Deep Plane Facelift - Looseness in jaw and marionette lines forming - is this a suitable procedure at 45?

Question

I am 45 years old. I lost weight and my face thinned and skin loosened. Two months ago I had a fat transfer to inner malar region. Since, I have some looseness in my jaw and marionette lines forming! Would a deep plane facelift be most suitable? I want something long lasting. Is it ok to have a procedure like this when I don't have major signs of aging? Thank you.

Ali Riza Öreroglu, MD · Answer

Based on what you’ve described, you are indeed a suitable candidate for a deep plane facelift — or in some cases, a lower facelift — even at age 45. The changes you're noticing, such as jawline looseness and the formation of marionette lines following weight loss and fat transfer, are not uncommon and are not solely age-related. Factors like gravity, skin type, genetics, and volume loss all play a significant role in how and when facial aging appears. A deep plane facelift is especially effective in cases like yours because it lifts the deeper facial tissues, not just the skin, resulting in a more natural and long-lasting outcome.
To further enhance facial balance and symmetry, especially in the upper third of the face, a temporal lift can be considered. Additionally, a lip lift can help refine facial proportions and improve the harmony between the upper lip and lower face. It’s important to understand that facial rejuvenation isn’t about age alone — it’s about the quality of the tissues and how they’ve responded to time, gravity, and volume changes. Early intervention in suitable candidates like yourself often leads to better, more durable results.

Tanveer Janjua, MD · Answer

Yes, you can get a deep plane facelift and it will make a difference. Given that you are still young and the aging process is still early you could delay a facelift by using Thermitight or Sofwave to tighten the face and neck. That should be enough for now. 
Regards
Dr. Janjua

Deep Plane Facelift - Looseness in jaw and marionette lines forming - is this a suitable procedure at 45?

Answers (2)

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