My face seems to have fallen into deep lines on both sides of my mouth creating a sag.  I have a "gaddle"under my chin.  There seems to be a muscle that runs from the center of my lower front teeth down to my voice box (I have had this all of my life).  It seems like the top of my face does not match the bottom.  Can these issues be fixed without having that horrid obvious "done" look?  In other words, will I have a natural look after the surgery?

The problems you mention are typical results of lower facial and neck aging. They are easily corrected by someone skilled in facial rejuvenation. I prefer the newer MACS like facelifts that retain all the fat in the mid face and pulls more straight up instead of back like older facelifts. Other surgeons modify the SMAS facelift and add fat to the face. Either way, you can achieve a natural post operative appearance. See TodaysFacelift.com for examples.

R.T. Buchanan, MD

You correctly point out that aging of the face involves muscles and changes other than skin laxity, so facelift techniques have evolved to address these issues for a more natural look. We think of facelifts as a 3-dimensional operation, which is one of the keys to avoiding the pulled or done look. You should feel comfortable asking specifically about your concerns and expectations when you consult with a plastic surgeon.

R.A. Baxter, MD

You can definitely achieve a natural look after facelift/necklift surgery. Discuss your aesthetic concerns with your plastic surgeon and be realistic and you should be able to achieve your goals.

Adrian Lo, MD