Facial and Neck Lift: The Key Is Structure, Not Skin | Real Before-and-After Review

Front view before/after surgery

Hello.

I’m Lee Won, director of 21 Plastic Surgery.

Many people say that when they look in the mirror, their face feels heavier than before,

the jawline looks less defined, and in photos

the neck and jaw seem to blend together.

Especially after the 40s, it is often not just fat accumulation, but a form of “combined aging” in which the skin, fascia, and neck muscles all sag downward.

That is why there are many cases where lift procedures alone

still feel insufficient.

Front/side view before surgery

The patient introduced today also

visited us with similar concerns.

The midface had become heavy and drooped, deepening the nasolabial folds,

and the jowl area had sagged downward,

making the lower face look larger.

This was a typical lower-face aging pattern with both fat and sagging,

so a lift and fat reduction were definitely needed. That is why the surgical plan was set as follows.

Surgical Plan

Facial lift + neck lift + liposuction (midface, jowl, double chin)

The surgery was designed to move the sagging fascia (SMAS) back into position

and organize the fat so that the line from the neck to the jawline

connects as one continuous contour^^

Front/side view 1 week after surgery

One week after surgery,

this is the period with the most swelling, but

you can already see that the jawline contour is beginning to emerge.

The area under the chin is much lighter,

and the sagging skin has been pulled upward,

giving the face a smaller appearance ^^

With the neck lift performed as well,

the neck wrinkles are not hanging loosely

but have been gently tightened.

Front/side view 2 weeks after surgery

Two weeks after surgery,

it is noticeable that the swelling and yellow bruising have significantly subsided. With the facial and neck lift,

the deeper wrinkles have been smoothed out,

and the overall impression has become much softer,

while the jawline has changed from a U-shape to a V-shape^^

In addition, because the fat was refined, the side profile line

looks clearly lighter,

and the neck lift effect has defined the boundary between the neck and jaw,

making the impression brighter and more distinct.

Front/side view 3 months after surgery

Three months after surgery,

this is the stage when the most stable and

natural results of a facial and neck lift are completed.

As the sagging SMAS layer stabilized in its new position,

the skin elasticity and contours have fully settled in.

The entire lower face

looks neatly refined, like the line from 10 years ago,

and the incision scar is also

recovered so cleanly that it is

almost unnoticeable^^

The movement when speaking or smiling

was also natural.

Front view before/after surgery

A facial and double chin lift is

not simply a procedure that pulls the skin

or removes fat!!!!

You have to understand the skin, fascia, muscles, and fat as one structure,

and consider the direction of sagging and the flow of force

to create results that are natural and long-lasting!!!!

Before/after oblique view

At 21 Plastic Surgery,

after analyzing the entire face and neck as one

continuous structure,

a delicate lift that precisely tightens the SMAS,

moderate fat refinement, and

muscle restoration that preserves natural facial expressions

are all carefully performed.

In particular, the incision area is designed so that the scar is not noticeable,

using structures that naturally hide it, such as ear wrinkles or the hairline,

and for this purpose, each patient’s

anatomical structure is thoroughly analyzed

to design the most suitable customized surgical plan.

If you have any questions, you can always consult with us. My greatest goal is to help patients regain their natural beauty. Thank you.

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