Micro Liposuction for Jowls

If you’ve been thinking about getting liposuction for jowls, you’re in luck. Micro liposuction is a relatively new procedure that uses small incisions and suction to remove fat from areas like the neck, cheeks, and under the chin.

The procedure is minimally invasive and can be completed in less than an hour. It’s also done on an outpatient basis, meaning you don’t have to stay overnight at the hospital after your surgery. In this guide, we review the aspects of Micro Liposuction For Jowls, Liposuction Jowls Cost, chin and jowl liposuction, Can liposuction get rid of jowls?

Micro Liposuction for Jowls

We’ve searched high and low for a technology to effectively treat one of our patient’s number one “trouble” areas, the neck. Technologies that treat through the skin, like Ultherapy proved to be painful and not as effective as we had hoped. Kybella, the injectable that kills fat, also wasn’t effective for every patient, required multiple treatments, and did nothing to tighten skin in the treated areas — meaning, you could dissolve fat and end up with more noticeable loose skin as the fat melts away.

After much research, we’ve found something we believe in. The technology, known as Smart Lipo, has been around for over a decade, and the treatment is performed by Dr. Janowski, so you know you are getting the most precise results. A sagging chin aka “jowls” can make you look much older and more tired than you feel or even than your true actual age. However, until recently, besides a surgical neck lift, there have been few options for effectively treating this area.

Until now…the Micro-Surgical Neck Lift is here!

Sonata’s Micro-Surgical Neck Lift is ideal for patients who have considered a surgical neck lift, but would like to avoid the related trauma and downtime. It is minimally invasive, and you are awake during the procedure.

Sonata’s Laser Micro Neck Lift:

• Creates a more defined jawline and reduces “jowls”
• Tightens skin on the neck and lower face
• Restores a youthful profile to the neck
• Minimal discomfort, and
• Minimal downtime

Laser energy literally melts fat and by using heat, it simultaneously tightens the texture and structure of the skin along the jaw line and around the neck. The melted fat is removed with a small cannula, creating an instantly positive effect. Jaw and neck skin tightening and texture improvement begins during the treatment and continues for several months post treatment.

Before your treatment we’ll numb the area with a local anesthetic. The treatment itself is usually painless and lasts for about an hour.  And you can resume your normal activities within a day of the treatment. You may have some minor bruising and swelling.

This is a one-time treatment, and because Dr. Janowski customizes each treatment to your specific needs, you get a beautifully precise result.

Our Laser Micro Neck Lift tightens and reduces fat along the jawline and neck creating a remarkable defined jawline where skin was previously sagging and flabby. Results last for five to ten years.

Schedule a consultation with Sonata Aesthetics today. Serving Broomfield, Denver, Westminster, Boulder, Arvada, and surrounding areas.

Neck liposuction is quite straightforward. As popular as it is, it is surprising it is not done even more often.

Several key points:

• The great majority of neck fat lies quite superficially under the skin. Beneath the fat there is a layer of muscle called the platysma, which acts as a barrier between the fat we liposuck and the vital structures of the neck. So trained and specialised doctors can perform liposuction to the neck with safety.
• Neck liposuction is performed with very fine cannulas, even finer than those used elsewhere on the body: generally only 2mm in diameter.
• Thinking about a face-lift? As you can see in these cases, liposuction alone, first, can improve neck contours and lighten the whole face.
• Many patients undergoing a lower face-lift would get more natural results, would avoid scars, and would save thousands of dollars if they had liposuction first.
• Liposuction can defer your need for a face lift and improve the final outcome of any face lift you may eventually undergo.
• Face-lifts don’t deal well with jowl fat. Merely pulling up jowl fat doesn’t remove the fat, and in most patients the jowls just return back down after facelift.
• All patients in these photos had LIPOSUCTION ALONE.

At Peach we use a FOUR incision approach. The commonest text-book approach to liposuction of the neck involves THREE incisions: one under the middle of the chin, and one under the lobe of each ear.

Such an approach, though, means that most of the work is done through the central incision, which then tends to stretch and become abraded as the treatment proceeds. Treating the central area on the front of the neck from this central incision tends to create vertical ridges, which are difficult to criss-cross from the rather distant incisions under the ears. It is awkward to treat the jowls from this central incision, and, finally, a horizontal incision directly under the chin is something of a give-away to the informed observer that liposuction has occurred.

