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 

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.

It really depends on what your ultimate goal of the procedure is. Jowls are typically treated with lower facelift. Midface lift typically repositions sagging cheek tissue.

 If you have a localized laxity of the jawline (jowls, neck bands) and your midfacial area is not deflated or descended, then a necklift alone is ok. If you do have some aging of the midface though, it is hard to complete a neck lift in a region that would benefit from lifting and tightening. The transition zone would better blend with the midface lift added - but only if you need it. Browlift may lead to a nice result, but does not impact the result of a necklift at all. It is hard to answer this question without photos.

For simplicity, I also divide the face into midface, lower and upper face when talking with patients.  For jowls alone the lower facelift or standard facelift is the best.  That being said, there are times where a midface lift is very helpful in obtaining good facelift results.  This is especially true in a larger or rounder face.  Your surgeon is the one evaluating your face, however.  Consider their opinion and obtain a second opinion if that is what is needed for you to be certain of your decision.  Good luck!