Facelift or sculpting? (photos)
Doctor Answers 19
Determining the Facial Procedures Best For You
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. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed.
If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.
Lowerface-neck lift, possibly chin implant
Surgery should focus on your lower face
While your photos are difficult to interpret, it's clear to me that your problem is facial proportion: your lower face is smaller than your more youthful appearing upper face. Your cheeks (mid-face) have beautiful volume and contour because of your ample cheekbones which provide support to the cheek tissues. However, your lower face is much smaller because your jaw is small and your is chin set back. With such little bone support, your lower face tissues appear to slide down and fold over - this manifests as jowls, a double-chin and extra neck skin. Removing volume through liposuction alone is not the answer - this will worsen facial imbalance. I also recommend against more mid-face filler. Instead, augmenting your jaw and chin will balance your upper face and also provide bone support, and *possibly* a neck lift with sub-mental liposuction will restore beautiful proportion.
All the best,
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MID 30s... FACELIFT vs INJECTABLES
That being said, it does appear that liposuction of your neck along with a neck and jowl lift would help you significantly. That is a procedure I perform on a lot of younger patients with limited mid face issues. The recovery is much shorter than a "facelift" and the results can be spectacular.
Facelift or Sculpting?
The addition of incisions behind your ears (that are hidden) would be more likely to get the result you desire.
Explore Facial shaping/sculpting options
Mid 30's my cheeks have dropped causing jowels.
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
"Jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Facelift or sculpting?
The Concept Facelift Under Local Anaesthetic
The Concept™ facelift is suitable for men and women who wish to reduce sagging in the lower face and neck and regain a more natural, rejuvenated appearance. The procedure is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period.
What are the benefits of The Concept Facelift:
- Minimally invasive as it is a short scar facelift
- There is minimal bruising and swelling, especially when compared to traditional facelifts
- As the procedure is performed under local anaesthetic, you can go straight home following the procedure
- Full recovery in a matter of days rather than months
- Significantly less risk than Facelifts performed under general anaesthetic
- Fresh, youthful and long lasting results