This 63-year-old patient came to Long Island Facelift hoping to address changes she had started noticing over the last several years.

What once felt like subtle sagging had gradually become more pronounced, especially around her lower face and neck. She was no longer comfortable with her profile and felt that her reflection no longer matched how vibrant she still felt inside.

During her consultation, we took the time to understand her goals in full. She wasn’t looking for an overly tight or obvious result. She wanted to look refreshed and more like herself again.

Together, we created a plan centered around a face and neck lift, with special attention to restoring jawline definition and addressing the lax skin beneath her chin.

Long Island Facelift Before and After 2a

What She Wanted to Improve

Loose neck and jawline skin

She was bothered by how much her lower face had softened. Her neck had lost its angle and appeared fuller in photographs and day-to-day life. She often wore high collars or scarves to cover the area.

Prominent jowls

The heaviness in her lower cheeks had created jowls that blurred her jawline. It was one of the features she was most eager to correct.

Loss of lower facial structure

She missed the clean definition she once had and felt that her face no longer had the firmness or balance it used to.

The Procedure: Face and Neck Lift

The solution was a comprehensive face and neck lift, focused on both skin tightening and deep structural support. This was not just a surface-level lift. It was designed to restore the framework beneath the skin that gives the face its youthful shape.

Deep Structural Tightening

The SMAS layer, which is the supportive tissue beneath the skin, was lifted and secured in a more balanced position. This added real, long-lasting structure to the lower face and helped smooth and elevate the jowl area.

Neck Recontouring

To address the fullness and laxity beneath the chin, the muscles in her neck were tightened and the excess tissue was carefully removed. This created a firmer, cleaner neckline that now connects smoothly with her jawline.

Skin Redraping

Once the deeper tissue was supported, the skin was carefully trimmed and repositioned without tension. This step is key to avoiding an overdone appearance and maintaining softness in her final result.

Long Island Facelift Before and After 2b

Her Outcome

Today, she has a younger and more defined facial silhouette. Her jawline is visible and sculpted, and the heaviness that once pulled her features downward is gone.

The improvements are especially striking in her profile. While the change is significant, her result looks completely natural. She still looks like herself, just refreshed and more confident.

She now wears her hair pulled back again without hesitation and no longer feels the need to conceal her neck in photos. Her result reflects the original goal: a meaningful yet graceful transformation that restored her confidence without changing her identity.

If you are looking for a change and want to learn more, reach out to Long Island Facelift for a consultation.

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