On the other hand, a FOUR-incision approach, with the central two incisions placed under the mandibular line and a little lateral to the mid-pupillary line brings several advantages. Less work needs to be done through each incision, so the incision is less stretched and abraded. The area directly under the chin is treated obliquely from each of these two incisions with thus less chance of vertical ridging and easier criss-crossing. There is easy access to the jowls from each of these incisions, easy access to the lateral portion of the anterior triangles and easy criss-cross against the sublobular incisions. The incisions heal very well and generally look no worse than acne scars and, if placed in a wrinkle, can virtually disappear altogether.

The neck recovers faster than anywhere following liposuction, but then again it needs to: it’s on display. Immediately following liposuction patients need to have an elastic, compressive garment applied. This garment helps to reduce swelling and bruising and hasten recovery. By pressing the neck skin against the underlying platysma muscle as recovery and healing occurs there is less chance of persisting neck skin redundancy and looseness. Ideally the garment would be worn for a week continually but most patients find they can manage only a few days of continual use and then, due to work commitments etc, restrict garment use to time spent at home. This is usually a reasonable compromise.

Jowl Liposuction Cost

If you are troubled by a double chin, jowls or a turkey-waddle neck, facial liposuction may be an option. The best way to determine if facial liposuction is for you is to schedule a consultation with a board-certified plastic surgeon who has experience performing facial liposuction and/or other facial rejuvenation procedures. He or she will examine your facial anatomy and engage you in a candid discussion of your aesthetic goals and expectations.

Weight loss or gain may affect the results of your facial liposuction, so you should be at your ideal weight before considering the procedure. Tell your surgeon if you are planning to lose weight. Other lifestyle factors also may affect your candidacy. For example, smoking can impair healing and compromise the results of your surgery; If you smoke, tell your surgeon. Alcohol use may also increase facial liposuction risks. Certain over-the-counter (OTC) medications can increase bleeding risks and complicate your healing. Make sure you tell your surgeon about all medications you take on a regular basis, including dietary supplements.

Facial Liposuction: The Basics

Facial liposuction can be performed in less than an hour using light sedation plus a local anesthetic. If you are having other facial procedures performed simultaneously, general anesthesia may be warranted. This decision will be made together with your surgeon following a thorough consultation.

Facial liposuction is similar to liposuction on other areas of the body. The main difference is the amount of fat that is being removed. In general, just a few ounces of fat are removed from your face. By contrast, liposuction of the thighs may involve the removal of pounds of fat.

Your precise surgical plan will depend on what facial areas are being treated with liposuction. To treat the jowls or chin area, your surgeon will make a two- to four-centimeter incision beneath your chin or between your gums and the bottom of your inner lower lip. He or she will then insert a thin tube called a cannula, which is moved back and forth to break up the fat. The fat is then vacuumed out.

Some surgeons may use other liposuction technologies to emulsify the fat before it is removed. These can include ultrasound-assisted liposuction, power-assisted liposuction, laser-assisted liposuction or water-assisted liposuction. These techniques may allow for a gentler procedure. After the appropriate amount of fat is removed, your surgeon will close your incisions. Facial liposuction results are immediate.

Facial Liposuction Recovery

Your facial liposuction recovery process depends on whether or not you have other procedures performed at the same time. If facial liposuction is performed on its own, recovery is more straightforward. Expect some mild pain and discomfort, which can be controlled with OTC or prescription painkillers. Some swelling and bruising is also common. Wearing a compression garment for several weeks can help reduce any swelling.

You can likely return to work within five days or sooner if you can cover the treated area with a scarf or turtleneck garment. If the incisions are in your mouth, your diet may be restricted. Follow your surgeon’s postoperative instructions carefully to minimize your risk of complications.

Facial Liposuction Risks

No surgery is risk-free. Potential facial liposuction complications may include:

• Infection
• Bleeding
• Nerve damage, loss of sensation
• Scarring
• Dissatisfaction with the cosmetic results
• Anesthesia risks
• Hematoma (collection of blood pooling under the skin that may clot)
• Seroma (collection of fluid under the skin)

In general, the risks of facial liposuction are lower than those seen with liposuction of the body. Discuss the risks of facial liposuction with your surgeon before scheduling your surgery. He or she should provide important information on how to minimize them. Quitting smoking, for example, can reduce your risk of developing a postsurgical infection. Your surgeon may prescribe antibiotics to lower your risk of infection. Take the full course of these medications to make sure you are protected.

