Facial Plastic Surgery Questions and Answers: Part 04

Question: Am I a candidate for a mini lower facelift? 28 Year old Female 
Answer: A full set of facial and neck photographs from all angles are going to be required to make a determination about how best to proceed. At 28 years of age, your skin tone in your neck should be just fine and a face/necklift should not be necessary . This procedure is usually performed on patients in their 50s, 60s and 70s.

Question: Would a mini facelift work for my sagging jowls? 
Answer: If you’re referring to the loose skin on the outer corners of your mouth, then a mini facelift would probably be able to tighten that skin and the fascia layer underneath it for more of a permanent result. A full set of face and neck photographs from all angles are going to be required to make a determination about being a candidate for surgery.

Question: Would I be a good candidate for a lower facelift? 30 y/o female hoping to target heavy lower face 
Answer: No, you’re not a candidate for a facelift at age 30, since your skin tone is not an issue at that age. You have fat deposits in the neck and a recessive chin profile. Consider a neck lift with a platysma plasty and placement of a small, chin implant to Augment your recessive chin forward. Both procedures are complementary to each other to improve your neck.

Question: Sagging skin under my chin – What are my options? 
Answer: Congratulations on your significant weight loss. Due to the deflation of your neck tissues from the weight loss, there is now loose and inelastic skin along with platysma muscle bands present. A lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, which also includes a platysma plasty to significantly improve your jawline.

Question: What is the best option to fix sagging skin after neck liposuction?
Answer: At age 59, you’re going to have loose and inelastic skin in the neck made worse by liposuction alone. A lower face and neck lift procedure is required to tighten loose facial and neck skin in addition to tightening loose facial and neck muscles.

Question: Suggestions for non surgical lower face improvement? 
Answer: To give you a better answer, it requires you posting a full set of facial and neck photographs from all angles to make a determination about how best to proceed. The non-surgical treatments only offer minimal improvement, at best.

Question: Well, lower face and neck lift help my neck? 
Answer: Yes, indeed, a lower face and neck lift would accomplish tightening loose, facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat compartments in the neck located both above and below the platysma muscle in the neck itself. This also includes a platysma plasty to significantly improve your jawline. Choose your surgeon wisely, based on extensive experience producing natural results.

Question: Would tip plasty be enough for my face to look more harmonious? 
Answer: No, a tip plasty it’s only a component of your nose. To narrow the nose requires a full rhinoplasty which includes osteotomies to narrow the nasal bones, a tip plasty to narrow the nasal tip cartilages, and an alar plasty to narrow wide nostrils. You also have thick skin in the tip of the nose which is going to prevent significant refinement in that area of the nasal tip itself.

Question: 56-year-old woman, looks like I’m frowning. Starting to get jowls and neck looks like a turkey. How do I treat this? 
Answer: From the limited photographs, it appears that you have significant facial changes of aging for which a lower face and neck lift can significantly improve. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the gels, and remove fat deposits in the neck which also includes a platysma-plasty.

Question: Recommendations for laxed face jowls and double chin? 
Answer: The limited photographs demonstrate a recessive chin, and a prominent pre-Jowl sulcus which makes your jowls look relatively bigger than they really are. Consider placement of a chin implant to augment the mandible forward and fill in the pre-Jowl sulcus. Liposuction can accomplish removal of fat deposits above the platysma muscle in the neck, howeverit also appears that you may have fat deposits below the platysma muscle which will require a neck lift with the platysma-plasty to significantly improve the jawline. More photos would be needed to make that determination.

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