Lower face lift for 26 year old? (Photo)

Question

I am a 26 year old female, 5’6, 139 lbs, not overweight. I have always had fuller cheeks and an undefined jaw line. Turkey necks run in my family. I always have a double chin in pictures. I’ve done research on Kybella and Ultherapy treatments but given my jowls, I am thinking I may need a more dramatic treatment. Let me know your thoughts! Thanks!

Jonathan Kulbersh, MD · Answer

Thank you for posting your question and photos. The double chin appearance you’re referring to is most often caused by accumulated submental fat, a feature that can often be genetic. You would most likely benefit from facial liposuction or a minimally-invasive neck lift.

With liposuction, a narrow cannula can be used to strategically remove the excess fat and sculpt the treatment area for a well-defined jawline. During a neck lift procedure, excess fat is also removed via liposuction and deeper tissues along the jawline are tightened and lifted to provide a smooth, refined appearance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and help you select the best approach.

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  I would suggest that neck liposuction could be used to remove the fat under your chin, giving you a L shaped slender neck.  As you are young your skin should be elastic enough to retract back, especially as the liposuction can help make the skin shrink.  Please make sure you find a reputable and qualified plastic surgeon.

Zoran Potparic, MD · Answer

Based on your photos and short of in-person evaluation, it is my impression that liposuction of the neck and along jaw line would create improvement you desire. It is possible that you may also need removal of deep fat underneath platysma muscle and rearrangement of anterior neck muscles by means of anterior neck lift. This is done through a small sub mental incision (underneath chin) in twilight anesthesia. Recovery is fast without much of postoperative discomfort. Good luck.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  From the photos your cheeks are flat in the front, jowls are present mainly on the right, the chin is weak with some excess fat and skin under the chin.  These factors combine to create an elongated, rectangularly shaped face. 
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  When the cheeks are flat or concave in the front, Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
 A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I have found placement of a silastic chin implant, through a small curved incision under the chin (also allows excess fat and skin removal) to be very safe, quick and highly effective.
 If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
 It's not unheard of that a 26 year old would have jowls, though it's not common.  In my experience and humble opinion it's reasonable for you to consider shaping the cheeks and chin (an under chin area) alone or to combine these with a minimally, invasive type SMAS facelift described above.Hope this helps.

Lower face lift for 26 year old? (Photo)

Answers (5)

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