Better definition and tightening in the lower face and neck area. Am I an appropriate candidate for a lower facelift? (Photos)

Question

I underwent facial fat grafting one week ago, during which approximately 50 cc of fat was injected into my cheeks, temples, and nasolabial regions. As a result, my midface currently appears excessively full, and I am concerned that much of this volume may persist due to the large amount of fat that has been used. My main aesthetic concern is the laxity of my lower face and neck, including sagging along the jawline (jowls) and the presence of submental fullness (double chin). I am interested in a lower facelift to achieve better definition and tightening in this area. However, I am worried that a lower facelift could potentially make my lower face appear too narrow relative to my overfilled cheeks, resulting in an unbalanced or triangular facial shape. I would appreciate your assessment regarding candidacy and optimal timing for a lower facelift, given my recent fat grafting procedure.

Ronald J. Edelson, MD · Answer

You should wait for the final result from fat grafting to determine what if anything should be done next. Just don’t crush into more  surgery right away

Philip S. Schoenfeld, MD, FACS · Answer

You are really asking many different questions.  My first thought is that one week following facial fat transfer is way too early to worry about being over filled.  Give it about 8 weeks and I suspect the swelling will have subsided and it will look much better.  My second thought is why you didn't simply have a deep plane facelift if you were worried about the appearance of your midface, lower face, and neck?  Having your lower face and neck done surgically will in no way create an abnormal relationship between your mid face and lower face.  A well performed face and neck lift will create a beautiful neck line and reduce your jowls.  If necessary, elevation of your mid face fat pad can also be performed with a deep plane face lift.

Better definition and tightening in the lower face and neck area. Am I an appropriate candidate for a lower facelift? (Photos)

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