What would you recommend for neck & jowls? What can I expect as a result? I'm 51, don't smoke. (photo)

Doctor Answers 12

Concept Facelift

Thank you for your question and picture, a lower facelift and neck lift would definitely provide you with a smooth, contoured jawline and neck.  The Concept™ facelift is suitable for patients wanting to reduce sagging in the lower face and neck and regain a more natural, rejuvenated appearance.  The procedure is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period.  The Concept™ Facelift can be performed under local anaesthetic (some people may opt for twilight sedation).

What are the benefit of The Concept Facelift, under local anaesthetic?

  • Minimally invasive as it is a short scar facelift
  • There is minimal bruising and swelling, especially when compared to traditional facelifts
  • As the procedure is performed under local anaesthetic, you can go straight home following the procedure
  • Full recovery in a matter of days rather than months
  • Significantly less risk than Facelifts performed under general anaesthetic
  • Fresh, youthful and long lasting results

The Concept facelift procedure targets the muscle and skin therefore giving a longevity of 7-10 years, the same as a traditional facelift. 

Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.


All The Best

Addressing Lower Face at Age 51; Nonsmoker

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. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. The LiteLift™ is an innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself which benefits many male patients. The goal of the #LiteLift 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 technique requires limited incisions and takes a vertical lifting approach, in contrast to the traditional facelift, which requires extensive incisions and lifts or pulls the face towards the ears horizontally. The modern techniques used allow us to perform most LiteLift® procedures in the office under local anesthesia. Also, removing the risk of general anesthesia opens the door for more people to pursue facial surgery. All too often people do not move forward with undergoing the desires facelift surgery due to their overwhelming fear of the risks associated with general anesthesia.
This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are patients 35-60 years old with 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™.
Lite Lift™ surgery is individualized for each patient. The best candidates for Lite Lift™ surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined and do not smoke.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Recommendation for Treating Neck and Jowls

The answer to your question is that you have more than one option to treat sagging skin and excess fat in the neck and lower face.  A full surgical face lift would nicely address these concerns.  However, some individuals are looking for less invasive, less expensive, and less down time alternatives.  In my opinion, the most effective of these options is the Precision TX neck lift.
Precision TX is an office procedure done under local anesthesia by a qualified surgeon. It utilizes Nd:YAG laser energy delivered under the skin surface through three tiny, inconspicuous incisions to treat the entire neck and also jawline.  It is effective because the laser energy is delivered directly to the underside of the dermis, rather than having to penetrate from the outside (as with traditional laser resurfacing, radiofrequency, and Ultherapy).  In addition, the laser fiber is directed to the deeper layers to dissolve fat, which can then be more easily removed with liposuction at the same setting.
The results with precision TX are significant, although not as dramatic as with a full facelift.  The cost is about one third of a facelift, and the downtime is only a few days.
My patients have been pleased with the results and are happy to have this alternative available.  

James Bartels, MD
Manchester Facial Plastic Surgeon
4.7 out of 5 stars 12 reviews

Face and neck lift

It is important to consult with a surgeon that can show you results of his/her work. A detailed history and examination will determine what you are suitable for and whether your expectations are achievable. Presuming that you are fit and well and there is no contraindication for a face lift I believe you could achieve a good result.
Although there are many non surgical and minimally invasive means marketed for facelifting you would benefit from a classic face and neck lift. Repositioning of the internal layer (SMAS) vertically will improve your jowl and at the same time tightening of your platysma through a lateral platysmaplasty will help your profile. 

Gary L. Ross, MBChB, FRCS
Manchester Plastic Surgeon
5.0 out of 5 stars 165 reviews

Lowever facelift v full facelfit

You are a great candidate for a facelift.  The term lower facelift is not a uniform one (an artificial construct for marketing etc.), so it is hard to know for sure what you are looking for.  If I were to treat you I would do a face/neck lift.  I think you can expect significant improvements in your cheek position, jowls, jaw line, and neck.   

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 57 reviews

Recommendations for jowl and neck.

Hello and thank you for your question.

Based on the photo you have provided it does appear you would benefit nicely from a face and neck lift. I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.

Best of luck to you

David L. Cangello, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 14 reviews

What would you recommend for neck & jowls? What can I expect as a result? I'm 51, don't smoke.

A lower face and neck lift improves the neck and jowls.

Find a plastic surgeon with ELITE credentials who performs hundreds of necklifts, facelifts and facial procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. 

Kenneth Hughes, MD 

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Lower face and neck lift maybe/

You might be a candidate for a lower face and neck lift, but without an exam in person it is very difficult to say for sure.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Ulthera and neck lifting in Los Angeles

Ultherapy is ideal as a non surgical necklift and facelift for those who do not want to undergo surgery for facial rejuvenation.

Raffy Karamanoukian MD FACS

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Treatment for jowls

Your photos suggests that you are a good candidate for a lower face and neck lift.

  • it will reduce and tighten the neck,
  • smooth the jowls,
  • lift drooping facial tissues back towards the cheek bone.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

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.