Marionette lines, what is best option? Approximate cost? Doctor recommending a lower facelift? (Photo)

This is a common problem.  Fillers definitely do wonders. Many of the times the can ward off the need for surgery for many years. The benefits of fillers you have already been exposed to. They are quick, there is little downtime and they are relatively cheap. At the same time the results can be modest. 

As we age we lose fat, bone and minerals, and the skin loses elasticity. Fillers only treat volume loss. A lift can reposition the fat decent and skin laxity. In my hands about 70% of patients that get a facelift also get fat transfer to the face. That is because aging is a complicated process with more than one aspect of physiology affected. To maximize results we need to approach it realistically and reverse as many of the processes that lead to aging. 

Hope this helps. Best of luck,

DrC

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.  Always insist on a board certified surgeon!

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. The LiteLift™ is an innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. The goal of the #LiteLift is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.The technique requires limited incisions and takes a vertical lifting approach, in contrast to the traditional facelift, which requires extensive incisions and lifts or pulls the face towards the ears horizontally. The modern techniques used allow us to perform most LiteLift® procedures in the office under local anesthesia. Also, removing the risk of general anesthesia opens the door for more people to pursue facial surgery. All too often people do not move forward with undergoing the desires facelift surgery due to their overwhelming fear of the risks associated with general anesthesia.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.The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.The #price of a #Facelift is always a concern when deciding whether or not to have a cosmetic procedure. Patients’ needs and goals vary, so there is no fixed price for a facelift. The contributing factors to the cost of a facelift include the surgeon’s fee, facility fee, medication cost and the anesthesia fee. Estimated fees may also be found here on Real Self, and the American Society of Aesthetic Plastic Surgery website, Surgery.org, or PlasticSurgery.org.Secondly, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. I suggest you view before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Thank you for your question and picture.  You can have a lower facelift under local anaesthetic therefor being less invasive than traditional methods as there is less scarring, bruising and swelling for a significantly quicker recovery period.  The Concept™ facelift is suitable for men and women who wish to reduce sagging in the lower face and neck and regain a more natural, rejuvenated appearance.  What are the benefits of a local anaesthetic facelift?

Minimally invasive as it is a short scar faceliftThere is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsThe Concept Facelift can be combined with other facial procedures or shaping such as dermal fillers, neck lift, upper blepharoplasty surgery etc. Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best 

Correction of Marionette lines and nasolabial folds is in our experience best treated with soft tissue fillers. Any filler will create significant improvement if injected properly. Knowledge and skill of the person makes all the difference in outcome. No face lift will address this problem per se.

You should seek a consultation with a board certified plastic surgeon with good reputation in facial rejuvenation and discuss your options. Good luck.

I suggest you see a cosmetic dermatologist for a formal evaluation to determine if it is just volume that is needed (which we often will do with fat and/or a combination layering of fillers and Sculptra for collagen building) or if lifting is needed which may mean implants and/or surgery. See an expert. Best, Dr. Emer.

 For that picture is very difficult to have  a clear idea of the problem area plus is important to analyzed  all the changes that occur in your face as the process of aging evolves.  Is very possible that she is right is better to have a face lift instead to have a  partial improvments in your face with fillers.

A facelift will help pull back the jowls and loose skin.Your volume depletion in the midface, nasolabial folds, marionette lines, and besides your chin will still need some fillers for maximal improvement.You can try more fillers first and see how you like the result.

Thanks for your question.  Fillers will help a great deal, but as we continue to age the decent of fat and increased skin laxity will lessen the effectiveness of just fillers alone.  Fillers only treat volume loss, which is also a part of the aging face, but many other factors enter into it.  It is quite a battle, but keep up the fight!  I hope this helped--best of luck.

Hello Normarupp and thank you for your question. You do have options rather than just a facelift. Although many of my patients opt for a facelift after considering their options, some just are not ready to proceed with that route. Realize that you will likely need 2+ syringes and results will be temporary and subtle, but noticeable improvement. You may want to get a second opinion if your injector is not comfortable with injecting the marionette lines. Best of luck!