Q: Dr. Eppley, I’ve talked to one plastic surgeon about doing a lower facelift, but cost and time make that impossible for now. I’ve been reading about fat transferring and it sounds less invasive and as I understand there is less downtime.  Also, I’m not quite ready emotionally for a facelift if it can be put off for now.

I’ve considered having injectables, but too often see unnatural looking results and do not like the idea of having to do it every 6 months or so.

Thanks in advance for your consideration.

A: Thank you for sending your pictures. While trying to circumvent a facelift, or delaying to for awhile, is understandable, no non-facelift procedure is going to produce the imaged results that you have provided. I assume that you recognize that issue since only more aggressive skin removal can create that degree of jawline and neck definition.

That being said, there are more limited procedure with less recovery that can be beneficial. Fat injections to the cheeks/midface as well as sub mental/neck /jowl liposuction would provide some aesthetic benefit and would help defer a more formal facelifting procedureuntil a later time. At the least it would be far better than using injectable fillers.

Dr. Barry Eppley

Indianapolis, Indiana