Will I Need Fillers After Macs Face Lift Due to Uneven Jaw Line? (photo)

I had a macs face lift three months ago .I also had fat grafting to both cheeks as I had a thin face Unfortunately the fat just disappeared as my cheeks are still thin close to my mouth.I would like to know please will I need fillers to even out the jaw line ?I do not like injections and would prefer something more lasting than fillers which was why I had the face lift..I am pleased with the results but not completely so due to the jaw lines hollow on both cheeks.

Doctor Answers 6

Prejowl sulcus

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I see in the photo the slightly more depressed contour on the right.  This would take a significant amount of filler to correct which could get expensive.  For this reason, I would recommend a second attempt at fat grafting the prejowl sulcus.  This can be done safely ad comfortably in the office setting.

Definitive face lift needed

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The issue is unfortunately that while a MACS lift is appropriate for some, others like you will not see enough of a result to adequately correct your issues.  You need a true SMAS face lift which will adequately elevate your deep tissues enough to improve your jowls.

I would not recommend further fillers for these issues.

Will I Need Fillers After Macs Face Lift Due to Uneven Jaw Line?

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In my opinion based upon the posted photos your result is very minimal at best. Either revision lifting with correct implanted fat grafts or fillers can correct your issues. 

Fat grafts may need to be repeated

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Adding fat to the face during a facelift has been a wonderful addition to our repetoire. Unfortunately, not all the fat survives and it is not uncommon to need a second or even a third fat graft session.

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 83 reviews

Happy with Facelift Results except Hollowing of Cheeks

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     If there is a volume deficit that you want corrected permanently, fat grafting is a great alternative.  This may require 2 sessions to fill the areas.  Though some of the fat resorbs, it is usually only 30% at most. 

Uneven jawline

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Dear Fair Vanity,

  • There are different types of facelifts and they should be able to straighten the jawline and improve the neck contour
  • Without seeing you in person, I think there are a couple of options
  • A filler for the area just to the sides of your chin such as fat, Radiesse, Restylane or Juvederm
  • Fat grafts should be permanent, and sometimes a touch up is required
  • The second option is a more comprehensive facelift that will address those areas
  • I would bring up your concerns to your surgeon and see what he recommends


Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.