Marionettes & jowling, is a facelift a good option for me at 24? (Photos)

Hello Modest9317,
In my experience, young patients who complain of jowling and marionette's lines tend to have small chins. The chin doesn't have enough projection and volume to support the structure around the mouth. A mini facelift would not be a good enough option. From what I can tell in your pictures, a better option would be a short scar deep plane facelift and chin implant placement. My youngest deep plane facelift patient was a 25yo professional cosplay artist who wanted a V-shaped face so that she could stop using facelift tapes to get the shape she wanted when in costume. The procedure worked perfectly but most surgeon's would have turned her away.
If you are willing to accept the risk of surgery, you may be a good candidate for a deep plane facelift and chin implant.
Good luck,
Dr. Shah

Based on the photos you provided, the focus can be on the lower face (chin and neck area), where there seems to be noticeable sagging. To address these concerns, I would recommend a lower facelift procedure. A lower facelift will help lift and tighten the chin and neck area, giving you a more youthful appearance. The SMAS (Superficial Musculoaponeurotic System) facelift targets the deeper structures of the face, such as muscles and connective tissue, providing more permanent and natural results. This technique effectively addresses sagging in the lower face and provides long-lasting rejuvenation. To offer you the most accurate recommendation, I would need to perform a physical examination.

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

At age 24, you are at the prime of your life. We all have certain areas of our face and body that we are concerned about. We are truly our worst critics. All surgery has some downsides and complications can occur. From what I see, a minifacelft would not be indicated. A localized surgical excision would help, but scars would be present. At this point, I would consider fillers.

Thank you for your query. A facelift is probably the best procedure to fix marionette lines along with jowls in middle aged or older individuals. It may not be a good option for you as it may be too aggressive an approach at your age. However it will be best to you can find an experienced board certified Plastic surgeon who specialises in facial rejuvenation He/she can examine you , offer you different options and help you in making a decision. All the best!

Hello; For a 24 years old; you have had too much done. You say that; you have sagging cheeks; but, you have had treatments; which will loosen for the cheeks; such as melting cheek fat, bichectomy. These treatments; can cause for looseness in the cheek skin; even in people, who do not have loose cheeks. Mini facelift type operations; as the name refers us, are "mini". Therefore, they do not affect for marionette lines. In order to tighten your cheeks; you can have PLA (Polylactic Acid) injections; that increase for subcutaneous thickness and collagen production as well. This is a product with a low volume affect; but, provides for a high tightening affect. You will benefit significantly from 2 sessions of Sculptra or Lanluma injections; that to be done 1.5 months apart.

You may be too young for a facelift. You can consider some fillers in the marionette lines in very experienced hands to improve results.

Hello,
You’re wise to take a step back and reflect on your current treatments and how they have or haven’t helped you to reach your goals.
With advancements in both surgical and non-surgical treatments, individuals in younger ages find themselves questioning whether they should opt for lifting or wait until visible aging signs necessitate intervention.
Understanding that non-surgical treatments can’t achieve surgical results is essential. They can be valuable for minor adjustments and maintenance but are not designed to tackle sagging, structural changes, or the more dramatic results that only a well-performed facelift or reshaping surgery can provide.
Non-surgical options are widely available and marketed as “quick fixes,” so it’s easy to fall into the trap of relying on them without considering their limitations. Non-surgical treatments, while useful in specific cases, may merely delay the need for surgery for some, whereas for others, they could be a temporary and sometimes ineffective solution.
The answer on what’s best is not one size fits all. In fact, even for lifting there are two distinct groups of individuals, each with unique requirements.
Group 1: The Aging Face – Lifting to Combat Sagging and Skin Laxity
The first group consists of individuals experiencing noticeable aging, where time has led to sagging skin, wrinkles, and a loss of youthful contours. These are typically older patients whose skin laxity and sagging are beyond the reach of non-surgical treatments. For them, a facelift serves as a transformative option to lift, tighten, and rejuvenate, restoring a natural, youthful appearance.
Group 2: The Young Face – Reshaping
In contrast, the second group comprises of younger individuals who may not have deep (or any) wrinkles or significant sagging but are unhappy with their facial shape or contours. A younger patient might seek to adjust the jawline, enhance cheekbones, or subtly improve facial proportions. In such cases, the procedure resembles a “face contouring” or reshaping surgery more than a traditional facelift. The goal here isn’t lifting to address wrinkles, but lifting and contouring to achieve a balanced, aesthetically pleasing face shape.
For these patients, a surgeon skilled in precision reshaping can work wonders, repositioning muscles, defatting where necessary, and subtly enhancing contours. This form of face reshaping can create a long-lasting impact without introducing the risk of “premature aging” that fillers sometimes cause when used to reshape rather than restore lost volume.
A key distinction in both facelift and face reshaping procedures is the expertise required. For older patients, a facelift’s success lies in the ability to work with aging tissues, reposition muscles, and remove sagging skin. For younger patients seeking reshaping, it’s about understanding facial anatomy to deliver natural results without over-correction.
While accessible, non-surgical options—such as fillers, lasers, and injectables—are popular and seem attractive, they often fall short in addressing these deeper structural issues. Non-surgical procedures cannot deliver surgical results. Even the most advanced non-surgical treatments may buy some time, but they are rarely a substitute for surgery. Worse, an overreliance on fillers or other injectables can lead to an overly “puffed” look, accelerate aging, or even complicate future surgeries by altering the natural tissue structure.
A well-performed facelift, on the other hand, can reposition muscles, remove excess fat, and tighten skin in a way that no non-surgical approach can match, offering a more profound and lasting solution for mature faces.
In both cases, selecting a surgeon who possesses a nuanced understanding of the aging process, the limits of non-surgical options, and the specific techniques for surgical lifting and contouring is paramount. A skilled surgeon can help patients make decisions that not only address current goals but also consider how treatments may affect aging over time.
The key is a clear understanding of one’s goals, a realistic assessment of what each treatment can achieve, and choosing a surgeon with the skill to bring that vision to life.

i recommend the endoscopic deep plane temporal and cheek lift t surgeries to fixing your nasolabiel folds the droppy cheeks,mouth corners,the under eyes area the upper eyelids to remove the extra skin this procedure will make your eyes looks more attractive and fresher

Good morning. Someone needs to tell you. It seems you have already seen several good and several bad doctors.

It is clear to me you have body dysmorphia. You are currently overdone and are traveling down a path toward deformity not beauty.

See a specialist in Body Dysmorphia for the proper help. Really, not an insult, a solution.

Good luck to you.