Getting a face/neck lift under local anesthesia is fairly easy and can really make a great improvement in the neck and jowls for roughly $8-10,000 with 1 week downtime. It is better to do it sooner when it is starting to show. Sincerely,David Hansen,MD
but from your self-description of 1 inch jowls, you should have a marked improvement and result. Realize that your body and face will continue to age but with a procedure, you should always appear 'younger' then if you had not had it. And with enough time, you may even desire a secondary procedure 5-10 years down the road to maintain the results you have achieved with the procedure. 48 is not too young to have this... you have to decide if you're willing to accept the risks of the procedure in order to achieve the benefits.