Would I Benefit More From a Lower Facelift & Neck Lift or Chin Liposuction & Chin Implant? (Photos)

Question

Based on my photos, would a lower facelift and neck lift improve the downturned corners of my mouth, or is that issue more related to muscle activity and therefore unlikely to improve significantly with surgery? Also, I am wondering whether chin liposuction combined with a chin implant would be enough to improve my neck and submental fullness and create a more defined, V-shaped lower face. Or, based on my anatomy, would a lower facelift and neck lift be necessary to achieve that result? I am 39 year old. Thank you for your input.

Frank Agullo, MD · Answer

On the corners of your mouth, yes, your instinct is right. Pulling your face and neck upward has no effect on downturned corners, because the depressor muscle causes that, along with tissue hanging into your marionette groove. That gets Botox to the muscle, a little filler into the marionette, or a small corner lift. A facelift will not fix it. Your neck and jaw are another story. What I see on you is fat fullness under the chin and a chin that could project more, not loose sagging skin. Liposuction and chin implant would help, but there are deep structures that will keep your neck having some fullness. A lower facelift and neck lift would give the sharpest results. I would still consider the chin implant.

#StayBeautiful,

@RealDrWorldWide

#StayBeautiful,

@RealDrWorldWide

David Hill, MD · Answer

The most critical determinant is how your neck looks when you contract your platysma muscle (when you try to show your neck muscles). If there is fat superficial to that muscle, liposuction will help. If you can only see muscle everywhere it'll be a platymaplasty or a necklift. If you have large salivary (submandibular) glands, gland reduction will be necessary. A chin implant or chin fat grafting will help, and can be done in conjunction with any of the above. For the corners of the mouth, a corner lift or facelift would be the only real improvements for that specific area.

Gary M. Horndeski, MD · Answer

An alternative to consider would be an eccentric lip lift, not a bullhorn lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000. You may also benefit from a chin implant and liposuction of the neck.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Mike Majmundar, MD · Answer

You have 2 major concerns: the corners of your mouth and the heaviness under your chin.  At 39, you have several options.  Option one is using Botox at the corners of the mouth and see if this helps the corners.  Most likely you’ll need to combine this with filler in the nasolabial fold and at the corners of the mouth.  For the neck, you have some heaviness but it looks like you may also have some skin laxity here.  As such, undergoing neckliposuction with a skin tightening modality such as renuvion or facetite would work well.   Option 2 would be a deep plane facelift with neck liposuction should help all of the above concerns.  Even with the second option, you may still need Botox at the corners of your mouth  afterwards so it’s worth trying this first. Good Luck!

Would I Benefit More From a Lower Facelift & Neck Lift or Chin Liposuction & Chin Implant? (Photos)

Answers (4)

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