Do You Need Good Bone Structure for a Lower Facelift to Work?

I have a weak jawline, I'm a female, I want to tighten moderatley loose skin and nusle. Woudl a lower facelift still work. I don't want to get implants or enhance my jawline at all.

Doctor Answers 15

Good bone structure is the cornerstone of a good facelift

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Your question is a great one, and you are correct: facelifts "work" better with good chin and cheek strength. They also last longer when well supported with good bone structure.

In general, chin and/or cheek implants can augment deficient bony structure, and are reversible if you really don't care for them. Fat transfer is a good second choice for those who are totally opposed to implants.

Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 230 reviews

Good bone structure helps a facelift but is not a prerequisite.

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You can still remove the excess skin and fat. If your chin is weak, a chin implant will give you additional "bone" structure you weren't born with.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Bone Structure for Lower Facelift

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Thank you for your question BeckyAnn.  Bone structure certainly will effect the results which will be achieved, however just because your bone structure isn't good, does not mean your results will not be contoured, maybe the results will just not be to your exceptions.  Depending on the deficient areas, fillers, implants or fat transfer could be used to ensure the results will be significant improved due to the help of creating a better facial structure.

Please seek out a board certified plastic surgeon in your area with an expertise in facial procedures.  Please have a private consultation to explore all options, see before and after pictures of previous patients, discuss your desired and achievable results and ask many questions.

All The Best!

Facelift result and good bone structure

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The simple answer is that a good bone structure certainly helps the longevity and final result for example of your neck line following a mini-facelift or traditional one. However it is also pretty straightforward to correct any facial bony imbalance with fillers or implants depending on what is deficient. For example, placement of a chin implant can correct the problem in most that require thia support and facial balance. Either way you will get a significant improvement just a lot more if their is good facial structure harmony. Your plastic surgeon if well trained should be an expert in this analysis and be able to sort through your decision making process.



Bone Structure and Lower Facelift

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Whenever a surgeon evaluates a face for a potential facelift, bony anatomy is observed. In some instances, if the lower jaw has always been weak adding a chin implant can be very helpful. However, very nice results can still be achieved without implants. Keep in mind, as we age our bones can recede and the mandible (lower jaw) is not immune from this problem.


Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Weak jawline and considering facelift

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Certainly having good bone structure helps enhance the results of any plastic surgical procedure.  Chin implants are one way obtaining better chin/jawline structure but not the only way.  Depending upon the exact deficiencies in your jawline you may be a candidate for microfat transfer and augmentation in these deficient areas.   

James C. Marotta, MD
Long Island Facial Plastic Surgeon
4.9 out of 5 stars 125 reviews

Bone structure and a face lift

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Before performing any facial procedure it is important for a surgeon to assess the patient's facial anatomy including the bone structure.  If the bone structure is lacking it is still possible to achieve very pleasing results with a face lift.  In this case the patient would expect to look just like she/he looked years ago. 

In my practice it is not uncommon to perform facial rejuvenation surgery in such a way that the patient not only will look significantly younger but also a bit more attractive than she looked years ago. This can be achieved with proper execution of the face lift (correcting appropriately all the deep structures, muscles, fatty layers, etc.)  and enhancing the bony structures with appropriate fat grafting and occasionally with facial implants.

Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
4.8 out of 5 stars 62 reviews

Facelift price reduction

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It sounds like you are an excellent candidate for a facelift for that would tighten and remove the excess skin and tighten the fascia overlying the muscles below. Watch my video. I am offering a recession temporary price reduction.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

Bone structure and lower facelift

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A facelift will certainly work even if you have a retrusive chin. The goal of a lower facelift is to tighten the muscles in the front part of the neck over the Adam’s apple then again at the jawline and along the zygomatic arch. In addition, excess skin is addressed. Fat in the neck is removed from both above and below the platysma muscle to give a new aesthetic contour. The chin implant is your own decision, but it does augment the profile and gives a better look to the facelift when performed simultaneously.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Neck and jowl lifts work for loose skin

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Generally, loose skin of the lower face, jowl and neck will respond well to a lower facelift. If a patient has  a weak chin and jawline, simple volumization with soft tissue fillers or fat grafting, thus avoiding implants, can enhance the definition they will achieve from the lift procedure. If a patient really does not want any enhancement of their under-projected chin or jawline, then a lower facelift alone, well executed, can achieve very nicely moderate aesthetic expectations and goals. Of course, always seek a consultation in person with a certified plastic surgeon who has experience and interest in facial rejuvenation before embarking upon any course of action from online information.

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 101 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.