Am I a good candidate for a facelift? Would this be possible?

Question

I’m 27 and have had a full face all my life. Always had prominent jowls and naso labial folds. I’ve tried filler in my chin and masseter Botox before but was wondering if I am a good candidate for a face lift? Or any other solutions? Pics for reference (including me holding up my face to where I’d like it lol).

Philip S. Schoenfeld, MD, FACS · Answer

At age 27 you can try buccal fat reduction to thin and sculpt an otherwise full face.  Some conservative liposuction of the jowls would also be of benefit.   I would not commit to a facelift just yet.

Richard G. Schwartz, MD · Answer

Despite your young age, your photos do show more fullness in the anterior cheek, upper and lower jowl areas, and deepened nasolabial and marionette folds.  I think a cheeklift or upper facelift, avoiding the neck,  should be able to reposition fat and skin upward toward the lateral cheek prominence to create a more narrow lower face, a more prominent upper cheek, and thereby a more youthful facial shape.  This would be a more vertical lift than sometimes used.

Jacob Tower, MD · Answer

Hello, hope you are well. By applying traction to your skin you are effectively tightening and slimming the lower aspect of your face and cheek. My suggestion would be to aim for smaller and less invasive procedures that can achieve those results. The two that you may want to learn more about would be buccal fat extraction and bipolar radiofrequency ("FaceTite"). These are low risk, in-office procedures that are very effective in contouring and slimming the lower face. Best of luck!
Cheers,Dr. Tower

Daniel Urias, MD · Answer

Shadypalms123 please do not get a facelift. First you’re not a candidate and your way to young. Any filler will just make your face more full. Masseter Botox is a great tool which you have tried. Another great tool is Buccal fat pad removal which is performed by an incision in the cheek from inside the mouth. A small amount of cheek fat is removed this slimming your face.

Sudeep Roy, MD · Answer

Thank you for your question and for sharing your pictures. I totally see what you're seeing and understand what you're trying to achieve. Many patients with your exact situation will try non-surgical heat based skin tightening treatments, threads and/or fillers to help achieve skin/soft tissue contraction, "lifting" and a more youthful shape. That being said, if you are open to surgery and have realistic expectations of what can be achieved, there is no reason why you couldn't get a lower facelift or in my opinion, a mini lower facelift. Understand that when you undergo such a procedure, the surgeon will be lifting the deeper soft tissue sagging that is occurring under the skin to support the tissue in a better, more elevated position. This should improve the appearance of low lying jowls and marionette folds, while also improving the jawline. Just be careful not to expect too stretched or pulled skin look because although that's what you may be seeing when you drag your lower face up with your finger, that is not what is happening in a facelift (not skin pulling, rather deeper SMAS lifting). Hope that makes sense and good luck with your research!

Gerald Wittenberg, MSc, DMD (retired) · Answer

When one has a 'narrow'/small lower jaw width, the 'jowls' look prominent in comparison to the underlying bone. The answer at your age is not soft tissue 'tightening' but enhancing slightly the bone contours eg jawline/chin. It won't be 'too strong' which is a common worry

Am I a good candidate for a facelift? Would this be possible?

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