I'm unhappy with my hanging cheeks, jowls and jawline. What options do I have to correct these areas? (Photo)
Doctor Answers 13
Face/ neck lift and chin implant candidate
Facelift for hanging cheeks, jowls and jawline
Unhappy with hanging cheeks, jowls and jawline
Best wishes! Harry V. Wright MD, Sarasota, Florida
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Sagging Face -- Fillers/sculptra, Thermi, Thermage/Ultherapy/Venus Legacy, Viva Resurfacing; Neck/Face Lift
Lower face and jowls
If you accept this fact and agree you need a facelift; the question then becomes how can I do this as easy and safe as possible and still get a great result.
My suggestion is look into having a local anesthesia facelift with some simple oral sedation. I have been doing all my facelifts this way for the past 10 years. It removes nearly all the risk of the surgery. It decreases the amount of surgical bleeding remarkably. It lessens the post-operative swelling and black and blue of the recovery period. You are up and around very comfortable in a day or two and the degree of surgery and result is just the same as what I did for 20 years with general anesthesia.
So the main reason to be anxious about a facelift..".the anesthesia process"...is removed from the equation.
The jowls, neck, and naso-labial line will all be much more youthful looking and appear totally natural after a well-done facelift. The results should also last a good ten years.
Lasers, fillers, threads, suspension, cool-sculpting, Ultherapy will not get you anywhere near the degree of result as a good standard facelift will......and since I can do it very comfortably and painlessly with oral sedation and local anesthesia...It it the best way to go.
Hi consider a mini-facelift under local anesthesia with mild sedation. This will correct your jowling with minimal swelling, bruising and downtime.
Best Non invasive options for face and neck lift
The best option by far, otherwise, would be to perform a modified extended deep plane lift in the face and neck. This is the most substantial, natural and long-lasting change you will see of any lift I have seen. The results are very very natural and the before and afters are quite impressive. The benefit is that you can avoid unpredictable fat grafting and not worry about other procedures. The AuraLyft is a procedure that improves the area around the lateral eye and brow all the way down to the collar bones. This can be performed using only local anesthesia.
I'm unhappy with my hanging cheeks, jowls and jawline. What options do I have to correct these areas?
In reality you would benefit from a Face/Neck SMAS Lift.
Unhappy with my hanging cheeks, jowls and jawline.
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation using a dermal filler (I prefer Restylane Lyft) or with cheek implants for a permanent enhancement will create full, round cheeks anteriorly that will feminize the entire face.
A weak chin creates an imbalance making the nose appear larger, the lower face short and the mid face appear top heavy while de-emphasizing the lips and allowing early "double chin" formation. Chin augmentation, using a chin implant, will add projection to the chin creating harmony and balance to the lower face. I have found placing a silastic chin implant through a small, curved, incisions under the chin to be very safe, quick, highly effective and far less invasive than a sliding genioplasty that requires bone cuts with placement of screws and metal plates. I perform chin implant surgery, in 30 minutes or less, often using a local anesthetic alone.
I tell potential facelift patients to think of creating a more beautiful or handsome face by working on three tissue levels. The bony structure should be appropriate to make a woman’s face heart shaped and a man’s face chiseled and angular which is described below. Next the fatty layer should be reduced or shaped allowing the shape to be seen and finally excess SMAS and skin evidenced by the presence of jowls) should be removed from the face and neck.
Jowls are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane and subperiosteal facelifts) but with these added benefits:
•very small incisions
•minimal tissue dissection = less bruising and swelling = rapid recovery
•can be performed in 90 minutes or less, with or without anesthesia
•no incisions within the hair = no hair loss
•excess fat can be removed
•excess skin removed
•cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
•most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
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.