Do I Need Lipo or a Facelift? (photo)

The changes in contour that your have described are common. The laxity and descent of the cheek fat pads tends to roll around the more fixed mouth muscles which leads to jowling and submental skin excess.  Performing liposuction of the submental region regardless of the method used will help remove volume but will not typically address the skin issue. Fat grafting will serve as a camouflage technique, while a high SMAS lift will reposition the cheek fat and correct many of your concerns.  The limited scar SMAS lift in conjuction with neck contouring (lateral platysma tightening) would in my mind be the most definitive approach for a long term result. Best of luck

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Necklifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your necklift look as natural as possible, simply turning back the clock a few years.  #Liposuction is often used during the neck lift if necessary. During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.However, if you may benefit from Lite-lift™. Lite-lift™ is an affordable, quick, and effective innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. The goal is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.The best candidates for #LiteLift are non-smoking patients 35-60 years old with stable skin elasticity, well-defined bone structure but showing early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. All in all, Lite Lift™ surgery is individualized for each patient. To learn more and to determine if you are a #candidate, consult with a board-certified plastic surgeon who is highly skilled and experienced with #facelift and #neck lift procedures.

The short answer is that it is hard to know.  But if you are 50, even if you get away with lipo alone now, you will likely need a lift in a few years

Every women has different needs and desires.  Women start to have skin laxity in their late thirties and early forties.  Your plastic surgeon will evaluate how much excess fat you have in your neck, whether you have muscle plications and weather their is loose skin.

Liposuction will help extra fat, and if their is mild loose skin.

A better result can be obtained by aperative Necklift or a Facelift - depending on how much laxity you have in the cheek and jowl region.

 

 

A facelift with liposuction is what you need to correct the sagging skin and fat. Your skin will sag if you do not remove the excess with a facelift.

Thank you for sharing your images and questions. A combination of conservative liposuction of the submental and jowl areas with a facelift/necklift would best address your concerns. Although liposuction alone is a consideration for patients in their 30s/40s, I don't feel the elasticity in your skin will allow it to re-drape into a new, tight, neckline after such a procedure. I feel you would be best served with a grade I facelift utilizing well camouflaged incisions. If you are not ready to undergo a surgical intervention, filler injection into the prejowl area may help to smooth your jawline and mask the early jowling. If so, seek out an experienced injector. In my experience, there are not any non-surgical treatment options that specifically target the submental area and give predictable, clinically apparent results.  I hope this helps. Take care.

Your question leads to an either/or answer regarding the need for liposuction and fat injection or jowl tightening with a procedure such as a midface lift.  Noting that you have 50 year old skin, I think both of your consultants are correct and you need both liposuction of the neck, fat harvesting for fat injection in the perioral area and the marionette lines as well as a midface lift concentrating on the jawline. I believe you cannot get a nice tight jawline without surgery nor can one improve the perioral jowl area withouy fat grafts as permanent fillers.  The neck should be improved as a result of the jawline tightening and standard liposuction. Further tightening of the neck can be achieved through an incision beneath the chin with platysmal(muscle) tightening. Recently fat grafts have been improved with the addition of Adpose(fat) Derived Stem Cells and to a certain extent from activated PRP.

Judging by these photos you would benefit nicely from the combination of the procedures.  Just performing one or the other will not ultimately give you the best result.

Some type of expertly preformed mini face/neck lift. Additionally, Smart Lipo 12 t0 18 watts to treat the submental area. Fat grafting enhanced with PRP to areas of the face.