What would give me the best bang for the buck to give me a lower facelift, fix saggy jowels and a nice jaw contour? (PHOTOS)

Question

What would give me the best bang for the buck to give me a lower facelift, correct saggy jowel area and give me a nice jaw contour? Thread lift? Mini facelift? I am a complete no believer of the machines that are supposed to penetrate the layers and lift! Not keen on fillerz want something dramatic and more permanent or at least last 5-10years

Jag Chana, MD, FRCS(Plast) · Answer

Your photos demonstrate jowls and a heavy neck. In this situation a facelift and neck lift combined with submental liposuction would provide the best approach in the long term. Thread lifts also are targeting a lift on the skin and hence do not last long since there is no lifting and repositioning of the deeper layers and no tightening of the muscle. A mini-facelift also will not adequately address the neck . Have a look at the before and afters in the link bel,ow to get an idea of what can be achieved. Good luck

Richard G. Schwartz, MD · Answer

Based on your photos and stated desire for long-lasting improved facial and neck contour.  You would benefit most from a standard cheek and necklift, essentially a facelift.  This would allow appropriate fat removal under the chin, along the jawline and perhaps in the lower jowl region, platysma muscle tightening  in the neck and suspension of deeper soft tissue in the face.  The end result would be a more youthful shaped face with a more defined jawline, neckline, and smoother cheeks. With all of these changes, I strive for a natural appearance.

Jason Emer, MD · Answer

based on photos you need a neck/face lift and co2 laser resurfacing. without surgery you would get improvement with at home peels like cosmelan (see link), starting skincare, lasers like co2 or halo + bbl. and morpheus and threads for lifting. you really will need a combination of treatments. 
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Dilip D. Madnani, MD, FACS · Answer

Thanks for the pictures- your options will vary and include a lower face lift with neck lift, neck liposuciton, lower facelift with neck liposuction, a lower facelift or a miniliftYou will be happy with all options and the pricing will vary based on the extent of what was done. All these procedures will improve your lower face and neck area and the extent of improvement will depend on the amount of procedure performed. I have listed them in order of most effective down, then its up to you and your surgeon to see what would be best for you .

Brian K. Machida, MD, FACS · Answer

Do not go with a mini facelift or threadlift.  I would recommend considering a face and neck lift...that would be the best alternative for the price.

What would give me the best bang for the buck to give me a lower facelift, fix saggy jowels and a nice jaw contour? (PHOTOS)

Answers (8)

Answer: Best option for you

Answer: Best option for you

Answer: Lower face and neck lift

Answer: Lower face and neck lift

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Everything you need to know about Lower Facelift

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What would give me the best bang for the buck to give me a lower facelift, fix saggy jowels and a nice jaw contour? (PHOTOS)

Answers (8)

Answer: Best option for you

Answer: Best option for you

Answer: Lower face and neck lift

Answer: Lower face and neck lift

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Recommended reading

Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.