I’m 47 years old and my jowls/lower cheeks started to sag. What's the best surgical procedure? (photos)

This is a great question that I hear a lot from my patients. A short scar facelift addresses the jowls & marionette lines. This procedure can typically be done under local anesthesia in the office, patients are up and moving around the same day.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and never be pushed out with just one suggestion. Ultimately there are pros and cons to every procedure whether it's surgery or not surgery. It should always be your choice.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Thank you for submitting your question and photos. You may be a candidate for a facelift procedure to reduce the appearance of lines and jowls, lift fallen tissue, and define the overall shape of the face.
This surgical approach can correct midface sagging, jowl formation, and marionette lines by lifting tissue and muscles upward in the cheek and outward in the neck. In some cases, excess fat is also removed to create a more defined and sculpted appearance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and suggest the best approach to address them.

Liposuction under local with the micro canulas and FacetiteRF and Morpheus would give a beautiful jawline and neck and is so easy to undergo with only 1 day downtime for roughly $4750.