Facelift Disproportionately Fat Face?

It is usually not appropriate to do a facelift procedure on a thirty-three year old patient. If the problem is truly a disproportionate fat face, liposuction could be considered an option in the neck area however, I highly discourage liposuction to the face. Facial fat is very important and it is lost naturally as we age. Therefore, I do not recommend liposuction or removal of fat to the face and I do not recommend a facelift for the reason of facial fat only.  

It is difficult to asses you without pictures but most likely you would not be a candidate for a facelift.  First of all, patients who complain of excess "fat" in face or neck or any other portion of body should use diet and exercise as means of addressing.  In some cases, neck and facial fat is resistant to changes here despite making an admirable effort in slimming down.  Facial liposuction is typically a bad idea in a face because it can leave subtle irregularities in the skin contour, while neck liposuction is safe to perform.  

All faces are different and in your case analysis with a surgeon may help achieve a better balance and proportion to your face and could include buccal fat removal, botox facial reshaping, use of facial fillers to just simply recommending a good diet and exercise plan.

In younger patinets with excess fat in their faces SmartLipo or Laser Lipolysis with liposculpture is an option and in fact we performed this yesterday on a 21 year old with a hereditarily large face with double chin. It can effect significant improvement and in some patients buccal fat is removed to slim the face as well. The laser lipolysis cause skin contraction to occur so you do not have to have excess skin removed.