Sagging Jowls - Is a Mid-Face Lift Needed with Lower Lift?

Thank you for your question. I have pioneered a new Concept Facelift which targets the mid and lower face (including sagging jowls and cheeks).  Concept facelifts are unique due to the ability to be able to perform the procedure under a local anaesthetic whilst delivering the same surgical result that a traditional facelift would deliver but also using a smaller scar technique as well as reducing the amount of recovery time due to the distinct lack of bruising and swelling.Concept’s approach to face lifting, is to rejuvenate your face and neck with a fresh youthful appearance, whilst avoiding the wind tunnel type appearance associated with some facelift procedures. The Concept Facelift, is well known for achieving a natural look, as there is a great deal of artistry involved in the achievement of a good facelift.The Concept Facelift allows patients to target their lower and mid face in one procedure, with seriously reduced downtime.  Best of Luck 

Depending upon the technique used, a midface lift can improve the "jowls" much more than a traditional lower facelift alone.  What appears to be jowl fat may frequently be drooping buccal or cheek fat.  In my technique of an endoscopic midface lift I reposition this drooping cheek fat higher in the cheek which improves the jowl and corner of the mouth much more than a standard facelift.   In addition elevating the cheek also tends to elevate the jowl fat along the jawline.  When combined with an extended Sub-SMAS lower facelift which further tightens the jowls and jawline, the improvement in the jowls can be much more complete.   Sometimes the entire procedure can be done endoscopically avoiding the traditional lower facelift incisions completely. 

A mid-face lift will not address your jowls anywhere near what a lower facelift would accomplish. A prominent jowl is one of the indications for a lower facelift. The jowls and neck are what a lower facelift treats best. It does not need to be combined with a mid-face lift.