39, history of facial fat, jaw and neck fat since childhood. Facetite vs Facelift? (Photos)

Question

I am 39 year old with a history of facial fat, jaw and neck fat since childhood. It has always bothered me and i have always wanted a defined jawline. To address this I have had liposuction three different times, Morpheus 6 times, cool sculpting under the neck one time, and chin implant with fat graft added later. My most recent procedure was liposcution under the jaw and on the jawline, but I now have some sagging and looseness when i dip my head to the side. I have consulted multiple people who said they would absolutely not do a facelift,one person who said they would but my face is so young my skin will “relax afterwards,” and another provider who promised more Morpheus would work. I want my face to look smooth and not sagging, so i want to know what will actually work. I am considering Facetite. One thing to know: because of all my prior work, my last surgeon mentioned lots of scarring around my neck and jaw that he helped to break up.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing such a detailed history—it really helps to understand the full picture. Given your age (39) and extensive history of procedures—multiple liposuctions, Morpheus treatments, CoolSculpting, chin implant with fat grafting, and recent neck/jaw liposuction—you are in a unique situation.

Here’s a breakdown:

1. Facelift Considerations:

A traditional facelift addresses both sagging skin and deeper tissue laxity. It’s typically more effective for significant skin laxity but does involve longer recovery and more noticeable incisions.

Because you are relatively young and have a history of multiple procedures, your surgeon’s caution about “relaxation” afterward likely refers to the risk of future skin changes, but it can still be effective if there is genuine sagging.

Prior surgeries and scarring can make a facelift technically more challenging. Scar tissue may limit how much the skin can be lifted, and careful planning is essential to avoid irregularities.

2. Facetite Considerations:

Facetite is a minimally invasive option using radiofrequency energy to tighten skin and melt small amounts of fat. It works best for mild to moderate sagging.

Given your history of scarring and prior liposuction, results might be less predictable, and skin may not contract evenly.

Recovery is generally shorter and less invasive than a traditional facelift.

3. Realistic Expectations:

With your history, complete correction of sagging may be challenging without a surgical lift.

Facetite could improve mild looseness and contour, especially if you have good skin elasticity, but it may not fully address sagging from prior liposuctions and neck/chin procedures.

Multiple consultations with experienced facial plastic surgeons who can assess your scar tissue and residual skin elasticity are important before deciding.

4. Additional Notes:

Sometimes a combination approach—Facetite for mild tightening plus limited surgical excision or contouring—can give a more refined result while minimizing additional scarring.

Managing expectations is key: perfection is difficult after multiple procedures, but smoothing and lifting can still be achieved.

You are approaching this thoughtfully, which is the best way to ensure a safe and satisfactory outcome. I would focus on choosing a surgeon experienced with revision cases and discuss all your options, including minimally invasive and surgical approaches.

39, history of facial fat, jaw and neck fat since childhood. Facetite vs Facelift? (Photos)

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