Hello, hope you are well. The photo you shared is an unusual angle to assess that area of your face and neck, but generally speaking a facelift must be done to address jowling. Unless it is a relatively conservative neck lift (through a submental incision only), I almost always perform these procedures concurrently (facelift/neck lift) for the best possible outcome. That is why when you meet with your surgeon, it is always best to communicate in terms of aesthetic goals and specific facial features you're hoping to improve on and not necessarily ask for a specific surgery or surgical technique (although it is good to be well-informed!). Best,Dr. Tower
The neck lift is designed to improve: a double chin, vertical neck bands (platysma banding), excess neck skin laxity, neck wrinkles, and lower jawline definition. The jowl is improved with the neck lift but often times needs a lower facelift or deep plane facelift to achieve the best longterm outcome.
