42yr old woman with heavy jowls and neck sagging - would a mid facelift be adequate to correct this? (photos)

Question

Hi there I have heavy jowls and neck sagging, I’ve previously had fat grafting to my cheeks and I was wondering would a mid facelift be adequate to correct this?

Brian K. Machida, MD, FACS · Answer

For your sagging jowls, you need a standard facelift which addresses the lower face. This can be taken care of with a standard SMAS lift or a deep plane lift.

Dilip D. Madnani, MD, FACS · Answer

a facelift would be the best option as it would address the midface, lower face and upper neck .  a midfacelift would only address the midface and your focus should be on the lower face skin excess.

Michael Zacharia, MBBS, FRACS, FAAFPS · Answer

Thank you for your question. Deep plane midface lift can effectively reposition the fat compartments on the midface but will not be enough to address the jowls and neck. On the photo, the fats on the cheeks are nice and full however, they also seem to be positioned lower than they should be. This could be due to continuing aging process therefore fats initially injected may descend together with their designated compartments. 
Deep plane full face and neck lift will be a better option to address the midface, jowls and neck by repositioning the fat compartments, addressing the fullness and excess soft tissue forming the jowls and smoothening the neck contour.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. Based on these images, you will need a more comprehensive approach to addressing your degree of skin laxity. A standard facelift may be more appropriate for you. A traditional rhytidectomy surgery, the more formal name for a facelift, helps to address more advanced signs of aging, such as sagging skin, jowl formation, and moderate to severe facial wrinkles and creases by tightening the skin, restoring definition, and rejuvenating your appearance. With a facelift, a surgeon will raise the soft tissue of the cheek to ensure a natural appearance. The indentation on either side of the chin, known as the pre-jowl sulcus, can also be smoothed by a facelift. To understand the procedure better and to determine your eligibility, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin quality and facial profile, determine the best surgical approach, and ensure the best possible outcome.

Ronald J. Edelson, MD · Answer

A midface lift will do nothing for you. You need a standard facelift to address the neck and jowls. Midface lifts don’t do much but in your case is particularly not needed.

Seung Ki Youn, MD · Answer

Hello;-)
We totally understand your concern through the pictures!With over 10 years experience, V.LIF has a reputation for excellence in Korea.We do not perform all the plastic surgeries at V.LIF.We are face&neck lift specialized plastic surgery clinic.Our surgeons dedicated soley to only lifting field. So they have high knowledge and experience with lifting surgeries.
As you age your bone shrinks and also due to gravity your skin and SMAS layer sags and it creates nasolabial folds on your mid face and jowls&marionette lines on your lower face. 
Perhaps we recommend Mini Facelift including Mid, Lower Face or Mid, Lower, Double Chin+Jawline. 
V.LIF's Mini Facelift means lifting partial part of your face considering individual condition.We devide face into 3 parts. 
1. Mid face2. Lower face3. Double Chin+Jawline.
Depending on your face condition(How much your skin is sagging and loose), we recommend how many parts you will need to elevate.
Mini facelift at V.LIF is not a short lasting facelift elevating just your skin layer with minimal incision which is performed at other clinics.It's not a mini facelift with minimal incision which is performed at other clinics.V.LIF's Mini Facelift is a long lasting surgery which lasts more than 5years-10years(depending on the scope) 
We dissect wide range of SMAS layer and cut off retaining ligaments which is essential and excise saggy skin

John Allan Ness, MD (retired) · Answer

Facelift surgery can address loosened and sagging skin while tailoring and removing the excess skin. High SMAS facelift surgery addresses soft tissue changes within the mid-face, the lower face along the jawline and jowls, and neck excess. It is best to consult a surgeon to determine which facelift techniques might be best for you and to find out if you are a candidate for surgical procedure that will address your areas of concern.

42yr old woman with heavy jowls and neck sagging - would a mid facelift be adequate to correct this? (photos)

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