Do I need lower facelift or can be corrected with kybella or cool sculpting? (photo)

I agree with most of the other surgeons here. While a less invasive technology such as Coolsculpting or Kybella is appealing, you may be disappointed with the result. They can address the fatty tissue to an extent, but don't always deal with the excess skin adequately.

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

Thank you for your question and pictures.  To give a smooth neck without a double chin appearance, neck liposuction will be needed to remove the extra fat, combined with a neck lift to remove lax skin, giving you a contoured neck.  A lower facelift is normally combined with a neck lift and will eliminated the skin which has lost elasticity around the jowl area.  This procedure can be performed under local anaesthetic, therefore is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period.  There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.  Overall the only way to tighten to skin would be via surgical procedures.  What are the benefits of local anaesthetic 

Minimally invasive as it is a short scar faceliftThere is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsPlease make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best