Would like to rid double chin and lift lower face (Photo)

Thank you for your question and sharing your photograph.

For a more significant definition around the jawline and neck contours, the anterior necklift procedure also referred to as deep neck lift or short scar necklift is typically able to produce the results.

The principle behind it is reduction in volume of the fatty tissue under the skin in combination with deeper seated fatty tissue as well as reduction of that digastric muscles and submandibular glands which contribute fullness below the level of the jawline. These are features that tend to be associated with hereditary characteristics rather than weight or ageing.

The procedure requires access under the chin and the associated scar measures approximately 3 cm in length.

Because your skin elasticities is very good, there is no need for skin tightening.

I believe you are writing your assessment about avoiding added volume and the way I tend to look at it is that the added volume effectively increases the surface of the lower face and creates the impression that the eyes are slightly smaller. Volume reduction in the lower face and along the jawline tends to produce the impression that the surface of the face is slightly smaller and that the eyes appear slightly larger.

I would not recommend the facelift for you at your age. Surgery is not permanent and you will continue to age. I would suggest the noninvasive radiofrequency treatments like Secret with possibly adding the minimally invasive radiofrequency treatment like Renuvion. Start with Secret for it many do very well for you. You can also boost each year to help control the aging process.

Depends on your skin laxity you might be a candidate for submental (chin) liposuction with facetite (skin tightening) +/- buccal fat removal for contouring the lower face . If you have a profile photos I can tell if you need a chin implant vs fat transfer to the chin /jaw line to enhance the balance .

Check out this result for this young patient in the link