favor a deep-plane lower facelift combined with a structural neck lift rather than relying on fillers, energy-based tightening, or other nonsurgical treatments.

You also have a relatively thin face with some age-related volume loss, so I would consider conservative fat grafting at the same time to restore selected areas without making the face look overfilled. The goal would be to reposition the tissues, redefine the jawline and neck, and restore volume where appropriate—not simply tighten the skin.

Hello. From your photos, you have skin and soft tissue laxity of the lower face and neck with early jowling. A deep plane facelift addresses the deeper support layers rather than just pulling skin, which is what creates natural looking long lasting results for best results. In milder cases, FaceTite or Morpheus8 can help tighten, but your degree of sagging looks more surgical. An in-person exam would confirm the best plan for your anatomy.

Thank you for your question and for sharing your photos. At 51, the changes you are noticing appear to involve more than simply loss of facial volume. Your photographs suggest some degree of lower facial tissue descent, early jowling, and laxity through the jawline and neck, although an in-person examination is necessary to determine the underlying anatomy.
When the primary issue is tissue descent rather than isolated volume loss, adding filler or fat grafting alone generally does not address the underlying problem. In appropriately selected patients, a facelift and neck lift can reposition descended facial tissues, improve jowling, restore a cleaner jawline, and create a smoother transition from the lower face into the neck.
The specific operation should be individualized. Depending on examination, this may involve deeper facial tissue repositioning as well as treatment of the platysma and other structures of the neck. Facial fat grafting can also be added to the facelift selectively when meaningful volume loss is present, but ideally as a complement to structural repositioning rather than an attempt to camouflage significant laxity with additional volume.
The goal should not be to make the face tight or dramatically different. It is to restore more youthful facial proportions and jawline and neck definition while preserving your natural facial features and identity.
A detailed examination of the face and neck would determine whether surgery is appropriate and which techniques and components would provide the most natural result.

Hello Jgb46
Thank you for your question and photographs. Whilst I am unable to visualise your eyes and peri orbital signs of facial ageing, you appear to have nasolabial folds, marionette lines, jowls and platysmal bands. The changes are consistent with mid and lower facial signs of ageing in addition to changes in your neck which can be addressed with lower face and neck lift surgery.
Following clinical examination by a specialist plastic surgeon experienced in face and neck lift surgery, you may be a good candidate for lower face and neck lift surgery. At consultation, the surgeon will be able to recommend the technique and approach most suited to your specific requirements.
Best wishes
Dr Sugitha Seneviratne (MED 0001154659, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery).

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.