Facial Liposuction Cost

Facial Liposuction cost varies based on the areas being treated. Chin, cheeks, jowls and neck liposuction can cost anywhere from $2,500 to $5,000. Laser-assisted liposuction and ultrasound-assisted liposuction may increase these costs. Insurance rarely covers the cost of purely cosmetic procedures. Ask your doctor about financing options if the cost is more than you can afford at one time.

Micro Liposuction Chin

Tumescent liposuction is the technique of choice for removing subcutaneous fat in the submental chin and jowl areas. The ideal candidate is the patient who has realistic expectations and who will be satisfied with the results achievable by liposuction.

For many patients with suboptimal skin elasticity, liposuction can achieve gratifying results. Older patients, especially males, are pleased with the ability of their skin to retract and appear sufficiently smooth. Liposuction is particularly appealing to patients who do not want the prolonged recovery time, the scarring, and the risk of complications associated with a facelift.

Two-Stage Tumescent Facelift

Because of the scars associated with facelifts, most male patients prefer tumescent liposuction of the chin, cheek, and jowls (CCJ) over the traditional facelift.

In many women, tumescent liposuction of the CCJ can produce better cosmetic results than a facelift. Female patients also often prefer tumescent liposuction over a facelift because of the following:

1. Microcannular liposuction involves fewer risks of disfiguring scars.
2. Tumescent anesthesia eliminates the dangers of systemic anesthesia.
3. Patients have more rapid recovery.
4. Tumescent facelifts typically provide a more natural and “less surgical” appearance (Figure 35-1).

Tumescent liposuction with delayed skin resurfacing is often chosen over a facelift by older women with significant subcutaneous fat in the face and neck and marked solar elastosis and aging of the skin. The sequential two-stage cosmetic surgical procedure consists of the following:

1. Tumescent liposuction of the CCJ, with platysma muscle plication
2. At a later date, full-face carbon dioxide (CO₂) laser resurfacing using tumescent local anesthesia (Figure 35-2).

This approach can yield results that are much superior to a facelift alone (Figures 35-3 and 35-4).

Among younger women who have good skin elasticity, liposuction without ancillary procedures can also produce dramatic improvement and is much simpler than a facelift.

Some women may prefer a facelift because they have minimal subcutaneous fat below the chin but excessively wrinkled, redundant neck skin.

Anatomic Considerations

The phrase “liposuction of the face and neck” is somewhat misleading. To be more specific, liposuction in this general area involves the submental (under chin) area, the jowls, and a small area of the cheeks. Because optimal results do not necessarily require liposuction of the neck caudal to the nuchal crease, or the thyroid cartilage, this procedure is referred to as “liposuction of the chin, cheek, and jowls (CCJ).”

The region surrounded proximally by the mandibular margin and submental crease and distally by the nuchal crease is the submentum. The jowl is a small area of fat that sits on top of the middle part of the mandibular ramus and usually goes out to the submental area and then narrows down. Jowl fat is anatomically distinct and unrelated to the buccal fat pad.

Surface Anatomy

The appearance of jowl fat is a sign of wisdom and maturity (advancing age). The jowls are an important anatomic feature for the cosmetic surgeon. As a source of concern for women and men of a certain age, prominent jowls rank with wrinkles and platysmal bands as unwanted facial features.

Wrinkles. Liposuction does not significantly improve facial wrinkles. Several other techniques, however, including dermabrasion, laser resurfacing, and chemical peeling, may successfully treat facial wrinkles.

Tumescent dermabrasion is probably the most successful technique for eliminating the perioral rhytids on the lips. Dermabrasion, however, depends more on clinical experience and surgical skills than do laser resurfacing or chemical peeling.

Platysmal Bands. The platysma muscle bands, highly visible on the anterior neck, often contain a large quantity of fat. Tumescent liposuction may improve the appearance of platysmal bands to some degree. A submental crease incision with platysma muscle plication, however, provides much greater cosmetic improvement (see later discussion).

Redundant Skin. Either (1) a facelift with subcutaneous musculoaponeurotic system (SMAS) plication or (2) submental skin excision and platysma muscle plication can get rid of extra skin on the front of the neck. Newer laser methods or chemical peels might prove successful for treating wrinkles on the neck and submental area. The risk of scarring discourages most cosmetic surgeons from aggressive resurfacing on the neck.

In certain patients, liposuction combined with facial skin resurfacing and platysma muscle plication can achieve results that are superior to the traditional facelift.

