Too sharp of a v jawline after facelift - can this be fixed? (Photo)

Question

I think the skin from my mini facelift was poked too tightly resulting in a sharp v shape. What are options to fix this?

Semih Yildiz, MD, FEBOPRAS · Answer

The photo shows a sharper, narrowed lower-face contour, but a photo cannot tell whether this is tight skin, swelling, loss of cheek or jawline volume, scar tethering, or the pull vector from the mini facelift. If the surgery was recent, the shape can soften as swelling and tissue tension settle; revision decisions are usually delayed until healing is stable, often 6-12 months.

If it remains after healing, correction is usually based on adding support or releasing tightness rather than simply pulling more skin. Options may include small-volume filler or fat grafting to the prejowl, jawline, or cheek areas, scar release if tethering is present, or a carefully planned facelift revision if the vector or skin redraping is truly the problem. An in-person exam with your surgeon or a board-certified facial plastic/plastic surgeon is needed to decide which of these applies.

Ali Riza Öreroglu, MD · Answer

An overly sharp or unnatural "V" jawline after a mini facelift is often the result of excessive skin tightening or imbalance in the deeper facial structures, such as the SMAS layer. This issue can typically be corrected with a revision facelift, where the tension is redistributed and the deep tissues are repositioned more naturally. In some cases, fat grafting can be used to soften overly sharp contours. For milder cases, dermal fillers or non-surgical options like ultrasound or radiofrequency-based skin tightening may help smooth the transition and improve the overall contour. However, a proper in-person consultation is essential to determine the best treatment plan.

Jill Hessler, MD · Answer

In general a facelift should lift and rejuvenate the tissues and skin of the face but not change the underlying skeletal structure. It would be helpful to see your before and after photos side by side to provide the best evaluation and feedback.

Ali Cetinkaya, MD · Answer

A mini facelift can sometimes result in an overly tight or "pulled" look if the tension is not properly distributed, especially in patients with thin skin or limited laxity. The sharp V shape you describe may be due to excessive skin tension, especially in the central chin or jawline area.
To correct this, several options can be considered depending on the severity and tissue condition:
Revision Facelift (Full or Partial): In cases where tension was unevenly applied, a revision surgery can help redistribute the skin more naturally and soften the V shape.
Fat Grafting: If the area looks hollow or sharp, structural fat transfer can help to add volume and smooth the contour.
Skin-Relaxing Treatments: In mild cases, energy-based devices like radiofrequency (e.g., Morpheus8 or Forma) can help gradually soften the skin and reduce the tensioned appearance.
Scar or Tether Release: If internal tethering or scar bands are causing the sharp shape, targeted surgical release might be required.
It’s important to consult a board-certified plastic surgeon experienced in revision facelift procedures to assess your specific anatomy and surgical history.

Zoran Potparic, MD · Answer

Only on the basis of in person consultation an experienced board certified plastic surgeon, expert in facial rejuvenation could give you some options to improve current result. Good luck.

Gary M. Horndeski, MD · Answer

You may benefit from a chin implant.  However, your photograph is very limited.  A chin implant can soften the appearance of the over projecting chin by filling in the hollows laterally.

Best Wishes,

Gary Horndeski, M.D.

Too sharp of a v jawline after facelift - can this be fixed? (Photo)

Answers (6)

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