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

Your photos appear to show a lean face with mild to moderate lower-face/jowl laxity and some upper-neck looseness. When the main issue is sagging skin and deeper facial tissues, the most reliable correction is usually a lower facelift with a neck lift, often with SMAS or deep-plane support and platysma work if the neck needs it. Fillers or fat grafting can help selected volume loss in a very thin face, but they will not truly lift loose skin and can look heavy if used as the main treatment.

An in-person exam is important to check skin quality, platysma bands, submental fullness, chin projection, and how much laxity is present. Energy devices, threads, or skin tightening may give only modest improvement, so if you want a meaningful jawline and neck change, consult board-certified plastic surgeons or facial plastic surgeons who do many face and neck lifts and ask to see similar thin patients. The goal should be a natural lift rather than simply pulling the skin tighter.

Hi Jgb46, from what you describe, sagging that involves both the lower face and the neck usually comes from the deeper support layer descending, not just loose skin. When that is the case, tightening skin alone tends to look pulled and does not hold. A deep-plane facelift repositions the deeper tissues, the SMAS and the platysma muscle, and it is usually combined with a neck lift, because the lower face and neck are physically connected and rarely age separately. Being slim can actually help definition once the deeper layer is lifted, though your skin quality and how much laxity you have will shape what is realistic for you. I would not judge which operation you need from photographs. The honest answer depends on examining your tissue tone, the position of the deeper layer and your neck in person. I operate only on faces, and this is the decision I spend most of a consultation on. Please see an experienced facial surgeon in person before committing to anything.