Procedures to improve bottom heavy face
The archetecture of the face and neck must be considered as a whole to evaluate balence, equilibrium and harmony. Your pictures only show half the story, but from what I see I feel 2 treatment options could be pleasing.
1. Suction of the neck and jaw line to remove your submental fat pocket and define your neck/face junction. I do not see neck (platysmal) bands in your photos.
2. A short scar face lift with neck liposuction
keeping in my mind the photos tell only a portion of the story I will address what I see only.
based on your neck, skin quality and jawline a facelift would be just too much. I dare say you look younger than your age. I know you want to look better not younger but remember 10-20 years from now your goals will be to look yonger. ironically overtreating the fat in the lower third of your face may leave you unhappy in the future. I just answered a question from a pt who had neck irregularities after liposuction of the neck. I think the fat you have is possibly too deep for lipo and that procedure may leave you with banding and fullness. there are two new things you might want to look into: 1. zerona- releases fat without killing fat cells so theoretically irregularities are not possible and it does not require surgery, injections or any recovery, 2. Iguide neck lift to support muscle layer with minimal downtime. I recently started to consider these options for my pts just like you. hope this helps.
p.s. I hate chin implants. I agree with your asessment.
Procedures to Improve Bottom Heavy Face
A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.
During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, 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.
Thank you for your question.
- Suction of the neck and jaw line to remove your submental fat
pocket and define your neck/face junction
- A short scar face lift with neck liposuction
Liposuction could be the answer...
Although your pictures are helpful, it’s hard to make a
recommendation without performing a physical examination. Your pictures suggest
submental fat deposition with surprisingly minimal skin laxity. Some of your
lateral pictures suggest redundant skin but your head appears to be turned to
the side. Under these circumstances, skin folds would be expected.
on these findings a facelift probably isn’t indicated under these
circumstances, treatment of submental fat with conservative liposuction would
result in excellent contour improvement.
you’re considering treatment of this problem, consultation with a board
certified plastic surgeon is appropriate. This surgeon should be able to
perform an examination and make an appropriate recommendation.
Facelift for bottom heavy face
The basis of a facelift is not pulling the skin rather it is repositioning of tissues under the skin and then re-draping the skin over the more youthful understructure. In some patients neck liposuction, fat grafting and other procedures to the eyes or forehead are done concurrently.
Lower face and neck options
from what I can see, Liposuction would give you a good degree of improvement, and if a small platysmal band is palpable, the submental incision could be extended and those sutured together. I do not think you have enough skin laxity in the neck at the present time to warrant the neck lift scars.
A chin implant would be placed against the bone of your jaw so that it feels like an extension of your natural jawline
While you are not fond of the idea of the chin implant, that may still be the best choice. A chin implant would be placed against the bone of your jaw so that it feels like an extension of your natural jawline. Not only would this improve your jawline and front profile, but it would also improve your side profile and the contours of your neck. I believe that a facelift or neck lift are more aggressive approaches than you need at this point.
Improving "Bottom Heavy" Face
Liposuction would be helpful as part of a facelift or necklift, not as an isolated procedure. I would recommend a facelift if you do not want a chin or chin-jowel implant; otherwise a necklift with chin implant should be considered.
Improving a bottom heavy face
According to the picture shown, there is no evidence of needing a face/neck lift or neck bands. It is impossible to narrow the lower third of the face. Liposuction is not a good idea since there is no fat in that area of that chin. In the neck structure itself, the primary goal of a neck lift is to remove excess fat above and below the platysma muscle to sharply delineate the jawline and tighten the neck muscles.