Would a lower facelift and chin implant be advised?

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.

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.

It is important to realize that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California