Lower Face & Neck Lift/SMAS: Patient #1545898

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What is a lower face & neck lift?

A lower face lift is a surgical procedure that targets the lower face and neck to address signs of aging, such as sagging skin, jowls, double chin, and deepening facial folds. SMAS stands for Superficial Musculoaponeurotic System, which is a layer of connective tissue and muscle beneath the skin. During a SMAS lower face lift, incisions are made around the ears and possibly under the chin, allowing the surgeon to lift and reposition the underlying SMAS layer. This technique not only tightens the skin but also improves the contour and definition of the lower face and jawline. By addressing the specific concerns of the lower face and neck, a lower SMAS face lift can provide a more youthful and rejuvenated appearance.

Patient Background:

The patient is concerned about their neck and jowls. No recent weight changes or prior treatments have been reported. Midface atrophy and descent are present, contributing to prominent nasolabial folds. The lips remain full and symmetric. Mild to moderate jowling with buccal fullness, more pronounced on the right side, is observed. The mentum falls within normal limits. Additionally, mild obliteration of the inferior mandibular border, along with moderate cervicomental adiposity and laxity, is noted. Several horizontal lower cervical rhytids are also present.

Options:

After examination and reviewing options including doing nothing, threadlift, cryotherapy/Renuvion, direct cervicomental, and deep dermal heating, the patient expressed primary interest in a facelift, sub-SMAS with midline platysmaplasty. If indicated, laser lipolysis to address adiposity may be performed.