by Salvatore Pacella, MD, FACS
Aging is a complicated process. As the face ages, there’s more going on than just sagging skin. The foundation of the face (the superficial muscular aponeurotic system, or SMAS, layer) loosens. At the same time, the face is also losing subcutaneous fat. Understanding these factors is important when planning a facial procedure, which must re-suspend the foundation layer and correct for fat loss.
If the jowl problem is minor, non-surgical treatments, such as fillers, can be very effective. For a drooping, or under-projected, chin, liposuction can be used to improve the neckline. This may also be combined with a chin implant. If the neck is in good position and the jowls are heavy, a minimally invasive “mini-lift” may be effective. However, if the neck is loose, sometimes a standard facelift is the best option.
This Scripps Health and Wellness tip was provided by Salvatore Pacella, MD, FACS, a cosmetic, plastic and reconstructive surgeon at Scripps Clinic in San Diego.