We all take different paths, and we all reach this point at a different age, but for all of us, jowls become an unmistakable sign of aging. When you reach that point, Lower Face Lift surgery provides lasting corrective change.

We all want to maintain a youthful look for as long as possible. Maybe you’ve kept aging at bay with non-invasive procedures like Botox, fillers, lasers, Ultherapy, or Thermage, but after a certain point, your jawline softens and begins to pool, and the non-invasive procedures that worked before seem to lose their ability to make a difference. Or maybe you didn’t  mind when your smile lines were noticeable, but now that they’ve started to droop, you find them unbearable.

“It looks so natural that no one knew I had work done they just thought I look the best I have ever looked and can’t believe my age. The recovery was quick I was back to work within a week! If you want a Dr that truly cares about you and takes great pride in his work then Dr. Karolak is the surgeon you want.”
Facelift patient HJ1957 on RealSelf.com

Building A Solid Foundation

There are 3 types of changes that contribute to an older-looking neck and face:

  • Skin Damage – wrinkles, uneven texture, and pigmentation changes, as well as skin laxity and thinning
  • Sagging Muscles – loosening of connective tissues and loss of muscle tone
  • Volume Changes – our necks tend to accumulate more fat as we age, while our faces tend to lose fat

A Lower Face Lift is the only procedure that addresses changes to all three of these types of tissues along the lower cheeks and jawline. Your board certified facial plastic surgeon will restore muscles and fat to their more youthful positions, creating a more defined jawline. Excess skin will be lifted back into place, reducing pooling and sagging along the jaw. The combination of these three changes will rebuild a solid foundation for a younger appearance for many years to come.

How is the Procedure Performed?

First, small incisions are made along the natural intersections of ear, face, and scalp. Muscles and fat that have loosened and are drooping along the jawline are returned to their more youthful positions, higher up in the cheek. Next, skin is gently relaxed back into a more youthful position and excess is trimmed away. Because the surgeon has carefully rebuilt the underlying structures, skin is not tight or pulled, but rather restored to a more natural, smooth positioning across the lower cheeks and jawline.

Before & After Photos

The location of your incisions, as well as the details that are specific to your unique aging pattern, will be discussed by your board certified facial plastic surgeon at your personalized consultation. However, you can rest assured that you will be well-cared-for and made to feel comfortable throughout the process, and you will find enjoyment in your results for years to come.

Addressing The Lower Face As Preventative Maintenance

One of the best ways to delay a full-fledged facelift is to strategically restore certain key areas, like the neck and jawline, at an earlier age. Most patients will start to see mild to moderate changes through the lower face and neck by the time they’re in their 40s, if not sooner. Addressing moderate sagging and deflation can turn back the clock, with a smaller procedure. Once you’ve reset to an earlier position in the aging process, you will continue to age, in the same way as before; however, this should delay major procedures by several years.

The Reflections Difference – Our Expert Physician Team

Dr. Mark Karolak has dedicated his professional career as a board certified facial plastic surgeon to mastering the art of facial and neck rejuvenating surgeries. He focuses on not only the fine details and artful techniques that create the most natural results but also on improving the safety and reliability of surgical techniques.

With over 10 years’ experience in facial rejuvenation surgery and thousands of happy patients, Dr. Karolak has recently been recognized as one of America’s Top Facial Plastic Surgeons by the Consumers’ Research Council of America.

Our expert plastic surgery team works collaboratively within our multi-specialty physician team to select the right procedures, providers, and treatment plan for each patient. Our team approach allows our physicians to draw on the expertise of industry leaders in all facets of cosmetic surgery, and in combination with our wide assortment of devices, allows us to hand select not only an effective treatment, but the very best treatment for your physiology, aging patterns, and lifestyle.

Combining Procedures For Maximum Results

Facelift NJOften, by the time patients are ready to address changes in the lower face with surgery, the skin has also undergone significant changes in texture and thickness. For that reason, we commonly pair Lower Facelift with CO2 Ablative Laser Skin Resurfacing, a procedure that addresses skin thickness, texture, discolorations, and sun damage.

Young patients who are interested in addressing mild to moderate aging through the neck and lower face often pair a Lower Face Lift with a Neck Lift. Where a Lower Facelift addresses the jawline and bottom portion of the cheeks, a Necklift firms and lifts the neck into a more youthful positon. These two procedures allow patients to delay larger procedures by many years.

Patients with concerns about a drooping lower face are also usually experiencing some loss of volume in the cheeks and midface. This usually presents as deflating cheekbones and pronounced undereye troughs. Fat Transfer to the midface provides a natural, long-lasting result.

Combining Fat Transfer with Lower Facelift is the modern counterpoint to the old school facelifts, and provides a more sophisticated approach to facial aging, overcoming the wind-blown look of yesteryear.