Gross Anatomy of Subcutaneous Fat

The principal fat compartment of the CCJ is the midline submental fat. These fat pads, together with the fat of the droopy jowls, are the main targets for liposuction of the CCJ.

Tumescent Advantages. Tumescent infiltration improves the safety of liposuction in these areas. With careful and gentle tumescent infiltration, the subcutaneous fat is lifted away from the deeper nerve and blood vessel structures below the platysma muscle.

Conservative liposuction of the cheeks using the smallest cannulas can achieve gratifying results. Similarly, minimal liposuction along the inferior aspect of the mandible can produce a more youthful, well-defined jaw line. The surgeon must be cautious to avoid injury to vascular structures that are subjacent to the thin platysmal muscles in this area.

Tumescent local anesthesia of the CCJ has proved to be safe provided that the infiltration is done with care and precision. To my knowledge, no reported cases of laryngeal edema have been associated with the subcutaneous infiltration of large volumes of dilute lidocaine and epinephrine into the CCJ and neck.

Larynx. The larynx is essentially a protective valve at the upper end of the respiratory passage.¹ It consists of a framework of articulating cartilages connected by ligaments. The important laryngeal cartilages are the thyroid, cricoid, arytenoid, and the epiglottis. The laryngeal ligaments and muscles connect the laryngeal cartilages.

The fasciae that invest the cartilages, ligaments, and muscles act as a barrier that protects the larynx from subcutaneous soft tissue edema. From the perspective of tumescent liposuction, these sheets of fascial tissue prevent tumescent anesthetic solution from diffusing into the larynx and causing laryngeal edema or paralysis of laryngeal nerves.

Risk Factors. Liposuction of the CCJ should be confined to the subcutaneous fat superficial to the platysma muscles. The important motor nerves and blood vessels of the face and neck are deep to the platysma muscles. To avoid risk of injury to the thyroid gland, liposuction should not be extended too far distally beyond the cricoid cartilage.

The tumescent technique is not intended for thyroid suction or inadvertent thyroidectomy. Hemorrhage into the thyroid gland can result in laryngeal edema. Hemorrhage into the neck, deep to the investing fascia of the larynx, may put external pressure on the trachea and cause airway obstruction. Trauma to and obstruction of venous or lymphatic vessels deep to the platysma may cause laryngeal edema.

It is especially important not to attempt liposuction of the CCJ if the patient may have recently taken aspirin, nonsteroidal antiinflammatory drugs (NSAIDs), or other agents that might impair hemostasis and predispose to local hematoma and direct pressure on the trachea.

Intraoperative Positioning

Patient positioning is important for comfort and optimal access to the treatment area. Preferably, the patient is supine or comfortably recumbent, with the back and knees slightly flexed and the neck moderately extended. Too much or too little extension of the neck will make it more difficult to accurately palpate the deep interface between the submental fat and the subjacent muscle fascia.

The patient’s hands and arms should be lightly restrained by a towel wrapped around the arm and tucked under the patient. This prevents the patient from possibly contaminating the surgical field.

Anesthetic Infiltration

In order to achieve tumescent infiltration of the neck, one must first penetrate along the deepest planes of subcutaneous fat before moving more superficially. For infiltration to be done with little pain in a fully awake patient, small amounts of tumescent anesthetic solution are first injected into the dermis at the planned sites of 1.0-mm holes made with a skin biopsy punch or 2-mm to 3-mm microincisions. The microincisions can be made with a small scalpel blade (e.g., no. 11) or 16-gauge Nokor needle (Becton-Dickinson).

The tumescent local anesThe tumescent local anesthetic solution for CCJ liposuction usually has 1.5 g of lidocaine, 1.5 mg of epinephrine, and 10 mEq of sodium bicarbonate mixed in 1 L of normal saline. This can be done with or without platysma plication. requires 250 to 350 ml of tumescent anesthetic solution.

The goal is to achieve optimal anesthesia and hemostasis. Moderate tumescence is preferable; extreme or massive tumescence is unnecessary and possibly unsafe.

Accurate infiltration is essential for depositing the anesthetic solution as close as possible to the deep margin of the submental fat pad. Precision infiltration is optimal using a 25-gauge, 5-cm (2-inch)–long needle on a 12-ml syringe. Using a hand-held syringe for the initial phase of the infiltration allows fine control of the rate and volume of infiltration.

