Do I need a lower facelift?

Thank you for the photos. My opinion is that the best way I know to give you the best and longest lasting treatment is a lower face and neck lift. It all depends on what concerns you the most and what you are willing to do. Fillers do a great job of restoring volume which you need around your chin.
My lower face and neck lift is often performed with local anesthesia and sedation and firms the loose platysma muscle under your chin redefining your neck line. It also lifts the lower face volume up into the mid face and removes the excess skin. Results are very natural and recovery is 1-2 weeks. From that point, you will continue to age at your rate but will be ahead by what was accomplished. There are other non- surgical options i.e. lasers type devices, threads etc. but the results duration will be less.

All my best,

Dr. Stephen H Fink
Newport Faces Cosmetic Surgery

Thank you for your question and sharing your photographs.

Because do you have very low body fat, the contours of the lower face show more significantly and nonsurgical treatments are more likely to show their limitations.

A deep deep plane short scar facelift is likely to be the intervention more suitable for your characteristics in order to improve both the control of the jawline and the appearance around the mouth. It would also help with the slight laxity under the chin.

If when you are bringing the chin down there is more significant volume showing, a formal neck lift combined with the facelift could be a better solution. This aspect is not apparent from the photographs submitted.

You would do well with a minifacelift. I would not suggest just a neck lift since this will not address your lower face.