Non-surgical Alternatives

  • Facial Volumizing Fillers can be used to temporarily restore volume lost in the cheeks. The most popular brands are Juvederm Voluma, Sculptra, and Restylane Lyft. This is a suitable alternative for those with little change to the underlying muscle, a decreased volume of fat in the midface or across the cheekbones, and only mild to moderate skin laxity.
  • Fat Transfer to the midface and cheekbones can provide a longer lasting solution than Facial Volumizing Fillers. Fat Transfer allows the surgeon to use your own fat, usually from your stomach, to replace the fat you’ve lost in your face, or to fill areas that lack volume, in a longer lasting way than traditional fillers. This option is well-suited to those who are suffering more from loose skin due to volume loss than fat accumulation or sagging muscles along the jaw.
  • Ultherapy is a treatment that uses micro-targeted ultrasound to stimulate collagen and elastin, creating lifting and tightening. This procedure works well for patients who are at the very early stages of aging, and can help delay the need for surgical intervention.
  • Thermage is a non-invasive radio frequency treatment that can lift and tone the skin through the jawline, chin, and neck. This treatment can help tighten loose skin most anywhere on the body.
  • Thermitight RF is a non-surgical treatment that tightens skin using injectable radio frequency. The results can be quite profound for a non-surgical procedure. However, this option only treats one of the three causes of aging, loose skin, so it is best-suited to those early in the aging process.

Facelift NJ Plastic SurgeonOften times, patients will confuse the root causes of aging along their jawline and neck. For this reason, we warmly welcome you to our office for consultation with Dr. Mark Karolak, our dedicated facial plastic surgeon. His years of experience and deep focus on facial aging allow him to pinpoint the causes, as well as the minimal optimal treatment to effectively turn back the clock on the specific areas you are concerned about.

Who is an Ideal Candidate for a Lower Face Lift?

Almost anyone who wants to turn back the clock on aging along their jawline is a good candidate for a lower facelift. The vast majority of our patients choose this procedure to start their rejuvenation journey.

In general, the ideal candidate is someone who:

  • Has both skin and muscle laxity along their jawline (“jowls” and pooling skin and fat at the bottom of their smile lines)
  • is willing to achieve maximal improvement in the jaw through surgery
  • is medically eligible

What is Recovery Like After a Lower Face Lift?

Facelift Recovery NJYou should plan for a few days rest immediately following your procedure. You will leave the office with a temporary compression garment that you will not remove for two days. You will follow-up with the doctor on the day after surgery to have the temporary compression garment changed and to be fitted for a compression garment that will be worn only at night starting about 48 hours after surgery. This will help minimize swelling and speed up the recovery process. You will wear this until the night after your one week follow up visit. Most patients feel “restaurant ready” and comfortable returning to their normal activities around 7 days after surgery. Exercise and strenuous activity must be avoided for 14 days. Bruising and swelling are usually minimal. During the days when patients might experience bruising, makeup can be worn to disguise the discoloration.

Our physicians have long histories of making recoveries as comfortable and easy as possible. Every care will be taken to ensure your discomfort and downtime are minimized while your results are maximized.

What is the Pain Level During Recovery from a Lower Face Lift?

With most of the surgeries we perform, there is usually very little discomfort afterward. Most patients will take pain medication for 1 to 3 days following surgery to control any discomfort. You can expect that you will feel F tightness along your jawline and in your lower face following the lower face lift procedure, but it will come to feel natural within a few days after surgery.

What Kind of Scarring Should I Expect from a Lower Face Lift?

Our physicians believe natural-looking results include discreet incisions well disguised in natural folds. Artful placement of incision lines, a gentle surgical technique, and skilled suturing are key in minimizing scar appearance. Dr. Karolak’s focus in aesthetic facial plastic surgery has afforded him the time to master natural looking results.

What will my scars look like after a Facelift?

This is a very common concern we hear from patients. Our Face and Neck surgeries are designed to minimize any visible signs that a surgery might have helped you achieve your natural-looking results.

Let’s start by taking a look at the incision lines from some of our patients.

Will I Have to go Under General Anesthesia?

One of the greatest advantages our facial plastic surgery team offers is the ability to forgo general anesthesia, which poses additional risks and concerns for many patients. Instead, our patients enjoy a local anesthesia experience that can only be found at Reflections, which we refer to as Comfort Calm™ Local Anesthesia. Patients are comfortable and relaxed, with no sensation other than light pressure or touch during the procedure. We offer the option to watch television, listen to your favorite music, or even take a nap during the procedure, whichever makes you feel most comfortable.

What Risks or Complications Are Possible with a Facelift?

We pride ourselves on our safety record. Your plastic surgeon will make sure to go through all of the potential risks with you and answer any questions you have about your specific situation. Each patient is different, and we want to be able to speak to your specific health concerns individually. However, you should know Reflections is meticulous and has an excellent safety record.

What Happens During the Lower Face Lift Procedure?

After you have relaxed with Comfort Calm Anesthesia™ in our private surgical suite, Dr. Karolak will make small incisions following the natural crease where the ear and cheek meet, following the curve of the ear back and around. First, muscles along the jawline are lifted into a more youthful position. Then fat is recontoured across the lower cheeks. Finally, he will remove any excess skin if needed and then suture the incisions. The whole procedure usually takes about 60 – 90 minutes.

Will My Results from a Lower Face Lift Last?

By addressing the underlying structural changes caused by the aging process, a lower face lift makes changes that will ensure you’ll always look better than if you hadn’t had the surgery at all. Over time, you may find great benefit from procedures, which before your lower face lift, would have given only minimal to negligible results.

Be Transformed – Inside and Out!

At Reflections, our expert physicians will customize proven treatments to meet your cosmetic goals. You will love your new, improved jawline! Contact Us to learn more.