After the initial deep infiltration, one can continue using syringes. Alternatively, one can use a electric motor–powered peristaltic pump, with either a 25-gauge pediatric spinal needle or a 20-gauge spinal needle, to complete the tumescent infiltration.

In a thin patient who has only a small or localized distribution of CCJ fat, the entire infiltration is best accomplished by syringe. With skill and experience, infiltration of the CCJ can be accomplished painlessly, without systemic sedation or analgesia.

Cannula Size

Liposuction of the submental area was introduced in the 1980s, when liposuction was usually accomplished by general anesthesia. With early liposuction, “facial” cannulas were large and often flattened or spatula shaped. The width of different cannulas ranged from 3 to 10 mm.

Incisions sites for cannula insertion in the CCJ area vary with cannula size. To accommodate a cannula with minimal cutaneous friction, the incisions must be slightly longer than the width of the largest cannula. For large cannulas the location and number of incisions are limited by the requirement that the scars be well hidden.

With the advent of tumescent liposuction the use of microcannulas became practical. Surgeons began to appreciate that microcannulas allow greater finesse, more predictable results, less inflammation, and more rapid healing, with fewer complications.

Large Cannulas. For liposuction of the submental chin and neck, some surgeons continue to use large cannulas with one or three relatively large incisions. This traditional approach involves one of the following:

1. Single midline incision in the submental crease
2. Combination of midline incision and bilateral subauricular incisions that allow some crisscross tunneling in the submental fat

The use of large cannulas necessitates that the incision be closed by sutures. This discourages drainage and prolongs postoperative elastic compression for 2 weeks or more. Using large cannulas precludes finesse and the ability to treat small areas of the cheeks.

The preference for using large cannulas for CCJ liposuction is partly a result of surgical tradition. Surgical training is justifiably conservative and discourages extreme deviations from fundamental techniques. Once a technique is mastered, surgeons are disinclined to modify the procedure dramatically. Nevertheless, careful conservatism must not discount the possibility of innovation and improvement.

Microcannulas. Microcannulas produce excellent aesthetic results. I prefer microcannulas with an inside diameter (ID) of 2.2 mm or less (12 gauge or smaller). The microcannulas that I use to treat the CCJ are the 16-gauge and 14-gauge HK Finesse and 20-, 18-, and 16-gauge Capistrano.

Adits and microincisions do not require sutures, so drainage is unimpeded and rapid. Postoperative elastic compression of the CCJ is only necessary for 18 to 36 hours. Microincisions simply disappear rapidly without hyperpigmentation.

With 16-gauge and 14-gauge cannulas the surgeon can use microincisions that are 2 to 3 mm in length. A 1.0-mm adit or a 2-mm to 3-mm linear incision that is not excessively traumatized by a cannula will disappear within days. The risk of postinflammatory hyperpigmentation of the face is no greater than that encountered with a typical nick from a razor while shaving.

Location of Adits

The preferred pattern for using microcannulas for liposuction of the CCJ usually involves three to 10 adits or microincisions. Multiple adits permit the extensive use of crisscrossing patterns for the microcannula paths, which allows the smoothest results.

Three 1.0-mm adits spaced equally along the submental crease are sufficient for patients requiring liposuction confined to the submental area and limited by the mandibular rami. The typical patient in this category is a young, thin female with only a few milliliters of fat under the chin.

The average patient might require five or six adit incisions, which include the three equally spaced adits in the submental crease. Two bilaterally symmetric incisions are placed beneath the mandibular rim between the angle of the jaw and the jowl area, near the anterior border of the masseter muscle.

An obese patient may require an additional pair of symmetric incisions at approximately the level of the hyoid bone and lateral to the border of the thyroid cartilage (Figure 35-6).

Surgical Technique

It is preferable to wait for 20 to 30 minutes after completing the infiltration before initiating liposuction. This brief hiatus allows more complete vasoconstriction and anesthesia, as well as time for the tumescent fluid to move by bulk flow both laterally and deeply and for detumescence of the infiltrated tissue. Detumescence permits the anesthetized tissues to be grasped more easily and accurately without trauma to subjacent tissues.

By carefully grasping the skin and slightly elevating subcutaneous fat, liposuction is initiated at the deepest levels of the fat just above the platysma muscle. Subsequently the cannulas are directed more superficially. Liposuction of the neck can be done more superficially than in other areas of the body, but care is taken not to rasp the undersurface of the dermis with holes of the cannula. The surgeon should not intentionally allow the cannula to rasp the dermis.

