This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
Can I expect any improvement around my mouth and "jowls" following a lower face lift? Specifically, will there be a decrease in the downturned frown area around the corners of my mouth?
unfortunately no. when facelifts stretch near the mouth to change that area with a lift, you get a very unnatural joker look. remember natural results are the most important thing. that area is better addressed with filling. even fat grafting won't fix it entirely. even silicone (permanent injectable) won't fix it entirely. usually temporary fillers are the best option. i used to do corner of the lip lifts and that led to problems, either not enough difference or too much of one. sorry that there is no easy answer. one thing for certain, women in particular get very focused on the small things rather than looking at a bigger picture.
here is an interesting photo. the photo on the left is AFTER a facelift by a famous Dallas surgeon. the photo on the right is taken 1 year after a single session of fat transfer and 2 to 3 rounds of silicone microdroplets into the marionette lines for a permanent correction that i did. i think i have a better result than the facelift for the jawline. that is why even a facelift most almost always needs a slight degree of fat transfer for better jawline results. watch my vlog on jawline buccal area. it is near the top in the category to understand jawlines better. i also did some microsilicone for the lips too. just to let you know, i do not believe in solid implants around the mouth: too hard, unnatural, and can get infected and move. to finish the picture, she could have a little perlane at the corners of the mouth. but 69 years old the result is not bad.