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Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
Is there a surgical procedure that would tighten the jowl line without having a total...
The search continues for maximum result with minimal invasion. The jowl results from the changes in contour in the bone, muscle, fat and skin. The changes in the jowl vary widely and the treatment selected depends on the amount of change. For minimal changes, a surface treatment may tighten the area enough to yield improvement. For changes that are more significant, injections and/or implants will improve the area. For the most significant changes, a face-lift is the only way to correct the problem. A consultation with a surgeon certified by the American Board of Plastic Surgery is the only way to answer your question for you specifically.
The surgical procedure that has traditionally been referred to as a' facelift' involves mobilizing the skin and soft tissues of the lower face and jawline (and in most cases, the neck), and advancing them upward and laterally to eliminate sagging (jowls) and provide the appearance of improved skin tone. The excess skin is removed.
What is currently referred to as a facelift usually means some combination of surgical lower face rejuvenation with procedures that are designed to improve other facial aesthetic areas: the brow and eyelids, the midface, and the neck. The combination of procedures In my Raleigh, NC plastic surgery practice I perform on any patient are customized for that individual's specific needs and desires, and thus no two 'facelifts' are exactly alike.
The facelift procedure involves incisions that skirt the contour of the ears, using the anatomy of the ear to help conceal them. For a full facelift, the incision starts in the sideburn area, follows the contours of the junction of the ear with the face, curves behind the earlobe into the recess between the posterior ear and the neck/scalp, and then extends into the hairline posteriorly at the top of the ear. When I make these incisions, I design them so that, once fully healed, they may be difficult for even a hairdresser to detect. That goal can often be achieved, and it requires meticulous attention to every centimeter of the closure.