What Type of Facelift Will Best Address Sagging Jowls Without Noticeable Scars?

Is 40 too young for a facelift? What treatment would be less radical, yet still effective for fleshy jowls?

Doctor Answers 44

Facelift for 40 year old

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You could benefit from a short scar facelift that would minimize scarring. You may also consider a nonsurgical facelift, which involves a combination of fillers and Botox or equivalent or laser skin tightening technologies. All of these attempt to rejuvenate the face without surgical means.

A "youngish" facelift

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In your 40's, a nice procedure to rejuvenate your face is simple fat grafting or fat grafting with a mini or short scar lift.  Sometimes simply adding volume to the cheeks, NL folds, lower orbital rim and brows can significantly rejuvenate the face with no scars.  Adding a mini lift with this procedure can also improve your neck and lower jaw contour. 

Concerned about noticeable scars and facelift surgery

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There are three main features of facial aging, loss of skin elasticity, loss of deep tissue attachements and loss of facial volume.  Once identified a plan for facial rejuvenation can be developed.   At a younger age with good skin tone you may be a candidate for liposuction of the neck and submental area possibly combined with SmartSkin laser resurfacing.  The alternative would be a short scar facelift.  The incisions are designed to be hidden.  After all you want others to look at your face and not your facelift.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Minimal Scarring with a Concept Facelift

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Thank you for your question. There are many different types of facelifts to choose from. I have pioneered the Concept Facelift which is performed under local anaesthetic and addresses the mid to lower face. I make a very small incision in front of the ear and use absorbable stitches. The scars are slightly red for a couple of weeks but after a month you can hardly notice them. This is one of the main differences between the Concept facelift and a more traditional facelift which has a much larger scar. Another difference is that as I perform this surgery under local anaesthetic the recovery time is much quicker. There is also no need for drains or bandages and you will be in and out of the clinic within a few hours. Bruising is minimal - if any and there is only a small bit of swelling for the first few days post surgery. I would advise to do your research and go for consultations. Try and ask lots of questions and hopefully you will find the right surgeon to achieve your desired look. I wish you all the best.

About Lite Lift™ and if You're a Candidate

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A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.
During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
However, if you learn that you are a candidate, this may be helpful. Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.

The best candidates for #LiteLift are patients 35-60 years old with early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.
Lite Lift™ surgery is individualized for each patient. The best candidates for Lite Lift™ surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined and do not smoke.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

What Type of Facelift Will Best Address Sagging Jowls Without Noticeable Scars?

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A face lift typically does address the jowls. Frequently a face and neck lift are performed at the same time which typically will include liposuction of the jowls as well as tightening of the lower third of the face and neck. This will address the jowls and soften the appearance. Other “types” of face lifts such as a mid face lift means that the only area of the face addressed is the mid face. This will not address the jowls fully, although some improvement may be seen because of the tightening and suspension of the midface.

Laser-Assisted Weekend Necklift

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Thank you for your question. The Laser-Assisted Weekend Necklift is ideal for the 40-60 year old with early sagging in the jowls. The procedure makes a small incision beneath the natural fold underneath the chin so that the incision scars are hidden. The laser technology allows the patient to have a swift recovery of a short few days. Please consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Mini-lifts address only the neck and lower face, and are a great option to reduce jowls.

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At my practice, I perform a minimally-invasive, less aggressive surgery that I call a mini-lift. Mini-lifts address only the neck and lower face, and are a great option to reduce jowls. A mini lift involves less scarring and less downtime than a full facelift, and tend to be ideal for women just beginning to show signs of age but who aren’t ready for a full facelift yet. If your jowls are very large, however, you would probably benefit more from a full facelift. Age is not as much of a concern as skin quality when considering a facelift, and some people are ready for one at 40 while others may get their first at 70. An in-person consultation with a board-certified facial plastic surgeon is necessary in order to evaluate your concerns and discuss with you the best treatment options available. I hope this helps.

Type of Facelift to Correct Sagging in a Young Patient

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The optimal way to correct facial sagging may be the limited scar facelift in a younger patient. All facial rejuvenation techniques have to be tailored to the patient’s aging process and not necessarily their age.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Face lift at 40

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Forty is not too young for a face lift. A face lift is not radical - if it is the best procedure to correct what bothers you.

Recent research confirms that facelifts done before 50 last longer and look better compared to later lifts. My results in my young face lift patients supports this research.  

Face lift surgery typically improves a sagging neck and jowls. A short scar face lift is ideal for younger patients. 

Fillers may conceal jowls temporarily. An extended chin implant is likely to create a heavy looking jaw. Laser results are often disappointing.

If you have jowls, are not signficantly overweight and have the time and money for surgery, a face lift may be your best investment in your looks. See a Board Certified Plastic Surgeon for a face-to-face opinion. Best wishes 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.