Would I benefit from a deep plane facelift or should I consider other procedures to target jowls? 32 y/o (photos)

Thank you for your query. You are good candidate for a mini face-lift to define your jaw line better, especially since you have already done Ultherapy. A SMAS face lift with a short incision should work really well. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All thge best!

Buccal fat removal surgery can slim the appearance of your cheeks.
Buccal fat pads are the fat in the middle of your cheeks. Buccal fat surgery is a procedure that reduces the appearance of plump cheeks. Sometimes known as cheek reduction surgery, buccal fat surgery is a minimally invasive procedure that contours the cheek area.
There are several benefits to having buccal fat surgery, including: Permanent resultsA more contoured, slimmer faceImprovement to the overall appearance and facial definition Easily performed in combination with other complementing surgeriesNo visible scarring because the incisions are located in the mouth
Other procedures we offer at NorCal Plastic Surgery that are commonly combined with buccal fat removal are chin augmentation, a facelift, and dermal fillers to help shape the jawline and cheeks.

You really don't currently have the indications that a deep plane facelift would address at this time. Risk without significant reward is a bad surgical paradigm. Although a lateral view isn't present, I feel that a chin implant, neck liposuction, and a buccal fat pad removal would give you significant benefit and address the shape of your face.

At your age, no invasive surgery like a deep plane facelift is indicated. I would concentrate on your jowls using more non invasive techniques. The thread lifts work, but only for a short time. Microneedling and laser therapy are helpful, but no treatment will eradicate them. Liposuction may also help. I would consult with your plastic surgeon and go over your options.

I would consider trying some other things first. have you considered sculptra or radiesse? you might also consider a CO2 laser or RF microneedling. In my experience the results with ultherapy are pretty minimal.

It is very likely that conservative liposuction of jowls and along the jawline would create desired improvement. In person consultation with a board certified plastic surgeon with experience with this procedure is recommended. Good luck.

For addressing jowls and heavy cheeks, surgical options like a deep plane facelift, SMAS facelift, or endoscopic facelift could be effective:
1. **Deep Plane Facelift**: This technique targets deeper facial layers, including the muscle and fat. It’s particularly effective for lifting and repositioning sagging cheeks and jowls, providing a natural and long-lasting result.
2. **SMAS Facelift**: The SMAS facelift addresses the superficial muscular aponeurotic system layer, helping lift sagging areas. It can be effective for moderate jowling and cheek heaviness, but the results may not be as extensive as a deep plane facelift.
3. **Endoscopic Facelift**: This is less invasive and involves smaller incisions. It works well for early signs of aging and subtle lifting but may not provide the same degree of correction as the deep plane or SMAS techniques.
Given your age and history of non-surgical treatments, a deep plane or SMAS approach might offer the most significant and longer-lasting improvements. Consulting with a surgeon experienced in these techniques would help determine the best option based on your facial structure and goals.

Please do not do a deep plane lift at your age. I would suggest micro-needling with radiofrequency like Secret or Morpheus and Sculptra injections to give volume in specific places.

I would suggest a deep plane mini facelift which would lift the mid and lower face. This would help to lift the baby cheeks and correct the jowl. Please make sure that your lift involves all the layers of the face and releases the ligaments to ensure a long lasting result.

Mini face lift appropriate for correct jowl in young patient, limited skin incision at temporal and preauricular area SMAS plane facelift enough for lower face lifting in young patient.