I am devastated.... For the last 2 years my face has been quickly going south which has put me in a deep depression. My once beautiful face is falling apart and I need help and answers. I am petrified of plastic surgery but I will do what it takes. I am really hoping I can fix it with fillers for now to hold me off for a few years. I lost about 10 pounds 2 years ago and was in awesome shape but I have let myself go the last 2 years and it seems like the weight is going straight to my jowls!
Do I need a facelift at 39 or will fillers help for now? (photo)
Doctor Answers 21
Thank you for sending your question and photographs.
Fillers will not improve sagging of the jawline and neck in my experience.
A properly done face and neck lift, performed by an experienced board certified plastic surgeon should give you a beautiful result. Please read the link below.
Be certain to consult a plastic surgeon who is certified by the American Board of Plastic Surgery and has experience in facelift surgery, and an excellent reputation in your local community.
Web reference: http://drseckel.com/surgical-procedures/face-lift/
I can see your concerns. You could certainly try non-surgical solutions but I think at the end of the day surgery will be the best choice for you. You have a rather weak lower jaw / chin which is contributing to your problem. My guess is that you would have great success with a neck lift (or lower facelift) and a chin implant. Your neck muscles could be improved with tightening, which is generally included in necklift procedures. Good luck.
Web reference: http://www.cosmeticsurgerybaltimore.com/
The chin implant placement would help significantly by augmenting the lower chin area and giving better facial balance and structure. There are fatty deposits in the neck above and below the platysma muscle but will need to be addressed by either a neck lift alone or a face neck lift, depending upon the amount of excess skin present. The amount of loose skin/ jowls in the neck will determine what procedure will need to be performed this is best determined at the time of the physical examination and consultation. For many examples please see link below to our neck lift/ chin implant photo gallery
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I think that a necklift with chin augmentation would provide a good improvement of your neck and chin, without having to go through a facelift.
Web reference: http://drbustillo.com
From the limited views on your pictures, I would say that filler will not be the answer to rejuvenation for you. Your aesthetic issues deal more with skin laxity, than they do volume loss, therefore fillers or laser treatments will not provide you with the answer. I would first suggest a "Mini Facelift". This procedure would help to address the laxity of the skin in your neck area, and also correct the jowls along your jawline. This procedure would provide you with a much tighter neck and jawline. I would also suggest a chin implant. This would help to strengthen your profile and also give the appearance of a more sculpted neckline. I understand your concerns with surgery, but these procedures are safe when performed in the hand of a board certified facial plastic surgeon. I suggest you schedule an consultation where a more accurate examination of your face can be performed, and an individualized plan for reaching your aesthetic goals can be addressed. Good Luck!
Web reference: http://www.dranthonycorrado.com/plastic-surgery-procedures-philadelphia/face-procedures-philadelphia/mini-facelift/
How dramatic your results are from your intervention will be determined by your choice of procedures. In general, non-surgical treatments give the best results with minimal downtime, while surgical procedures give the best results but do have some associated downtime and recovery (which varies by patient, procedure, etc)
If you really want to avoid surgery, then you certainly do have some non surgical options. Fillers and volumizers like Restylane, Juvederm, Voluma and Sculptra can give you a "liquid lift" with minimal downtime. These treatments synergize with a non-surgical treatment like Ultherapy to get some lifting and tightening along the neck and jawline.
If you won't be happy without a perfectly clean neckline than you need to consider a surgical necklift. This probably would include some facial liposuction to remove the extra fat. I would also recommend you consider some form of chin augmentation since some extra chin projection would help add to your facial harmony.
You certainly owe it to yourself to seek out a board certified facial specialist (or more than one) in your area to your customized options. Your doctor should be able to show you some before and after photographs to give you an idea of what you can expect from both the surgical and non-surgical interventions. Hopefully this will help you make a decision you will feel good about. Best wishes!
Hello and thank you for your question.
It wish I could give you definitive advice, but it is very difficult to provide with these limited photos. I can say that I see some joweling and some hanging neck skin that might actually require a face/neck lift to improve. There does appear to be some shadowing/hollows that might also be well addressed with fillers. I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.
Best of luck to you
In reviewing your photos, it appears there is some fullness and laxity in the submental and lateral cheek area. I do not believe fillers will give you any improvement in these areas. Even though you may feel you are young to consider facial rejuvenation surgery, it will give you the desired effect. Patients often ask what is the best time. My answer is always " when you are ready to rid yourself of the problem that concerns you most". I would recommend a surgeon who can show you pictures of patients who have similar problems and then the post ops. This will confirm your desire to move forward.
Seeing signs of aging can be alarming. All is not lost! I appreciate your photos and based on these photos I believe that you have a few options. Although there are probably places in your lower face where fillers may help improve your appearance, I think that you will wind up spending a lot of money and have results which would be unsatisfactory. I also feel that in dealing with the lower face, the less invasive the procedure, the less the results may be, both immediately and long term. If you are willing to put up with some downtime, a chin implant combined with a small incision facelift will give you really impressive results. A chin implant and laser liposuction will also provide very nice results in that excess fat will be reduced and your skin will tighten, but not what a small incision facelift will accomplish.
Web reference: http://www.renudc.com/facelift.html
Fillers will not help your neck, or the jowling. You most likely need a chin implant and liposuction of your neck, and some form of neck lift. I would go talk to a surgeon you can trust, and see what is recommended. I would hate to see you have fillers though, because you will not be happy with the results.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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