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.
Are Jowl Lifts Effective Long Term to Correct Early Signs of Sagging?
Doctor Answers 18
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.
Treatment Plan And Surgical Skill Will Be Beneficial
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.
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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.
The Ideal Facial Procedure for You & the Lasting Effects
During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed.
If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.
On average the surgical #results last between 4 and 7 years. However, people vary so much from one another, an exact time is difficult to provide. If you wish, you may repeat the procedure at that time. There is always an improvement compared to not having the procedure as the #aging process continues to progress throughout the future. Patients, with very loose skin will occasionally experience sagging earlier and it may be seen as soon as one year later. Such may require a secondary procedure to tighten the loose skin.
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.
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.
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.
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.
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.