What kind of facelift is best for a young patient for mild marionette lines/jowls? (Photos)

Question

Hello! I’m 30 y/o and I cant stand my marionnette lines/jowls. In my opinion, its not caused by age (although it definitely can have contributed). I had jaw surgery when I was around 17 y/o and my lower jaw got placed back and since then, I have that excessive skin around my mouth that age me and make my face droop. What kind of face lift would be appropriate in my case ? Lower face lift ? Endoscopic lift ? The pictures are : what my face looks like on the left and what I feel like a facelift could do on the right… Thank you so much!

Tanveer Janjua, MD · Answer

Being so young you could get away with using fillers in cheeks, jaw line etc. However, if you want a more dramatic change then do a Lateral Deep Plane Facelift.  A minilift can help but longevity is an issue.
Regards
Dr. J

Steve Laverson, MD, FACS · Answer

If you like the appearance when you reposition lower cheeks upward and a bit back with your hand, that is likely the correct procedure.  My preference is always deep plane / biplanar technique for long term stability of the result, a natural and beautiful correction, and imperceptible scar.  Supplementation with foundational skin care (sun protection, tretinoin) and occasional expertly administered filler, neuromodulator, laser, and/or peels over time will maintain your position as the most beautiful and confident woman in any room.

What kind of facelift is best for a young patient for mild marionette lines/jowls? (Photos)

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