(53-year-old) Is facelift without fat transfer good enough? (Photos)

You would be a great candidate for a facelift or even mini facelift without undergoing submental platysmaplasty.  You have adequate volume so fat grafting is not necessary.  

If I would have to choose between those two options, I would select one that you do not like. Correction of volume under your lower eyelid and cheeks, nasolabial folds and marionette lines is most likely going to produce better result than lifting by means of face lift. Although you may not like it, fillers may be a cheaper option to see what kind of improvement you may achieve without face lift. Combination would work the best. Good luck.

Your neck is not too bad, so you don't really need a facelift. You can undergo a mini facelift to improve the jowls. However, any lifting technique does not fully correct the lines because you lose fat there as you age. A properly performed fat transfer will complement the mini facelift nicely, look totally natural, and make those lines much softer.

Thank you for the pictures and the question. With a deep-plane facelift, where the connective tissues and muscle layers are lifting with the skin, you should have a result that appears more volumized. Some additional volume could be useful, and this generally comes from your own fat (harvested around the belly button). In my practice, I offer this for patients with significant volume loss or very deep folds (nasolabial, marionette). While it is easier, from a recovery standpoint, to do these together, you could do the facelift and then wait an see if you feel that you want more volume. Best of luck moving forward!

Thank you for your question and pictures.  First a Facelift will target the skin laxity around the jawline, which create jowls.  The marionette lines & nasolabial folds can be soften with a facelift, however that is not is main targeted area.  These can be addressed by having some fat transfer or dermal fillers after you have had the facelift to soften them if you wish.  A lip lift would be need to rectify the downturned mouth.  A valentine lip lift would be beneficial.  With the valentine lift, this addresses the corner of the lip. This can be combined with a number of techniques for full mouth rejuvenation. It might be that the depressor muscle is pulling the corner of the mouth down and this may require releasing in part to allow less of a downward turn on the corner of the mouth. Please make sure you find a reputable and qualified plastic surgeon.  Good Luck. 

Thank you for your question!  Based on your pictures, you appear to be an excellent candidate for a deep plane facelift and necklift.  A facelift will address your main areas of concern, the nasolabial folds, the marionette lines the sagging skin and volume loss around the jawline and the corners of the mouth.  A well executed facelift will reposition these tissues back to their natural positions in the face and neck and can also help reposition tissue in the midface, as well.  In my opinion, you could have a facelift, and return at a later date if needed to add a fat and/or fillers if needed.My best advice would be to consult with a board certified facial plastic surgeon or plastic surgeon who has experience with facelift and fat injection procedures.  Here you will have a full evaluation and can review before and after photographs.  Congratulations on considering a facelift, it is a wonderful and rewarding procedure!I hope that this helps,-David Gilpin

A well performed facelift is a "self volumizing" procedure, whereby the descended soft tissues are re-positioned; this changes a more squared off lower face to an ovoid shape.  In certain cases, additional volume is beneficial and sometimes essential to the outcome.  However, instances where I insist on volume addition are usually in individuals with significant volume loss; I do not believe your photos show someone in that category. I have included a link below to a patient who fits this description.  In my opinion, volume addition with Sculptra is more predictable than fat injections and can be performed at a later date. 

HI, I always like to inject fat along with the lift . I think that it augments the volume where it needs to be augmented and gives an overall more youthful look. Also the appearance of your skin is vastly improved with your own fat.Best,Dr. Christine Rodgers

You are a very good candidate for a face lift with SMAS. Elevation of your platysmas muscle and fascia of your face will give you a long term lift. A facelift would be qualitatively an improvement for the position of your jowls. The squared off appearnce can be changed to a more youthful heart shaped jaw line. Fat grafting may or may not give you a long term improvement. It looks like you have lost facial volume, so most plastic surgeons want to puff up your cheeks with fat. I am in the minority here and do not like to make fat faces. Good luck...

Hi.  You will always see some improvement simply by repositioning your facial tissue upwards and back (facelift) but you will not gain volume until you add a natural filler (fat) or synthetic (Juvederm, etc). One of the features that makes a facelift look natural is no alteration in the mouth movement--and so, if your surgeon simply pulls hard enough to efface your nasolabial folds & marionettes, you may not look natural.  A little botox into the DAO muscles will help with the downward turned mouth appearance as well. Not addressing the areas of most concern to you will not make any procedure worth it. Consider doing this in stages (do facelift first, and if you are not satisfied, add the filler-fat transfer is a local anesthetic procedure).  Good luck!