Am I a candidate for a mini facelift? 37 years old after 80 lb weight loss. Help! (Photo)

Hi from Istanbul, thanks for your pics and question. While a mini facelift can effectively tighten the jawline, addressing the mid-face sagging with a mid-face lift would likely give you the best results. This combined approach would reduce sagging in the lower face and restore fullness in the mid-face, leading to a more natural and long-lasting outcome. Best of luck to you!

The biggest thing that I see is major volume loss in your lower face, and that's probably why you are noticing the "jowling". You almost look like you have no lower face, especially in the posterior jawline. I would recommend adding volume to these locations instead (although be prepared that you may need a fair amoubnt) - this can both tighten the skin and also bring the face into more proportion.

The distance between your nose and upper lip is too great. You would benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Yes , the area of laxity around the mouth and jowls Woukd be improved substantially with a lift procedure that appropriately lofted the midface. This can best be done by a deep plane approach, but with a shortened scar and more selective dissection. The results should last many years. For weight loss patients to it is entirely appropriate to consider surgery in a Katie t in their thirties.

Based on these limited photographs, you do not appear to be a candidate for any type of facelift procedure. You also appeared to have a recessive chin and prominent pre-jowls on both sides of your chin, therefore you'd be a candidate for placement of a small chin implant to augment your chin further forward and gain additional width to widen the area in the pre-jowl sulcus. This procedure can be performed under local anesthesia, which takes about 30 minutes in the office setting.