Q: Dr. Eppley, I would like to have v-line jaw surgery, a lower facelift and a subnasal lip lift. As far as the lower facelift and neck there is not too much laxticity today but the jaw reduction will likely increase it so a lower neck and facelift will be needed. Can these procedures be performed in a single surgery?
A: V-line jaw surgery usually does not create excessive jowl or neck skin as it is really a redistribution of the bone shape not always a real total jaw reduction. If you do not have any skin laxity now I doubt any will be created after. There is simply not that much jaw bone removed to create substantial less skin support. But that is somewhat dependent on your age and natural skin elasticity. But for the sake of discussion let us assume that some neck-jowl tightening would be needed then a lower facelift can be performed at the same time as the V-line jaw surgery…or await and see if it is really necessary which would be the most practical approach. Certainly there is no problem doing a subnasal lip lift at the same time as the v-line jaw surgery.
Dr. Barry Eppley