Aging of the lower face results in sagging and heaviness of the skin and soft tissues next to the mouth, in an area known as the jowl. It also results in laxity and loss of definition of the jawline. A lower facelift is designed to correct these problems. Dr Huang uses a technique known as the Modified S Lift to rejuvenate the lower face.

A curved incision is made in the temple, just like in a midface lift. This incision is continued downwards in front of the ear, along the margins of the ear cartilage, then around the earlobe for a short distance. The placement of the incision in this manner ensures that the surgical scar will be well hidden from direct view. The skin is lifted from the underlying facial muscles in the region of the lower face. The muscles are tightened with special sutures sewn in a purse string pattern, to lift the jowl and jawline areas. Bleeding is meticulously controlled and excess skin is trimmed off before the wounds are carefully closed with fine sutures along the wound in front of the ear and with skin staples along the scalp wound in the temple.

This procedure takes about three to four hours to complete under local anesthesia or intravenous sedation as a day surgery procedure.

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