Lower Blepharoplasty Before & After Case 179

This patient came to us seeking improvement for aging changes of the neck and lower face. She had a prior upper blepharoplasty about a decade ago but noticed new concerns. Her cheeks appeared sunken and had drifted downward, while early jowling and a scalloped jawline were developing. We discussed how a deep plane facelift could address these concerns, especially with the onset of mild skin redundancy and the visible descent of the submandibular glands. In addition, she expressed concerns over hollowing and under-eye bags.

After a detailed consultation, we agreed a deep plane facelift would provide optimal lifting and contour restoration. For best improvement, we combined lower blepharoplasty and fat grafting to address the under-eye area and volume loss in her cheeks. The procedure targeted deeper facial layers, restoring natural fullness and creating smoother transitions along the jawline and neck.

Throughout her recovery, we monitored healing and progression. Postoperatively, we noted an improved facial harmony, a firmer jawline, and better neck contour. The patient reported satisfaction with a refreshed yet natural look, without visible tension or distortion. These outcomes reflect our approach when performing a deep plane facelift.

At Karter Advanced Facial Plastic Surgery, we take pride in blending surgical expertise with personalized care. As the provider, Dr. Karter is double board-certified in facial plastic and reconstructive surgery. His focus remains on meticulous techniques and patient safety, ensuring individualized results for each person we treat.