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.

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.

Based off your photos - there is deepened asymmetrical laxity of the mid and lower face (nasolabial folds, marionette lines, malar descent, jowling, smaller rhytids from sun damage and aging) - traditional facelift is likely needed with the incision in front of the ear around to the back side into the hairline to do some SMAS lifting and excess skin excision. Traditional neck lift to address the midneck platysmal bands, excess skin. Volume restoration with fat grafting (nanofat at the dermal skin level, microfat deeper for structural). Skin resurfacing in combination with the facelift or can be after (CO2 laser, chemical peels etc.)
There can be a potential for endoscopic approach first to see how your skin settles before committing to a full traditional facelift scar in front of the ear. Sometimes there are nice deep lines already present or enough skin laxity that having that incision in front of the ear is the answer. Without seeing the eyes and around them, hard to advise about needing upper face adjuncts like brow lift and more fat grafting + / - blepharoplasty.
Seek out a few different consults to see what you agree with most and are willing to take on the procedure / risk for. Good luck.

You would benefit from a facelift which includes the neck. The nasolabial folds and marionette deformities can be improved by the procedure.

Best Wishes,

Gary Horndeski, M.D.

A combination of face and neck lift, periorbital fat grafting and fillers for the nasolabial folds and marionette lines, would be my suggestion. Good luck.

The best option for improving the lower face and neck in most people is some type of facelift. In your particular case, the midface has descended, and you have prominent marionette lines and nasolabial folds. A deep-plane facelift and neck lift would release the retaining ligaments and allow for more complete correction of the neck, lower face, and midface.

This approach can improve the neck contour, jawline definition, and the areas around the mouth, creating a more balanced and natural overall rejuvenation.