What type of facelift is best for me? 40 y/o & unhappy with lower face & jawline (Photos)

Question

Hello Doctors. I'm unhappy with the heaviness of my lower face and undefined jaw line. I'd like to get something done to address the excess skin, tighten and lift the lower face and neck and also make my jaw line look more defined, I'd like a more heart shaped face vs the round or square shape I have now. I am wondering what type of face lift is best for me (deep plane, mid, mini etc)? Won't a mini / lower lift not last as long and need to be repeated soon? I'm 40. Thank you.

John Michael Thomassen, MD · Answer

In your 40s you do not need anything too aggressive.  A mini lift would lift your cheeks, eliminate the lines around your mouth and tighten your neck.  I recommend a SMAS flap or SMASectomy technique since I believe it results in natural result that is safe and offers a quick recovery and is also long-lasting.

David Hansen, MD · Answer

Getting a lower face/neck lift under local with a little iv sedation gives amazing results and lasts a long time.  It is easy to  undergo and looks amazing and natural.  Also get the face/neck/chest resurfaced with morpheus and a medium TCA peel at the same time. Cost is roughly $22,000 for quality work and soooooo worth it.

Ronald J. Edelson, MD · Answer

Most facelifts share more similarities than differences. Rather than try to sort out the minor differences I think you are better off searching for the best doctor. One that has a good reputation and that you feel you can trust

Warren Schutte, MD · Answer

Thank you for providing photos. At this time it appears that you are much too early for surgical facelift. You do not have enough skin/soft tissue laxity to provide you a robust result. Ellacor is an FDA cleared procedure for the lower third of face that removes 5-8% of full thickness dermis per treatment; this results in a tighter lower face, less fine lines/rhytids/jowling. A great collagen boost also occurs with Ellacor. Other than that, doing laser/and or microneedling treatments will keep your dermis thick, boosted with collagen through the aging process.

Jeffrey M. Darrow, MD · Answer

You have excellent cheekbones and facial shape, have kept yourself in very good shape and have a well-defined jawline with minimal jowls and a small amount of platysmal muscle banding in your neck. At 40 years old, your skin elasticity should be excellent. Therefore, I feel that your best option would be to have a mini facelift, with suture plication of the SMAS layer and your muscle to help smooth your neck contour and sharpen your jawline slightly and smooth the skin of your jawline and cheek.. I don’t believe anything more extensive is needed or would benefit you.  Your excellent skin elasticity should give you many years of a solid improvement.  Best wishes.

William Portuese, MD · Answer

A lower face and neck lift is only going to give you minimal results to tighten up that small amount of excess skin in your neck. Probably best to just wait until you have more facial changes of aging before undergoing any type of a facelift procedure.

Darryl J. Blinski, MD · Answer

Based on your post of photos and your age, the option of a deep plain facelift for the higher risk of complications, longer healing time, and expense does not outweigh the use of a mini face neck lift with muscle supplication as far as faster healing time good results and less expense. Best virtual consult with to understand the differences.

What type of facelift is best for me? 40 y/o & unhappy with lower face & jawline (Photos)

Answers (7)

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