Would a lower facelift be the best option for me? 38 y/o (photos)

There are a couple of treatment options in your case but I would not suggest a lower face and necklift. With all the filler that has been injected your chin projection looks adequate. If we assume that is the result of 8 syringes of filler then you probably can maintain that projection with a chin implant. In the side photos, It appears that your jaw angles are not projecting outward enough so I think jaw angle implants may be beneficial as well. This will create a stretch on the tissues and diminish the appearance of jowling and improve your chin-neck angle. A short incision facelift would also be an option to reduce the lower facial jowls. The cervical mental angle will improve with the chin implant.

A lower face/neck lift is easy to undergo under local and gives that great sharp jawline which usually can make the chin look more pronounced as well.

Based on the photos shown, I think that a chin implant will provide benefit, assuming that you are a healthy nonsmoker. A deep neck lift will address the obliquity in the neck but will not address the lower face quite as well. A deep plane facelift might be a little aggressive at this point, but that's something that would require a consultation with more information to determine.

Thank you for your inquiry and sharing your photographs. The images show relatively significant volume under the chin and jawline, which is mostly related to hereditary characteristics. It detracts from the ability to see more clearly the contours of the face. There is also some laxity in the jowl regions, and it combines with the visibility of the labiomandibular lines to make the lower face appear heavier.

In my opinion, a combination of deep plane facelift and deep plane neck lift is your best answer for significant and lasting changes. You may need to reduce some of the filler volume in the cheeks as the redistribution of volume from the lower face towards the midface is quite significant if you do a deep plane facelift intervention.

Hi Susie,
Thank you for your question. In my experience, having deficient chin projection is often associated with the prematurely aged appearance of the jowls, neck profile, and marionette shadows. Therefore, a chin advancement procedure would improve facial balance and define your neck profile. An implant may be the easiest solution depending on your dental occlusion, You have already seen the benefits of augmentation with temporary fillers, so a silicone implant would provide a longer term solution with minimal risk. The need for face and neck lifts at your age would be best assessed in person considering overall benefits and risks. I offer complimentary in-person consultations at my Newport Beach office.

All the best to you,

Dr. Stephen Fink
Newport Beach, California

Unfortunately, you are too young to have a lower facelift but you are a candidate for chin implant.

Best Wishes,

Gary Horndeski, M.D.