Are Jowl Lifts Effective Long Term to Correct Early Signs of Sagging?

I'm 41, and I'm considering a jowl lift vs a mid face lift to correct sagging jowls. I don't have issues with my neck, however.

Doctor Answers 17

One really needs to pin down what the surgeon is talking about.

Just because you pose the question does not make one a "good candidate for surgery."  At age 41 you have many options short of having a lower facelift.  This can include chin fillers, focal liposuction, and small incision lower facelift.  Theoretically a midface lift can help the jowl.  The so-called jowl fat is the bottom of the malar fat pad.  Only a small amount of it comes from the side of the face.  

However, most so-called midface lifts pull from the temple creating a horrible sweep into the temple area.  The results are most unnatural.  The jowl fat does not come from the temple area.  Rather it comes from the top of the cheek under the eye and vertically drops.  It is possible to vertically lift the fat.  However, these are extremely  large surgeries.  An extremely viable option is to have filler in the lower eyelid hollows and fillers in the chin just inside the jowl.  The effects last 1 to 2 years and can easily take 10 years off the face without the wind swept look.  This can help you put off a facelift until 50 or that point were you can't hide the neck cord.


Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Treatment Plan And Surgical Skill Will Be Beneficial

The management of facial aging varies from patient to patient and depends on their physical findings and aesthetic goals. For these reasons it’s difficult to provide a definitive treatment plan without a physical examination or pictures. These procedures need to be tailored to the individual patient to obtain an optimal result. Based on your history and age, a conservative facelift variant is probably indicated.
How long the results of these procedures last depends on a multitude of variables. These include the patients wound healing characteristics, genetics, life style and the surgeons technical skill.
If you’re considering facial rejuvenation surgery, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your concerns.

Jowl Lift vs Midface Lift

Every good facelift will improve the jawline by repositioning the jowls. A midface lift is designed to reposition the cheek tissues next to the nasolabial creases - a procedure that is not used that commonly any longer. If your neck is good, then focussing on re-tightening the SMAS layer for jawline improvement would be the way to go. We usually combine these lifts with facial fat grafting - volume loss is normally part of the early aging.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 44 reviews

Lower Facelift

Thank you for your question.  I have a lot of women your age suggest that they do not want a whole traditional facelift under general anaesthetic.  Firstly, they only want to target the lower face especially the jowls and secondly, they do not want the long recovery period.  Overall, this lead me to pinooeering Concept Facelifts.  They are unique due to the ability to be able to perform the procedure under a local anaesthetic whilst delivering the same surgical result that a traditional facelift would deliver but also using a small scar technique, as well as reducing the amount of recovery time.  This is due to the distinct lack of bruising and swelling.  The Concept Facelift is able to deliver patients, a natural look, rejvenating their lower face, making them look youthful.  This procedure approximately will last between 7-10 years, the same of a traditional facelift.  I would suggest this procedure as it is still less invasive than a traditional facelift, therefore not having the long downtime, but will definitely target them jowls, making them tighter.  It will depend on the overall result you are trying to achieve, to ensure your desired appearance.   Please find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  Best of Luck

Jowl Lift

Based on your age and indications (jowls), the procedure that is most likely to address your problem is a SMAS-based mini lift (S-Lift, etc.).  A mid face lift will not address jowls in any fashion.  A well performed mini lift should last 7-10 years.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 81 reviews

Facelift should improve jowls

A typical facelift should improve the jowls. How long it lasts though, is unknown and depends on genetics, sun exposure, smoking history, and the quality of your skin. Age 41 is not too early to consider this procedure.

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 69 reviews

Effective Treatment for Jowls

In my practice the only effective treatment for jowls is a combination approach using a lower face lift, judicious fat resection, and some micro grafting of the jawline in front of the jowl. ( what some surgeons call marionette lines)  A midface lift addresses the area above the jowls, the nasolabial fold.  

Mark A. Schusterman, MD
Houston Plastic Surgeon
4.9 out of 5 stars 77 reviews

Jowl lift for early signs of sagging

If the jowls are the only aging issue that is present at age 41, a simple tuck or mini-type facelift will probably be all that will be required. A mid facelift is not the preferred method of rejuvenation in our practice.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 125 reviews

Jowl Lifts

A midface lift, which is used to treat the triangular area of your face from the lower eyelids down to the corner of your mouth will have no effect on the jowls. A facelift procedure can be modified to address your particular needs. Many women choose to have smaller procedures at a younger age to maintain their appearance, rather than waiting until more extensive rejuvenation surgery is necessary.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 37 reviews

Facelift for" Jowls"

Lifting your "jowls" should really involve a facelift not a a mid face lift.  A face lift will give you correction of the "jowls".  It is difficult to give you an absolute number of years that correction will last.  It depends on many factors that vary between patient to patient such as general health issues that may develop over years that affect the skin and lack of maintenance of healthy skin (sun tanning).  There is one event that is common among all people that no plastic surgery can help you fend off which will change the long term result--AGING!

Dr. ES

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.