Lipo or facelift for jowls and slimmer jaw? Want a permanent solution (Photo)

Question

I have been to two PS's and I got two different answers. One suggested minifacelift+lipo, the other only lipo for my jowls. I have used dermal fillers in my chin for a decade bcause Ive always wanted a slimmer/v shaped jaw/chin. But it dosent look good and I want a slimmer jaw whitout jowls with a PERMANENT solution and stop w fillers. One of the PS's said facelift would not work since im in my 30s and that I would look the same as before short time after lift, is that true?

Ajaya Kashyap, MD · Answer

Thank you for your query. Liposuction of the face, even when done carefully and conservatively is a tricky procedure and can leave loose skin and uneven contours. A face lift will combined with micro-liposuction is the appropriate solution for your concerns, in my practice. Please discuss your concerns with both your Plastic surgeons and get another opinion if not satisfied. All the best!

Carmina Cardenas, MD · Answer

I have been performing on After weight loss patients for more than a decade, I have observed how the fluctuations of weight throughout life, genetics, overexposure to sun and some other conditions like acne, all above in young or not that young patients, cause a very obviously aging process prematurely. I consider it is your case. 
I have been performing for years, in young patients mainly neck lifts, facial fat grafting, blefaroplasties,  just in couple young patients the mid facelift and necklift plus facial fat grafting combination. 
I consider you shoul dissolve the fillers on your chin in order to do something permanent like a chin implant. 
Look for a board Certified PS with experience in Facial procedures in young patients like you. 
Be encouraged!!
Dr. Cárdenas

Ronald J. Edelson, MD · Answer

I agree you are too young for a face lift. Unfortunately if you opt for liposuction of your jowls it won’t do much but could cause dents in the skin.

Jacob Tower, MD · Answer

Hello, hope you are well. There are some different options to consider. I agree that a mini facelift is not going to effectively slim the area that you are concerned about, and the downsides very likely outweigh any short term benefits. Depending on the type of dermal filler in the chin, you can consider dissolving it (or waiting for it to dissipate) and then placing a chin implant for permanent augmentation. It is impossible to tell based on these photos, but we also perform jaw contouring to slim the width of the jaw. For the soft tissue fullness itself and mild skin laxity, consider FaceTite--this effectively reduces the fat under the skin and also tightens the skin-soft tissue envelope.
Best,Dr. Tower

Connie Hiers, MD, FACS · Answer

The only permanent solution is death. Otherwise, your face will change as you age, and your jawline will be much less defined. A facelift at your age will not give much change. You can do Secret, micro-needling with radiofrequency to help tighten and can continue to boost as desired.

Scott C. Lindsay, DO · Answer

Thanks for your question! I think you would be a good candidate for FaceTite. It will slim down the jawline and give you a nice shape. I feel as though a facelift is too much at this age and stage. Good luck!

Darryl J. Blinski, MD · Answer

Reviewed your 3 up close too much posted photos, I recommend mini face/neck lift with SMAS plication, longer lasting fillers to chin (Vollux or Radeisse 2 syringes), sub mental lipo. Fee $12,000. Best to virtual consult with.....

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics is primarily determined by facial bone structure.
This is particularly true for young people. Soft tissue coverage tends to be far more consistent from person to person and what differentiates those who have more attractive features tend to be based on primary bone structure.
Individuals who have a Mandible that is small or lacking in forward projection in comparison to the Maxilla tend to have the following characteristics.
Early loss of jawline definition, premature double chin and premature jowls. these individuals also tend to have an overbite, dental occlusion, and on profile views the upper lip will have more forward projection than the lower lip.
The lack of projection of the Mandible causes the underlying platysma to drape the neck in a more oblique fashion.
The primary problem is not based on fat distribution, but rather bone structure. Fillers don’t and implants don’t fix the problem because they don’t move the origin of the platysma muscle. 
Delivering consistent quality, liposuction results is more difficult than most people realize. The number of plastic surgeons to truly mastered this procedure are in a small minority. Not all plastic surgeons are good at Liposuction.
Addressing the primary problem, which is inevitably based on bone structure is inherently, complicated and difficult.
Recognize that soft tissue solutions, attempting to treat a skeletal problem is inevitably going to give a partial improvement at best.
This is why you’re not getting a definitive answers.
Well done, Liposuction can give it nice improvement and individuals who have sufficient amount of subcutaneous fat, and are of a young age. With age as skin elasticity is lost Patients eventually become lesser candidates for Liposuction and better candidate for a facelift. At age 50 patience typically lose being good candidate for Liposuction and much better candidate for a facelift. This follows an age spectrum and patients should focus on understanding their candidacy for various procedures, as well as choosing the best provider.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patient who had similar facial characteristics to your own for whatever procedure they are recommending.
A truly experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
In the end provider selection is probably the most important variable.
Understanding your own candidacy for any particular procedure combined with provider selection are generally the two single most important variables when it comes to quality cosmetic surgery outcomes.
Best,
Mats Hagstrom MD

Lipo or facelift for jowls and slimmer jaw? Want a permanent solution (Photo)

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