I'd like to correct whatever is happening with my neck/jawline/lower face. The asymmetry has always bothered me, and now early signs of aging have only exacerbated the issue(s). My cheeks are starting to droop too. I'm tired of wasting money on fillers. I'm 37.
Answer: Normal ageing in the mid-30s What I see in your pictures is reflective of normal ageing. Let’s look at the issues you mention. First, the two sides of the face will never be perfectly symmetrical; they are sisters, but not twins, so I wouldn’t focus too much on this. To your point regarding fillers: I always caution my patients about too much filler; after a while and into one’s late 30s, filler ends up distorting the natural anatomy, and overstretches the skin. The chin implant you mention is difficult to evaluate, because a true profile picture would be needed to accurately judge if this would be beneficial. What I see is some slight laxity of the skin, and a bit of excess submental fat under your chin. A physical exam would be much more helpful than photos to determine the best solution. It could be that you would be very happy with neck liposuction to address the submental fat, and RF Microneedling to tighten the skin of the lower face and neck. I recommend consulting with a board-certified plastic surgeon to discuss your concerns and develop a personal treatment plan for you.
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Answer: Normal ageing in the mid-30s What I see in your pictures is reflective of normal ageing. Let’s look at the issues you mention. First, the two sides of the face will never be perfectly symmetrical; they are sisters, but not twins, so I wouldn’t focus too much on this. To your point regarding fillers: I always caution my patients about too much filler; after a while and into one’s late 30s, filler ends up distorting the natural anatomy, and overstretches the skin. The chin implant you mention is difficult to evaluate, because a true profile picture would be needed to accurately judge if this would be beneficial. What I see is some slight laxity of the skin, and a bit of excess submental fat under your chin. A physical exam would be much more helpful than photos to determine the best solution. It could be that you would be very happy with neck liposuction to address the submental fat, and RF Microneedling to tighten the skin of the lower face and neck. I recommend consulting with a board-certified plastic surgeon to discuss your concerns and develop a personal treatment plan for you.
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August 27, 2021
Answer: Chin implant platysmaplasty You appear to have platysmal bands and a somewhat recessive chin with good overall elasticity. I think that a chin implant and platysmaplasty with a bit of jawline liposuction would provide a nice result. There is only one small incision needed which is beneath the chin. The recovery is much more rapid than a traditional facelift.
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August 27, 2021
Answer: Chin implant platysmaplasty You appear to have platysmal bands and a somewhat recessive chin with good overall elasticity. I think that a chin implant and platysmaplasty with a bit of jawline liposuction would provide a nice result. There is only one small incision needed which is beneath the chin. The recovery is much more rapid than a traditional facelift.
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August 26, 2021
Answer: Face and neck lift You would seem to be a candidate for a lower face and neck lift. I don’t think a chin implant is totally necessary. I don’t see a need for fat grafting.
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August 26, 2021
Answer: Face and neck lift You would seem to be a candidate for a lower face and neck lift. I don’t think a chin implant is totally necessary. I don’t see a need for fat grafting.
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August 26, 2021
Answer: Neck vs. face/neck lift It would be very difficult to give you good advise without in person evaluation. I am not sure that chin implant is needed. However, only on the basis of in person consultation one could decide whether neck lift with liposuction or lower face/neck lift is better solution in your case. In person consultation with a board certified plastic surgeon, expert in facial rejuvenation, is recommended. Good luck.
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August 26, 2021
Answer: Neck vs. face/neck lift It would be very difficult to give you good advise without in person evaluation. I am not sure that chin implant is needed. However, only on the basis of in person consultation one could decide whether neck lift with liposuction or lower face/neck lift is better solution in your case. In person consultation with a board certified plastic surgeon, expert in facial rejuvenation, is recommended. Good luck.
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August 26, 2021
Answer: Would a lower facelift and chin implant be advised? A necklift only addresses the neck skin laxity. It will not improve the jowls or cheeks. A mini-lift and a midface-lift also vary significantly in what is done, depending on the surgeon performing it. They are usually performed in patients with minimal laxity and would not improve the neck. The terms facelift and lower facelift mean different things to different patients and vary in their extent from surgeon to surgeon. A facelift or a lower facelift which would include the neck area would have the potential to produce the best cosmetic result of the neck, central cheek and jowl area. Micro-fat grafts can produce a long term improvement of the areas that are volume deficient.
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August 26, 2021
Answer: Would a lower facelift and chin implant be advised? A necklift only addresses the neck skin laxity. It will not improve the jowls or cheeks. A mini-lift and a midface-lift also vary significantly in what is done, depending on the surgeon performing it. They are usually performed in patients with minimal laxity and would not improve the neck. The terms facelift and lower facelift mean different things to different patients and vary in their extent from surgeon to surgeon. A facelift or a lower facelift which would include the neck area would have the potential to produce the best cosmetic result of the neck, central cheek and jowl area. Micro-fat grafts can produce a long term improvement of the areas that are volume deficient.
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