Double chin and jowls; can a MACS lift coupled with chin lipo offer decent results? Suggestions? (Photo)

Question

I have a non-existent neck, jowls and a double chin, my skin is really stretchy and I have very little face definition. I'm 35 years old. Looking for suggestions and advice, thank you!

Sophie Ricketts, MBBS (Hons), FRACS (Plast) · Answer

MACS (Minimal Access Cranial Suspension) lift has become a popular style of facelift after it was described and published by Patrick Tonnard in the early 2000s. The big advantage with this surgery is that it is less invasive than some of the other 'deep plane' facelifts that require more dissection during the surgery and consequent longer operating time and recovery.
The MACS lift is ideal in you age group, where the skin is still of good quality - meaning it still has reasonable elasticity and not stretched and saggy. It is almost always accompanied by some neck liposuction to remove fat under the chin and jaw to give a better profile and jawline. The MACS lift will improve jawline definition and nasolabial folds, and also cheek fullness where we tend to lose volume with age.

Steven L. Ringler, MD, FACS · Answer

Thank you for your question and photos.  Judging from your photos, it looks you may benefit from a MACS lift with liposuction of the neck. Though 35 years of age is young for a face lift, there does appear to be some mild sagging in the jowl area.  You could also consider non-surgical treatment for the neck such as Ultherapy or Exilis Ultra, but the results will not be as dramatic or long lasting as using a surgical approach.  Surgery does not change your skin quality, so any non-surgical treatments for skin tone and tightening will prolong your surgical results. Best of luck to you.

Robert M. Tornambe, MD · Answer

While physical exam would be optimal, it appears from your photos that Micro-Liposuction of your neck and jowl regions may be all you need.  As much as I love MACS facelifts, 35 is kind of young for a facelift.  Developed in Europe, it is the ideal approach for the younger patient, not ready for a full facelift, or patients who desire a less invasive procedure with a shorter recovery time.  Having said that, I would try just liposuction, and consider the Mini-Facelift in 5 years, if you still think you need it.  Be sure to consult with a board certified plastic surgeon. Good luck!

Kris M. Reddy, MD, FACS · Answer

Based on the photos, you appear to be an excellent candidate for a MACS facelift focused on the lower face and chin liposuction. Consult in person with an experienced and expert board certified plastic surgeon to understand your options.

Kamran Khoobehi, MD · Answer

Your pictures are very helpful. You would get great results from neck lift. I offer my patients local anesthesia facelift. Please see the link

Richard Sadove, MD · Answer

You are an excellent candidate for a small scar lower facelift with suture plication of your facial fascia, neck suction and repair of the neck muscles. No gimmicks. No trade names. Just good, safe surgery done the same way all over the world a thousand times per year. This is not a matter of your age. It is a matter of your needs. Properly done, you will find it lasting.

John V. Williams, MD · Answer

A MACS Lift elevates and repositions the deep tissues of the face as well as the neck. Elevation and and improvement of the neck with MACS  is however limited to the  more lateral neck and does not improve the area just below the chin. The photos show that not only is there adiposity of the neck just below the chin, but there is skin laxity and vertical neck banding. Liposuction by itself may in fact of cause this neck banding to become more  noticeable. Best result would be MACS Lift with Neck Lift and removal of  the adiposity with excision or Liposuction

Double chin and jowls; can a MACS lift coupled with chin lipo offer decent results? Suggestions? (Photo)

Answers (7)

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