35 years old, want to improve lower face (Photo)
Doctor Answers 7
Facial contour improvement age 35 female.
A face to face evaluation would be most helpful however from your photos I would definitely be thinking of submental liposuction combined with a chin implant in addition to BFP removal. Fat grafts or HA fillers to your cheeks (malar eminence) and nasolabials should also be considered. Regards,
Jon A Perlman MD FACS
Certified, American Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Best of Los Angeles Award 2015, 2016
Beverly Hills, Ca
Recommendations for improving facial shape and proportions
Thank you for your question and for including a complete set of photos. I think there would be a very significant improvement in your jaw-line and overall facial proportions with a chin implants and some submental liposuction. An HA filler in the malar area may or may not be a nice complement as well.
chin implant and neck liposuction
The photographs demonstrate fatty deposits in the neck and a weak chin profile. A chin implant can be placed through a small incision underneath the chin to get more projection to the mandible to help a facial balance and proportions, especially from the side profile. Fatty deposits in the neck can be removed with liposuction at the same time. Both procedures can be performed under local anesthesia as an outpatient surgical procedure. For more information and many examples, please see the link and the video below
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35 years old, want to improve lower face
Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts. From the photos your cheeks are flat anteriorly (in the front), there is a small amount of excess fat in the lower face, jowls are present and the chin is weak. These factors combine to create an elongated, oval shaped face.
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. I would combine liposuction to reduce the excess fat.
When the chin is weak, this 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” 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 and no incisions that extend or are placed within the hair.
- minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
- 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
I combine facial shaping with every facelift procedure. When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.
Lift Options for the Lower Face
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 objective.
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, individualized for each patient, 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 non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic may also be a candidate for a Lite Lift™.
Improve Lower Face Profile & Structure
Thank you for your question and pictures, please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. Liposuction to the neck area would give a smoother, contoured neckline giving more definition. This could be also enhanced by chin implants or dermal fillers to the chin area, creating a good proportion side profile. In the future a lower facial under lower anaesthetic maybe considered as skin in these areas become more lax. This means volume can be lost creating jowls and wrinkles. The Concept Facelift under local anaesthetic means no bandages, drains and hospital stay but with lasting results of traditional facelift techniques, however it fits with todays age.
All The Best
Cheek and chin lift
A face to face consultation or pictures would be best. Based on the limited pictures and your story, you might consider a Thermi of the neck (tightens the skin, as well as dissolves the fat) and a chin implant for the neck. I like an endotine mid-face lift, which has to be performed properly to get the best result, for lifting the cheek.
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.