Bothered by Jowls and Nasolabial Folds, Concerned About Scars: Deep Plane Facelift Before and After at 55

Her concern wasn’t a single wrinkle. It was the way her cheeks had descended, deepening the folds beside her nose and the lines below the corners of her mouth. Those changes were making her lower face look heavier. For this 55-year-old patient, I combined a deep plane facelift and neck lift. Repositioning the descended cheek tissues helped soften her nasolabial folds and marionette lines while restoring definition along her jawline. The neck lift refined the contour beneath her chin. The relationship between those areas matters. Elevating the cheeks changes how the lower face looks. Defining the jawline brings that improvement into focus. As a woman of color, she was particularly concerned about visible scarring. We discussed that carefully during planning, and I concealed the incision along the ear within the tragus, the small cartilage flap at the ear opening. That placement helps keep the scar discreet, although every incision leaves a scar and healing varies. These before-and-after images show her progress so far. As swelling settles and the tissues and scars mature, her result will continue to evolve, with further refinement expected over the coming months.