When considering procedures that focus on the lower face and neck, two common options are a lower facelift or liposuction.
While both surgeries can address concerns in this area, they do so in very different ways. A lower facelift focuses on tightening the underlying structures of the face, while liposuction removes excess fat. The choice between the two depends on what needs to be addressed and how the skin, fat, and muscles are structured in that area.
Understanding the key differences between a lower facelift and liposuction can help clarify which option may be more suitable. Each procedure involves its own surgical approach, recovery process, and expected results, so knowing what to expect can help with making an informed decision.
What is a lower facelift, and what does the procedure involve?
A lower facelift is focused on tightening and repositioning the deeper layers of the face. It targets the lower half of the face, including the jawline and sometimes the upper neck.
The surgery typically involves making incisions around the ears, where your surgeon can lift and adjust the underlying tissue and remove any excess skin, if necessary. Since a lower facelift focuses on deeper structures rather than just the skin, it is not simply about surface-level changes.
The underlying muscle and connective tissue, known as the SMAS layer, can be adjusted to create longer-lasting results. The extent of the surgery will depend on the individual’s particular characteristics and what needs to be addressed.
Who might consider a lower facelift?
A lower facelift is often suitable for those who have skin laxity and muscle laxity in the lower face and jawline. It is not just about removing fat, but rather adjusting the deeper layers of the face and skin.
The procedure is sometimes considered when non-surgical options, such as skin-tightening treatments, are not effective or when the changes in the lower face are more advanced.
Since a lower facelift addresses both skin and the deeper layers of tissue, it can provide longer-lasting results compared to non-surgical treatments.
What is liposuction, and how is it different?
Liposuction is a procedure that removes localised fat deposits through small incisions. It is often used to target areas such as the neck, under the chin, and the jawline. A thin tube called a cannula is inserted under the skin, and excess fat is suctioned out.
Since liposuction only removes fat and does not tighten the skin, it is typically best suited for those who still have good skin elasticity. When the skin has enough elasticity, it can retract well after the fat is removed.
Liposuction for the lower face and neck is generally less invasive than a facelift, with smaller incisions and a shorter recovery time. However, it does not address muscle laxity or skin laxity, which is why it is not always the right option for every patient.
Who might consider liposuction?
Liposuction is generally considered when there is excess fat under the chin or along the jawline, but the skin still has enough elasticity to retract well after the fat is removed.
It is often chosen by those who have a double chin or excess fullness in the lower face that is not related to skin laxity or deeper structural changes.
It is important to consider the skin’s ability to retract before choosing liposuction. In situations where both excess fat and loose skin are present, liposuction alone may not be sufficient, and a combination of procedures may be recommended instead.
How does recovery differ between the two procedures?
The recovery process for a lower facelift and liposuction is different due to the nature of each procedure. A lower facelift is a more involved surgery that requires a longer healing period, while liposuction is generally less extensive.
After a lower facelift, patients can expect some swelling and bruising, which gradually settles over a few weeks. A support garment may be recommended in the initial recovery phase, and follow-up appointments will be needed to check on healing. The incisions are placed around the ears, so any scarring is typically positioned in natural creases. Most patients will need to take some time off normal activities while the initial swelling and tightness settle.
Liposuction has a shorter recovery period in comparison, with smaller incisions and less extensive swelling. A compression garment is often worn for a period of time to help with healing, and bruising and swelling are expected but usually settle faster than after a facelift.
Since liposuction does not involve deep tissue adjustments, most patients are able to return to normal activities sooner. However, the skin still needs time to contract, so the final results may not be immediately visible.
Can both procedures be combined together?
When a patient wants to address both excess fat and skin laxity, a lower facelift and liposuction may be performed together.
Combining the two procedures can sometimes provide a more comprehensive result, but this will always depend on the individual’s facial structure and what will specifically be addressed during the procedure.
When both procedures are performed together, the recovery process will be more aligned with that of a lower facelift, since it is the more invasive of the two. However, because liposuction uses small incisions, it does not always significantly add to the overall healing process.
To find out if a lower facelift, liposuction or a combination of the two will be suited to your needs, you should have a consultation with your chosen surgeon.
Why to choose Dr Hunt for a lower facelift or liposuction in Sydney
If you’re thinking about having surgery focused on the lower face, whether it be a lower facelift, liposuction or a combined approach, choosing an experienced plastic surgeon is important.
Dr Jeremy Hunt is a qualified Specialist Plastic Surgeon based in Sydney, with more than 20 years of experience. He offers both surgical and non-surgical procedures and has seen thousands of patients, creating personalised plans to meet the needs of each individual.
To book a consultation with Dr Hunt, please contact our team.
