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

 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!