Most Effective Facelift Procedure on Jowls, Eyes, Neck?

Doctor Answers 10

Best Facelif Procedure for Jowls, Neck and Eyes

Traditional facelift (SMAS) combined with a neck lift and a forehead lift will be the answer. Deep plane facelift will do the same and might do it better for the jowl areas.

For the eyes, if the brows are low then you need a browlift along with facelift. If there is too much skin in the upper eyes, then you need a blepharoplasty (eyelid tuck) which is completely separate from the facelift.


Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 104 reviews

Effective facelift.


There are at least 6 different facelift techniques, and they all produce good results in the right hands. So what you really need is an effective surgeon. And "effective" does not just mean someone who can cut and sew well. It means someone with a good eye and a commitment to excellence, who can figure out exactly what to do for your particular anatomy.

Go to a board certified plastic surgeon, and ask to see a lot of before and after pictures. My web site has links to the plastic surgery societies, where you can get names near you.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Facelift Combined With Other Rejuvenations

A traditional rhytidectomy (SMAS facelift) will address the lower face and jowls by lifting the skin and underlying muscles up and outward for a natural lift and rejuvenation. To truly look rejuvenated, however, it is generally best to do some volume restoration with fat grafting to the midface, using the patient's excess abdominal fat. If the neck is significantly sagging and/or has excess submental fat or skin, then liposuction under the chin plus a plastysmaplasty to tighten the neck muscles and remove excess skin may be needed. A chin implant can be added to create a more angulated, sleeker and stronger jawline.

The eyes are not addressed during a facelift. If there is excess or droopy skin around the eyes you may need an upper blepharoplasty and/or lower blepharoplasty. Which of these procedures are needed in your particular case can only be answered by a face-to-face consultation with a board-certified facial plastic surgeon. I hope this helps.

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

Most Effective Facelift Procedure on Jowls, Eyes, Neck

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.
If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are patients 35-60 years old with early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.
Lite Lift™ surgery is individualized for each patient. The best candidates for Lite Lift™ surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined and do not smoke.

It is also possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 110 reviews

What does facelift target?

In some patients neck liposuction, fat grafting and other procedures to the eyes or forehead are done concurrently but none are ever part of the facelift. The basis of a facelift is to enhance the soft tissue from about cheekbone through and including the neck and jowls.  It is best when it does not pull the skin rather it is repositioning of tissues under the skin and then re-draping the skin over the more youthful understructure. The quality of the skin, loss of volume, or descent of tissues can only be accessed by a physical exam. Also each surgeon has a technique which works in their hands.  I would also be less concerned about the plane of dissection and more focused on before/after and comfort with the surgeon.  Consult with a board certified plastic surgeon to get a detailed exam and treatment plan. Most have complimentary or low cost consultations.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 35 reviews

Most Effective For Face and Neck

The most effective face procedure for the face and neck is a comprehensive, anatomically correct facelift.  Facelifts which can lift the appropriate layer can lead to long term, natural rejuvenation.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 166 reviews

Comprehensive face/neck lift is most effective

A traditional comprehensive face/neck lift is the best option for addressing jowls, neck fat which is located above and below the platysma, neck cording, within anterior platysmal bands and excess skin both in the neck and facial areas. If eyes appear tired, blepharoplasty can help.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Facelift - jowls - neck and eyelids

Your question may be more accurately answered if photographs showing your concerns were attached. It is hard to buy clothing for someone without knowing their size or cook a meal without knowing what ingredients are available.

In general, the upper eyelids can be improved with a removal of extra skin (if present) & fat. Occasionally, the brows / forehead may need to be repositioned for optimal improvement.

I prefer to do a laser vertical Facelift technique for problems with the jowls, cheeks and neck. You can look at the pictures I've included on this web site. I can do a SMAS Facelift but a lot depends on your facial shape.

Michael Kulick, MD, DDS
San Francisco Plastic Surgeon
4.3 out of 5 stars 12 reviews

There is not single most effective facelift procedure

Dear Jan

There is no single best facelift for everyone. One thing we know is that cookie cutter surgery is a bad idea. Certain proprietary facelifts try to mass market the idea that a quickie facelift will solve all the facial concerns. This is simply not true. The single most important aspect of a facelift is a well trained, artistic, caring surgeon. Facelift must be tailored to the needs of the individual. The eyelids are addressed by eyelid surgery and not a facelift. The eyelid surgery can usually be done at the time of the facelift.

Recognize that in a small market like Chico, your best course maybe to find a surgeon in a larger market such as Sacramento or the Bay Area. Face lifts surgeons should be board certified, with no disciplinary action by the California Medical Board. Make sure that the surgeon maintains hospital privileges and has medical malpractice insurance. Carefully study their before and after photos and make sure you like what you see.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Every face has an individualized plan...

The most effective procedure for anyone and in the areas you mention should be tailored to your specific problems and result in a natural and balanced appearance. A facelift will improve the area from your lower nose downward to the neck including the jowls. A blepharoplasty will improve your eyes. Sometimes a cheek lift is added for the area between the eyes and facelift. However, there is no generic "best" procedure for any of these since some patients may benefit from different variations of the techniques available.

You should focus on understanding what your plastic surgeon is suggesting as options for your face. Make sure you have all your questions answered and have developed trust with him/her. If needed, get another opinion to see what variations of the procedures are available. Most surgeons are comfortable with multiple versions so as to tailor the procedure to each individual.

Ricardo Izquierdo, MD
Oak Brook Plastic Surgeon
4.1 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.