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Q. I am 52 years old and still not happy. Do I just need a facelift?
A. Based on your comments, it sounds like injectables are not providing the full effects of facial rejuvenation you are looking for.
While not optimal, your photos show a deep nasolabial and marionette folds indicating the sliding effects of skin laxity toward the jowls and neck. Fullness of the jowl and neck require more care than non-surgical and minimally invasive options can provide.
I would contact a well experienced board certified Plastic Surgeon or ENT facial surgeon to consider:
