Facelift Before & After Case 674

The before photos show visible laxity along the lower face and neck, with soft tissue fullness beneath the chin and reduced definition at the jawline. The profile view highlights forward projection of submental tissue and a less distinct jaw-to-neck angle. In the after photos, the jawline appears more defined, the neck contour is notably cleaner, and the lower face shows reduced tissue laxity across both views.

This patient, 57 years old, underwent an Extended Deep Plane SMAS S-Lift, a deep plane neck lift with liposuction, and placement of a chin implant. The deep plane neck lift addressed tissue along the neck, and liposuction was performed in the same region. The chin implant added forward projection to the chin, contributing to the improved jaw-to-neck relationship visible in the profile view.

For those researching facelift in West Des Moines & Ames, this case illustrates the kind of facial change that can occur when a facelift and chin augmentation are planned together. The combination addresses both soft tissue positioning along the lower face and neck and the underlying chin projection, which affects how the jawline reads in profile.

Cody Koch, MD, PhD performed the procedure. Dr. Koch is board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery.