The Virginia Institute for Surgical Arts Blog

What does a Lower Facelift Entail?What does a Lower Facelift Entail?

Lower facelift cosmetic surgery is focused on improving the bottom one-third of the face. The procedure involves tightening of the underlying facial structures that have sagged with age, causing the formation of a fleshy neck and jowls. The facelift surgeon will also excise loose skin, smoothing it down to remove facial wrinkles and creases.

The procedure is designed to provide a visual lift to the lower third of the face. Dr. Trang Vo-Nguyen (Dr. V) is a board certified facial plastic surgeon providing a lower facelift and various other procedures. Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding communities.



As compared to a full traditional facelift, which combines lower facelift, mid facelift and forehead lift, a lower facelift will only target loose skin around the neck and jaw line, eliminate jowls and lift the corners of the mouth. Therefore, the procedure is more suited for candidates who show quicker emergence of the signs of aging in the lower third of the face.

A remarkable candidate for a lower facelift will have fairly elastic skin, but excess skin, fat tissue or thick bands around the neck and lax skin around the jaw line along with sagging corners of the mouth.



The surgeon will begin the lower facelift surgery by placing a small incision starting from the front of the ear and extending downward and behind the ear. In some cases, the surgeon may use the endoscopic facelift technique, which will involve the insertion of a tiny camera or endoscope through the incision.

If a neck lift is performed along with the lower facelift, it will include an additional incision made below the chin. Through these discreetly placed incisions, the surgeon will separate the skin delicately from the tissue underneath. Facial muscles will be tightened and excess fat tissue will be removed to restore a youthful appearance.

Excess skin will be trimmed away and the remaining skin will be pulled over tautly to minimize wrinkles. The surgeon will then close the incisions with sutures. However, the lower facelift will not involve cheek elevation, which will require a standard facelift surgery. Dr. V provides lower facelift surgery to patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and nearby areas.


Lower Facelift Techniques

The surgeon will choose an appropriate surgical technique to perform lower facelift in accordance with the patient’s unique facial anatomy and pattern of aging. The “S Lift” technique will involve an S-shaped incision in front of the ear. This procedure can be performed using local anesthesia, and is usually more appropriate for patients in age group of 30 to 50.
The SMAS facelift involves a little longer incision compared to the S lift. It begins from the temple and extends down to the ear loop. Results are more substantive with the SMAS technique. Both S lift and SMAS techniques can be performed in conjunction with a neck lift to achieve more natural looking and uniform results.

For more infomation please contact Dr. V. Dr. Trang Thuy Vo-Nguyen, known to her patients as “Dr. V,” is a board certified facial plastic surgeon providing the latest surgical and non-surgical aesthetic procedures in Northern Virginia, Leesburg, Loudoun, Fairfax, Warrenton, Fauquier, Arlington, Manassas, Middleburg, Prince William, and other areas.

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