Liposuction is accomplished first with the small 20-, 18-, and 16-gauge cannulas, then with the 14-gauge cannula. The larger 12-gauge cannula is rarely used. Smaller cannulas with smaller openings are more likely to give smooth results and are less likely to injure nerves or blood vessels (Figure 35-7).

The marginal mandibular branch of the facial nerve is vulnerable to trauma from a liposuction cannula. Located at the anterior border of the masseter muscle, where it passes over the mandible, the nerve is in close association with the facial artery, the pulsations of which are easily palpated. By elevating the subcutaneous fat away from the subjacent structures, the tumescent technique minimizes the risk of injury to the marginal mandibular nerve.

The surgeon should avoid an aggressive approach to microcannular tumescent liposuction of the cheeks and the portion of the jowls that extends onto the cheeks. Extra caution should be taken in treating the nasolabial folds. It is easy to remove too much fat inadvertently, with a resulting focal depression of the skin.

Postliposuction healing is rapid and uneventful, although subcutaneous fibrosis can occur. The incidence is probably less than 5%. Clinically the patient notices one or more firm, bandlike areas of tightening in the submental area. Histologically these bands show scarring with fibrosis. The condition will resolve spontaneously, and treatment is usually not necessary. For the patient anxious to resolve the fibrosis, the physician can inject very dilute triamcinolone (1 mg/ml or less) into the affected bands and repeat the treatment every 1 to 3 weeks.

Liposuction of the submental area, cheeks, and jowls can be accompanied by skin excision and plication of the submental platysmal muscles to ameliorate a “turkey gobbler” appearance.²

Other applications of microcannular tumescent technique in the head and neck region include facelift and skin cancer repairs using flaps and grafts. Microcannulas without suction are particularly useful in undermining the tightly adherent skin behind the ears and the preauricular skin flaps during facelifts. A microcannular tumescent technique can completely perform a standard facelift under local anesthesia without the use of intravenous (IV) sedation.

Can liposuction get rid of jowls

Liposuction versus Facelift for Jowls

One of the most common areas of the face to show signs of aging is around the jawline. Once the facial skin in this area begins to sag around the jawline, you start to form what are known as jowls. In some cases, the excess skin can actually start to droop below the jawline. The unfortunate effect of jowls is that they can make you look angry or upset, even if that is not your mood or general personality.

Fortunately, there are several options available to tighten up your jawline and remove jowls that have formed. Two of the most popular of these are liposuction and facelift. What are the differences between these procedures? Below, Dallas, TX plastic surgeon Paul Pin explains what causes jowls to form, as well as the liposuction and facelift procedures that may correct them, in order to help you determine which one might be the better option in your particular case.

What Causes Jowls?

Sagging of facial skin around the jawline occurs due to a loss of collagen in that area of the face. Collagen is a protein that the body forms to fill out the body over the skeleton. As you age, your body will lose collagen, leaving you with sagging skin around the lower part of your face, thus forming jowls.

Liposuction

A liposuction procedure is designed to remove pockets of excess fat from various areas of the body, including the jawline, chin, and neck of the face. For a liposuction procedure, Dr. Pin will first make a series of small incisions into the areas of your body from where he will remove fat. He will then insert a thin, hollow metal tube through the incisions and remove the fat with the help of ultrasound to break up the fat cells to make them easier to remove.

Facelift

A facelift procedure will tighten up the skin that has sagged around your jawline. This can involve lifting either just your skin and underlying tissue, or also lift the facial muscle structure around the jawline. A facelift that also addresses the facial muscles will generally give longer-lasting results. Furthermore, Dr. Pin can either do a full facelift, or just address the lower portion of your face, depending on whether or not you want to only focus on your jowls as your goal from a facelift procedure.

Which One Is Right for Me?

The answer to which procedure is the right one to address your jowls depends on whether or not you have fat deposits around your jawline. If you only have fat deposits, but no actual skin sagging, a liposuction procedure is a better option because there is no need to reposition the skin or underlying facial structures. If, on the other hand, you indeed have sagging skin, a facelift will be a better choice. Dr. Pin does not recommend combining the two procedures, but instead waiting until several months after a facelift procedure to see the final results before doing a liposuction to remove any excess fat that may still be around the jawline.

If you feel that the jowls on your face make you look older than you feel, or give people an inaccurate impression of who you are, it may be time to consider a cosmetic procedure to address the problem. Dr. Pin can help you determine the best method to correct the problem.