Lower facelift, neck lift or both? I've suddenly developed a rectangular face, jowls and my jawline is no longer defined (Photo)
Doctor Answers 12
Lower Facelift, Neck Lift, Both?
You are correct in noting that fillers would be a wast of money to address the areas that bother you. While useful, fillers can provide small corrections to specific areas and in some situations add small amount of volume. Fillers certainly cannot "lift" your face yet too often they are used to achieve that purpose. This results in an exaggerated puffy upper cheek area which looks unnatural.
Lower facelift and neck lift
These are two entirely different procedures. As the face ages, looseness in the lower face contributes to the looseness that is seen in the neck. As aging continues, the neck muscles start to separate in the middle of the neck leading to "bands" or " turkey neck" . A lower facelift will help the neck to some degree, but it will not treat the muscle separation in the middle of the neck. This will become visible again within the first 3-6 months unless a neck lift ( platysmaplasty) is performed at the same time. It is possible to do a neck lift without doing a lower facelift, however, this is something that is best determined during an in person consultation with a facial plastic surgeon who specializes in facial cosmetic surgery and performs these procedures at least weekly, if not daily. I would also suggest researching chin augmentation with fillers or an implant in order to improve the appearance of your neck from the profile.
Facelift and Neck
Thanks for your photo's and your question. You look reatively young, however as we all know, once we don't like something there is little people can say, that would make us feel better about it.
You may benefit from a lower face and neck lift. The cosmetic procedure is similar to a mini facelift as it is performed with a short scar that runs in front of the ear, down to the ear lobe and tucked behind the ear. There will be no dressings or drains afterwards. This is performed as a day case, walk in-walk out procedure with minimal bruising and downtime.
For those who have excess fat under the chin but still have good muscle tone and skin, liposuction of the neck will be sufficient. If the skin has lost elasticity, removal of excess skin (Neck Lift Surgery) to tighten and tone the neck will also be required. Tightening of the platysma muscle (also known as platysmaplasty) will require a small incision under the chin away from direct view to gain access to the front edge of the muscles on the neck; they are sutured together with permanent stitches. The muscles of the neck are the foundations and building blocks of the neck and are fundamental to achieving a tight and toned result.
All the best
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Lower face and neck lift plus fat grafting
You should discuss your options with a board certified plastic surgeon with significant experience in facial rejuvenation. Good luck.
Lower facelift, neck lift or both? I've suddenly developed a rectangular face, jowls
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini
Lower Facelift vs Neck Lift
Lower facelift and neck lift mean different things to patients and surgeons. They are general terms that don't have defined meanings. To me, a neck lift focuses on removing lax skin and excess fat from the neck and provides modest improvement in the jawline with the effect really designed to contour the neck. A lower facelift does the same plus allows elevation of the jowls which helps define the jawline and correct sagging tissues in the lower face. Neither procedure addresses the upper face or loss of volume you are describing in the cheek area. Therefore a lower facelift with reflation of the cheek area, fat transfer, would be an option which would probably address all of your concerns. All of this would be predicated on you having a formal consultation with a board certified plastic surgeon who can perform thorough exam and history and recommend what they feel is best for you
Best of Luck
Who is a Facelift Candidate
During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.
If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.