Can't get any doctors to do lower facelift: Say not enough skin. True? (Photos)

Dear rdinca,  Thanks for submitting your pictures . The jawls are the reason for your square appearing face. It is not a skin problem, eventhough by pulling the skin flaps more vertically it will improve your appearance. Elevating the fatty jawls will give you your desired look. All that can be achieved with MACS face lift technique . Consult with board certified plastic surgeons who are familiar and experienced with the MACS lift technique. Check their before and after pictures to make sure that they are able to deliver to you your goal.                 Best of luck,                                     Dr Widder

The photographs are not complete enough for a formal opinion. However, if three surgeons advise you against a procedure it probably means you are expecting more than operation can deliver.

Age is not the most important factor in determining if a patient is ready for a facelift or neck lift, skin laxity is. In general younger patients have better results with facelifts as their skin is more elastic. I can’t tell from your photos what procedure would be ideal to recreate the heart shaped face you desire, but I cannot rule a face lift. Other possible options are a midface lift or fat grafting which I tend do more often in younger patients.

Good luck, I hope this helps you.

This may be reasonable, but an exam in person to determine tissue laxity is imperative.Kenneth Hughes, MDLos Angeles, CA

I never look at the age of the patient I look at the face, skin laxity and bone structure of the person sitting in front of me. I can see (just!) from the photos you have posted that you are beginning to lose that beautifully defined jawline you had before. A MACS type lift would work brilliantly in your case in my opinion. This could be performed under strict local anaesthetic in an appropriately equipped office.

The pictures you have shown are a little difficult to completely evaluate.   You may consider RF technology or HIFU before you consider a facelift.  These two devices both offer some skin tightening with very little down time and very little risk.  If these treatments are not successful, and you still feel that your face is droopy, then a consultation with a surgeon may help answer some of your questions.  Facelift surgery is a powerful tool, and offers the patient significant improvement in lower facial laxity

It's difficult to see from your pictures, but if you can pull on your upper neck and see improvement in the mirror, it is very possible that a surgical procedure may help. I have developed a small incision jawline and neck lift for younger patients that I termed the Micro-Mini Lift. From what you are saying, you might well be a good candidate for it. 

With very poorly posted photos and no in person examination can not comment over the internet if you are a candidate... 

rdinca, can't be specific, photos are not the best. Appears that you may benefit from a mid-face lift or perhaps a cheek implant. Good luck!

Your pictures are very hard to see, but it appears as though you would benefit from a surgical procedure. The SMAS technique is not designed to work in someone like you unless the surgeon is very skilled and can modify it to fit your needs. The MACS Facelift was developed initially for younger individuals. I and others have now modified it for use in everyone. It elevates less skin, tightens the underlying tissue by elevating it (a SMAS Lift rotates the tissue), and, frequently, is done without a scar behind the ear (a SMAS Lift always requires such a scar). See TodaysFacelift.com for more information.