My Face Sags Considerably when I Bend Over, Look Down, or I'm Supine: Will a Neck/facelift Help?

  It is possible that in addition to facial fat grafting, you may be a good candidate for face and neck lift as well.  In general, if you have loose skin, hanging muscle, or any fat, a neck lift may be in order.  Also, the jowls can be addressed with a face and neck lift as well.  You can easily avoid the windswept look with the right surgeon.

A facelift is performed when there is excess skin on the face, which includes jowling and excess neck skin.  The facelift involves fat removal from the neck, tightening the platysma through a platysmaplasty procedure, and tightening excess skin, which lifts the jowls.  It is important to make the assessment of saggy skin while in an upright sitting position and not in a leaning over position.

Mid-40s is young, but not too young to be considering a facelift to improve the sagging of your facial skin and tissue.  How is your cervicomental angle (the angle your neck makes with your jaw) in a normal, upright position?  Do you have jowling along your jawline?  All of those areas can be improved without giving you a windswept look.  With carefully designed and meticulously executed incisions, the scars can be hidden for the most part and nearly imperceptible.