(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