Q: Dr. Eppley, I’m not sure what I need to help my face. I’m 54 years old and  have been noticing sagging in my neck and the beginning of jowls. I had a “liquid facelift” in last year but it didn’t seem to help much. Just wanting to talk to you about what other options I have.

A: One of the many signs of facial aging is the development of lower facial changes including the appearance of jowls and a droopy neck. While many purported no-surgical therapies exist to treat these signs of facial aging, including the so called Liquid Facelift (pumping  bunch of injectable fillers into the face), none of them can really lift up a truly sagging face. There are really for younger people who have only the earliest signs of aging. The only approach that will work is surgical and has the name, facelift.

Facelift surgery is one of the most misunderstood of all facial plastic surgery procedures. It is a spectrum of lower facial rejuvenation procedures that range from a limited jowl lift to a full lower facelift. The type of facelift surgery performed is adapted to the patient’s aesthetic needs. This is undoubtably the type of treatment you need. It is just questions of what type of facelift.

Please send me some pictures of your face for my assessment and recommendations.

Dr. Barry Eppley

Indianapolis, Indiana