What would you recommend for a more youthful lower face area? (Photos)

Thank you for your photos. You appear to have good mid facial width, and youthful volume retention in your face. It appears that you have the very beginning of some contour irregularities along your jawline and in your lower face. A mini facelift with plication of the SMAS layer would help straighten and smooth your jawline as well as your cheek and neck. This can be done under local anesthesia with some sedation to help defer the cost and the recovery is quick. Have a detailed discussion with your plastic surgeon about the best option for you.

I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000. You would also benefit from a rhinoplasty to refine the tip of the nose. This would take 2 hour to perform under general anesthesia and costs $8,000. You would also benefit from a chin implant. This is done through an intra-oral approach under general anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.