Before & Afters - Facelift

This is a 58YO female patient who desired some improvement of her face. She has some of the early signs of aging that most women get. She has some excessive fat in the neck. She has lost the distinct mandibular border. Also, she has some jowling and hollowness between the jowl area and her chin. There is generalized looseness of the mid-face. Dr. Feagin will need to remove some excessive fat of the neck and tighten the loose muscles of the neck. He will remove fat along the mandibular border and give it a more distinct appearance as well as remove some fat in the jowl area. Then, in front of the jowl area between the jowl and the chin, she has an indentation and he will do some fat grafts in that area. 

Dr. Feagin did a high SMAS facelift on her, which tightens the deep tissue of the face. By tightening the deep tissue of the face and not relying on just pulling the skin tight, it will give a more natural-looking facelift and a longer lasting facelift. 

These procedures can usually be done in the office with IV sedation. The cost of this procedure is around $7,000.00.

Photos submitted by Dr. Feagin-45294

This patient is a 62YO healthy female who wished some improvement in her facial aesthetics, primarily her jaw line and her neck.  Photographs are shown pre and 2 months post operatively demonstrating a clean tight jaw line and a pleasing aesthetic neck contour.  In addition to the facelift, she had fat injections to improve facial aesthetics along the orbital rim, nasal labial folds, and the jaw line.

Photos submitted by Dr. Owen-48706

 

This lady is quite healthy and active. She wishes for some improvement in her face. She specifically wanted improvement along the border of the jawbone and neckline. She also wished some reduction in the size of her earlobes. She underwent a facelift with plication of the SMAS and fat injections along the mandibular border and mid face. She also had a reduction in the earlobe size. She has gotten a very nice improvement in the contour of the jaw line and improvement in the heavy wrinkles in the neck and thinning of the midline of the neck. She feels and looks considerably younger than her age.

 

Photos submitted Dr. Owen-48749

This is a 53YO lady who desires some facial rejuvenation.  She is getting some generalized looseness of the lower face and neck area.  She has also started to jowl and get loose tissue in the neck.

 

She underwent facial rejuvenation with tightening of the deep tissue of the face and neck with fat grafting around the chin and prejowl area.  You can see that the mandibular border is much stronger now because we fat grafted around the mandibular border and removed some fat below it.  The fat that filled in the lower part of the mouth helped the aging around her mouth and chin.

 

These procedures are done in the office with IV sedation. 

 

If she would have had a typical facelift which just involves pulling the tissue tight, she would not have the natural look that she has now nor would she have had the profound corrections around the mouth and jawline area.

 

Photos submitted by Dr. Feagin-52715

This is a 50YO lady who has noticed some premature aging of her face.  She has some excessive fat in the neck but has lost fat in the face. She has developed generalized looseness around the mouth, mid-face, and the brow.  She underwent face and neck rejuvenation as well as fat grafting. When people lose fat in their face, they age prematurely.  The fat grafting rejuvenates the face and the fat will last for many years.  

 

This procedure is done in the office under IV sedation.

 

Photos submitted Dr. Feagin-54308

This is a 60-year-old lady who complained of a tired appearance of her face. She was also developing some jowling. Her eyes were not as bright as she desired. She underwent a face, neck, and brow lift. She also underwent a transconjunctival lower lid blepharoplasty. Fat grafts were placed in the tear trough deformities around the eyes. Postop results show her where the neck has been tightened and all the looseness around the neck, mouth and brow area have been corrected. Fat has been used to help fill in some of the hollowness around the lower lids.

Photos submitted by Dr. Feagin-46752

This is a 50YO lady who presents with complaints of excessive fullness in the neck and the fact that her face runs into her neck with no separation of the face and neck.  She has lost her distinct mandibular border.  She would like to have the fat taken out of the neck and the jawline reshaped.  Also, she would like for me to help the indentions in the chin area.  

 

She underwent a face and necklift with fat grafting.  Now you can see a distinction separation of the face from the neck.  She has a nice, strong mandibular border.  We also eliminated the indentions under her chin area.

 

This procedure is done in the office with IV sedation.

 

Photos submitted by Dr. Feagin-53941

This is a 71YO lady that desired some cosmetic improvement of her face.  She had gone to a non-plastic surgeon for some surgical improvement of her face a d neck a few years prior.  As you can see in the pre-op pictures she had marked deformities of the neck.  She had a significant amount of jowling and no definition between the jawline and the neck area.  Also, there was generalized looseness of her face.  She had a very indented area on the right temporal area where she had a previous surgery.  

 

She underwent a face, neck, and browlift.  I was able to fat graft around the temporal area and inferior lateral mouth.  I was able to remove fat under the chin and re-sculpt her jaw line.  I added fat in areas that needed it and removed fat from areas where it needed to be removed.  She had a lot of scarring in her neck area from her previous surgery.  I was fortunate that I could remove most of this scarring.  

