Mini Facelift and neck tightening - which procedure would you recommend? (photos)

I would recommend a face and neck lift and not a mini lift. It’s hard to make a determination on your upper eyelids because you are looking down in two photos and the first is taken from an unusual angle. A facelift is definitely recommended and it’s best to have a personal consult on the other procedures.

These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

Hello, and thank you for providing photos along with your question. Based on the signs of aging on your lower face (sagging skin and jowl formation), you may benefit from a mini facelift and neck lift –these procedures are often combined for a more comprehensive outcome. A mini facelift is a minimally-invasive surgical procedure that’s less aggressive than a traditional facelift and can address early signs of aging, such as slight jowl formation and mild to moderate skin laxity.

Those who have significant skin laxity that has led to the formation of a “turkey neck” will also benefit most from a neck lift surgery. A neck lift procedure can also address submental fat that has formed under the chin and horizontal banding that can develop when the underlying muscle loses some of its firmness.

As for your eyes, you may consider a brow lift or upper blepharoplasty to refresh the appearance of your eye area. Specifically, an upper blepharoplasty will remove excess fatty deposits that create the puffiness above the eye. To determine your eligibility for these procedures, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin quality and facial profile, recommend the best procedure or combination of procedures, and ensure the best possible outcome.