36 year old candidate for a facelift (jowls, fat underneath the chin and asymmetry) - What are your opinions? (photo)

Thanks for sending in our photos.Yes a mini facelift would sharpen your jawline but probably have little effect on you neck.Many patients at your age are opting for strengthening the jawline with fillers to achieve a very similar effect.As a surgeon of course I am happy to offer surgical options for patients, but I have been seeing such nice results with fillers in our younger patients that I would likely recomend fillers at your stage.I recommend you consult a practice that does both.Good luck

Thank you for your question . Based on your pictures, you will benefit from nonsurgical or minimally invasive options like Thermitight with autologous fat grafting. If you are looking for a surgical option you can have a mini facelift with a very limited incision.Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns.All the best!

The goal is to have patients looking natural. These can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. 
I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. 
I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.
I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

Looking at your photos, I believe you could benefit from a gentle facelift combined with submental and jowl liposuction.

Thank you for the photos!  The photos are somewhat helpful for determining whether or not you might be a great surgical candidate , but a careful physical examination by an experienced Facial Plastic Surgeon would tell  the full story.  Based on your photos and your stated concerns for improvement, at the age of 36 -  you  probably would get a much better result if you waited at least another 5 years before wandering down the surgical pathway.  Sure, one might consider some form of fat removal to define your jawline and submental area-but down the road it may set you up for the possibility of a somewhat skeletonized face, which can be tough to reverse.  As an experienced Facial Plastic Surgeon, I find that 2 out of every 3 patients I assess are poor candidates for surgery - for either medical issues, or their anatomy is such that we as surgeons can predict that they may get only a very minor improvement.  At 36 you may not  want to pay big bucks for the possibility of a minimal improvement........Good luck to you !!

Thank you for your question.  You wouldn't be suitable for a facelift yet.  You could enhance under your chin giving your neck an L shaped appearance through Vaser Liposuction.  This would improve your profile which is youthful and slimming.  Alternatively,  is a minimally invasive, no-knife alternative to the facelift, working to tighten saggy skin around the eyes, cheeks, mouth and jowls whilst rejuvenating the overall appearance of the face with minimal downtime.  Please do have a consultation with a board certified plastic surgeron.  All The Best 

You have minimal skin laxity as might be expected at your age and so a short Schaefer procedure could be performed.   Fat removal with liposuction should be part of the procedure.   I have done many deep plane modified neck lifts that have nicely improved the neck and jowls in people who have been disappointed with more limited procedures in patients in your age group.  I do think that conventional minilifts without a deep plane approach will be of less benefit.

There is no way to tell exactly what the best treatment for you would be without a personal evaluation. I have seen 36 year olds with a lot of laxity that are best served by a minilift or minilift with a necklift plus or minus some liposuction. Other 36 year olds might just need some facial / neck liposuction and some filler to achieve the look they desire. Most procedures can easily be performed in the office setting.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa

Bambi I appreciate your concerns, however physical examination would be needed to offer advice regarding your issues after buccal fat pad removal. Hard evaluate from your photos. It appears from your photographs that micro liposuction of your neck, sub-mental and jowl regions may be all you need at this time. You are still fairly young for a facelift of any sort and your photos don’t demonstrate any significant need. Consult with a board-certified plastic surgeon in your area for a full evaluation. Good luck.

For your marionette lines and not so pronounced jowls, I recommend dermal fillers; the fillers will sharpen your jawline, giving you a youthful look. It only requires topical anesthesia to see immediate results that last up to 6 months, and there’s no downtime. And for your neck, I recommend Kybella that will remove the fat you might have in this area in combination with a tightening treatment to contour skin for an overall younger-looking appearance. Most of this treatment don’t have downtime; on the other hand, a mini-facelift can also be performed to tighten other face areas. I recommend going for a consultation with a board-certified plastic surgeon to do the full assessment.