 

Post operative photos show a much more defined jawline with a much smoother transition between the jawline and the chin area.  Also the temporal area that was quite hollow has been filled in by the fat grafting.

 

This procedure was performed in my office with IV sedation.  

 

Photos submitted by Dr. Feagin-53629

This lady is quite healthy and active. She wishes for some improvement in her face. She specifically wanted improvement along the border of the jaw bone and neck line. She also wished some reduction in the size of her earlobes. She underwent a facelift with plication of the SMAS and fat injections along the mandibular border and mid face. She also had a reduction in the earlobe size. She has gotten a very nice improvement in the contour of the jaw line and improvement in the heavy wrinkles in the neck and thinning of the midline of the neck. She feels and looks considerably younger than her age.

Photos submitted Dr. Owen-48714

This is a 70YO lady who noticed increased fat in her neck and in the mandibular border.  She had some generalized looseness of the face. She was starting to jowl and get looseness around the lateral mouth area.

 

She underwent a face and necklift with fat grafting around the eyes and around the mouth.  As you can see, she now has a distinct mandibular border.  I eliminated the extra fat in the neck as well as the loose hanging skin of the neck. Fat grafts fill in areas where there is deficiency of fat that occurs with natural aging.  This usually occurs at the junction between the eyelid and the cheek as well as in front of the jowl and the chin.  

 

This procedure is done in the office with IV sedation.  Patients can go home about an hour after surgery.  They can shower and wash their hair the next day.

 

Photos submitted by Dr. Feagin-50519

This is a 57YO lady that felt she had a tired look to her face.  She is a very active lady but her face was starting to show significant signs of aging.  She had looseness in her neck with extra fat with jowling.  She had generalized looseness around the mouth.  She had some descent of the brows and her eyes did not appear as vibrant as she desired.  She underwent a face, neck, and browlift in the office.  She had some fat transfers to help restore fat in areas where she was deficient.  The fat was removed from the neck and the jowl area and grafted to the areas she need more fat.  

 

As you can see she now has a defined jawline with no more jowling.  Her eyes are much more vibrant since her brow was gently elevated.  

 

Photos submitted by Dr. Feagin-53009

This is a 45YO lady that desired some cosmetic improvement of her jawline and neck area.  She underwent some fat removal from the neck and fat grafting to the chin and area in front of her jowl.  We have now strengthened up her jawline from fat grafting and removal of excessive that was below the jawline.  I also did some fat grafts around the lower eyelids to help improve the appearance of the lower eyelid.

 

This procedure is done in the office with IV sedation.

 

Photos submitted by Dr. FeagIn-#54501

This is a 60YO lady that desires some cosmetic improvement of her face and neck area.  She has lost the sharpness of her mandibular border.  She does have jowling and a lot of wrinkling and looseness around the chin area.  This is due to loss of fat in the area of the chin and jowling is due to excessive fat that has occurred in the jowl area.  There is a lot of banding and looseness in the neck.  She underwent a face and necklift as well as fat grafting to strengthen the chin area and to fill out some of the loss of volume of fat in the chin.  The loss of fat in the lower mouth and chin area has caused a lot of the wrinkling and irregularities in that area.  In order to give a face a natural appearance, we remove fat in the areas where it is excessive and add fat where the fat has been lost.  The loose skin and fallen soft tissue is gently repositioned.  These procedures are usually done in the office with IV sedation.  People are usually off work about 10 days following this procedure.

 

Photos submitted by Dr. Feagin-#54585

This is a healthy 60ishYO female who wished some improvement in her face with the recent corona virus.  She works at home, etc. and finds herself staring at a computer screen a good part of the day.  She feels like her facial appearance conveys tiredness.  She has looseness in the neck with some static bands of the platysmal muscle.  She had jowl formation along the borders of the mandible.  Her eyebrows are ptotic.  She decided to do this in stages as opposed to combining her face and brow.  She underwent a facelift.  Her post op pictures are about 2 months following the procedure.  She has gotten a great deal of improvement in the contour of the jawline and the neck.  The face is more youthful.  She had a prior thread lift done and the results maintained for a year to a year and a half.  Conventional facelifts, which is the surgery that we performed on her typically, have more longevity.

 

Photos submitted by Dr. Owen-#54550

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This is a healthy middle-aged lady who has maintained her weight for years.  She wished improvement in her jawline and neck.  She had some early jowl formation along the jawline and some looseness in the skin of the neck with some vertical banding from the platysmal muscle.  She underwent a facelift which was an operation which tends to clean up and straighten out the contour of the jaw which is a more youthful appearance.  The operation also tightens the looseness in the skin of the neck which is obtained by tightening the underlying platysmal muscle and removing the excess skin along the hairline on the back of the neck.  She has gotten a nice result from the surgery with a straight, youthful jawline contour and a tight more contoured neck.  She had an uneventful recovery and has resumed all of her activities with no restrictions.

 

Photos submitted by Dr. Owen-#43417

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