Facelift, fat transfer, or FaceTite? Issues: jowls, NL folds, jaw line and chin losing definition.

Question

Also fat pockets near mouth, loose skin, sagging face, asymmetries Options:1. Lower facelift2. Face fa transfer to build up those areas3. FaceTite with some facial lipo What do you suggest?

Kian Karimi, MD, FACS · Answer

Thank you for sharing your question and photos. It sounds like you have done a fair amount of research regarding the treatments that can address your concerns about your lower face and neck. Based on the photos you have provided, you appear to be an excellent candidate for a micro neck lift. This is a surgical procedure that will improve the contour of the lower face and neck, offering a very natural, rejuvenated result. FaceTite is also a great treatment if you are not ready to consider surgical intervention. I will say you may be disappointed by degree of improvement FaceTite can offer you, as it mainly tightens the area and does not offer lifting. Fat transfer would not accomplish your goals of improving the appearance of the lower face and neck. It may be recommended in tandem with other procedures, but alone would not address your primary concerns. For more information, please see a board-certified facial plastic surgeon who is experienced in surgical and non-surgical facial rejuvenation procedures. Best of luck, Dr. Kian.

Zoran Potparic, MD · Answer

It appears, based on your photos, that your neck may need some attention. Anterior neck with muscle tightening and skin rearrangement may be sufficient in that regard. Fat grafting of selected areas (cheeks, along jawline, chin) may help. In person evaluation is suggested for more accurate planning. Good luck.

Ritchie Younger, MD · Answer

Seek out a Board Certified Facial Plastic Surgeon with vast experience managing the aging face-and you will find your answer.  A methodical examination of your facial and neck anatomy will readily indicate to both your self and your surgeon what would be the best course of action for you.  Minimal changes may frequently be addressed by a non-interventional approach employing some battery of injectables , but once gravitational aging becomes evident in the upper neck and lower face-the gold standard remains some form of a neck and lower facelift.  A careful examination will clearly point one way or the other, and after inspecting your reasonably well taken photographs-I would go out on a limb and suggest to you that some form of a surgical  approach  (lower face and upper neck lift perhaps) would provide you with the longest lasting and most natural appearance to your early aging face.  Good luck to you in your quest for facial rejuvenation !!

Philip J. Miller, MD, FACS · Answer

You appear to be in the very early stages of aging with volume loss in your mid face. I would recommend the volume enhancement using a number of techniques ranging from fat to synthetic fillers. 
Once facial aging progresses to skin laxity and dissent, I recommend a micro or many facelift. I have found that patients who get treated surgically sooner end up looking better longer.
Sincerely, 
Philip J. Miller, MD, FACS
Double Board Certified Facial Plastic Surgeon

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may
benefit from a mini facelift with a neck lift.  If good technique is used,
this can be done with minimal scarring and can result in a natural look, not
over-done look, with rejuvenation of your face.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results. The most important aspect
is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Stephen Prendiville, MD · Answer

Based on the photos, it looks as if you have already had some form of facelift. The decision will depend on the quality, duration, and type of result that you wish to have.  The most effective and longest lasting result will come form a facelift.  Volume addition with fat or Sculptra isn't unreasonable, but won't help the jowls or marionette lines or help sculpt the neck.  Liposuction of the face can be counterproductive.  Seek the opinion of a few facial plastic surgeons in your decision making process.

Kenton Schoonover, MD · Answer

You look young enough and have good enough skin that I think it is still very early for you to consider surgical facelifting.  It might still be the right thing for you based on a thorough analysis and discussion, but I think that you would be an excellent candidate for Facetite.  I have always been reluctant to push non-surgical treatments because they often under deliver, but since I have started doing Facetite I have become a true believer.  I feel that this is the absolute best non-surgical skin tightening available.  Facetite uses radiofrequency energy to tighten the skin and the underlying tissues.  It is commonly coupled with some liposuction to help get the most optimal contour.  Recovery time is much shorter than surgical options.

Navin K. Singh, MD · Answer

I recommend Ultherapy as a primary step toward a more youthful facial appearance.  Given the images you have provided, you could benefit from Ultherapy to the lower face and neck.  (This includes the submental region underneath your chin that you are concerned about).  Ultherapy uses micro-focused ultrasound energy to stimulate a healing response in the deep layers of the skin. This promotes new collagen production and a lifting effect. Ultherapy takes up to 3 months for results to show.  This can be a good maintenance option after a facelift since any benefit you get will support your results.

John R. Burroughs, MD · Answer

An in-person consultation is best to give specific recommendations tailored to unique anatomy and goals.  Oftentimes the very best resulls are obtained wtih a combination of surgery and non-surgical modalities.  I have seen tremendous results with facetite and necktite in the right candidates, but results keep improving for up to 6 mos, which is too long of a wait for many.  However, there is literally no downtime with them.  Mini-Incision facelifts in the right candidates have about a week of downtime in terms of not working out and strenuous activity, but can last 7+ years.  Seek a qualified surgeon with excellent reputation, portfolio of results, and reviews.  Don't forget that medical grade skincare is essential to both maintain your results as well as look your best.  Best regards

William Portuese, MD · Answer

The photographs demonstrate normal facial changes of aging for which a lower face and neck lift can improve. In our practice, we perform a high-SMAS face and neck lift procedure which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any fatty deposits in the neck along with a platysma plasty. We do not recommend fat injections in the face or liposuction in the face either. For many examples of facelifts, please see the link and the video below

Facelift, fat transfer, or FaceTite? Issues: jowls, NL folds, jaw line and chin losing definition.

Answers (17)

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