Jowling
Sagging along the jawline that blurs the lower-face contour is refined.

A facelift addresses the lower face as it ages — softening jowls and restoring a defined jawline when skin and deeper tissues begin to descend. Dr. Kaimana Chow focuses on natural rejuvenation that refreshes rather than changes the face, supporting the cheeks and lower face for a result that ages gracefully. It remains a cornerstone of facial surgery for patients across the Austin area.
Request a ConsultationA facelift repositions and supports the deeper tissues of the lower face to refine jowls and restore jawline definition — planned so the result looks refreshed and natural rather than tight. It does not resurface the skin or treat the upper face, and it is often paired with a neck lift for balance.
As the lower face ages, jowls form and the jawline softens. A facelift restores support to the cheeks and lower face for a refreshed, natural result — the goal is to look like a rested version of yourself, not someone else.
Sagging along the jawline that blurs the lower-face contour is refined.
Support is restored to re-establish a cleaner, more defined jawline.
Descended cheek and lower-face tissues are repositioned for natural rejuvenation.
Refinement is planned to refresh the face while keeping it unmistakably your own.
This procedure centers on lower-face aging, jowling, and jawline definition, planned around your individual anatomy and goals.
A facelift, medically termed as rhytidectomy, is a surgical procedure crafted to counteract the evident signs of aging on the face and neck. This procedure focuses on addressing issues like sagging skin, pronounced creases, jowls, and lax facial muscles, aiming to rejuvenate the appearance by creating a smoother, tighter, and more youthful look. Through the lifting and firming of underlying tissues, a facelift can deliver enduring outcomes and a naturally rejuvenated appearance.
Traditional Facelift: This comprehensive facelift technique addresses moderate to severe signs of aging on the face and neck. It involves incisions made along the hairline, extending around the ear and possibly into the scalp. Through these incisions, the underlying tissues are lifted, excess skin is removed, and the remaining skin is tightened for a rejuvenated look.
Mini Facelift: The mini facelift is a less invasive procedure suitable for individuals with mild to moderate facial aging concerns. It involves smaller incisions and focuses on targeted areas such as the lower face and jawline. The mini facelift offers natural results with a shorter recovery period.
As individuals age, they tend to notice changes in three common areas. Firstly, the mid-face loses fat volume gradually, resulting in a sunken appearance. Secondly, the regions surrounding the nasolabial folds can begin to sag, creating a tired and drooping look. Lastly, jowls may develop along the jawline.
Modern techniques now offer a facelift that is refined, subtle, and revitalizing. Our primary objective for clients is to steer clear of the past issues associated with a visibly tightened or "pulled" appearance that once affected the field of plastic surgery. Dr. Chow believes that a facelift should enhance your innate, age-appropriate beauty and illuminate your natural features.
Achieving a natural-looking facelift outcome involves a blend of skill, artistry, and the appropriate techniques. Dr. Chow combines these elements to deliver personalized and beautiful results that enhance your unique facial features. He takes great care to minimize scarring by discreetly placing incisions within the natural folds of the ear and along the hairline, ensuring they remain inconspicuous.
During the procedure, Dr. Chow focuses on the SMAS muscles (superficial musculoaponeurotic system) to address the underlying facial layers that tend to sag with age. These deep muscles provide essential support to the cheeks, midface, jawline, and upper neck. By tightening this internal framework, Dr. Chow achieves a seamlessly youthful aesthetic. A SMAS facelift typically offers longer-lasting results compared to a standard facelift.
Throughout the treatment, Dr. Chow carefully creates small incisions in the areas requiring lifting. He releases three layers of skin, manipulating the SMAS muscles to create a firm and smooth surface. Excess fat, skin, and tissue are removed, and sutures are skillfully applied. Many clients report a faster recovery process after a SMAS facelift.
Clients looking for best facelift in Austin should exhibit the following qualities:
A facelift focuses on the lower face — the jowls, the softened jawline, and the descent of cheek and lower-face tissues that come with aging. By repositioning and supporting these tissues, it restores a cleaner contour and a refreshed appearance.
The two are closely related and often combined. A facelift refines the lower face and jawline, while a neck lift specifically addresses neck laxity, banding, and the jaw-to-neck transition. Many patients benefit from both; during your consultation, Dr. Chow reviews whether a neck lift would complement your result.
The aim is natural rejuvenation that refreshes rather than transforms. Techniques are chosen to support the deeper tissues for a result that looks organic and ages gracefully. Recovery varies depending on the patient, with clear aftercare and attentive follow-up throughout.
Swelling and bruising are most noticeable in the first days. Most patients rest with the head elevated, take short walks at home, and attend an early follow-up visit.
Bruising fades and swelling settles progressively; many patients feel comfortable in social settings within a few weeks, depending on the person. Strenuous activity waits until cleared.
Residual swelling resolves gradually and incision lines continue to mature and fade. The result refines over several months.
Incisions are typically placed in the natural creases around the ear and into the hairline, where they tend to be least noticeable. They usually mature from pink to pale, fine lines over many months; placement is reviewed with you in detail at consultation.
When results appear: Much of the improvement appears as early swelling and bruising fade, with continued refinement over several months.
How long they may last: A facelift does not stop aging, but its structural changes are long-lasting — the face continues to age naturally from a refreshed starting point.
Facelift surgery is elective, and a candid review of its risks is part of deciding well. Dr. Chow discusses your individual risk profile with you at consultation.
Facelift pricing depends on the surgical plan, which is individual. A written quote is provided after your consultation, once the approach is defined.
Financing for qualified patients is available through partners such as CareCredit, PatientFi, and Cherry.
Explore financing optionsDr. Kaimana Chow is a Harvard-trained plastic surgeon, board-certified by the American Board of Plastic Surgery, whose practice is devoted to cosmetic surgery. Facial surgery is a central focus of his work — he writes in depth about the deep plane approach in his published patient guides, and plans each facelift around the deeper anatomy so results look supported, not pulled.
Meet Dr. Kaimana ChowA facelift focuses on the lower face — refining jowls, restoring jawline definition, and supporting descended cheek and lower-face tissues for a refreshed, natural result.
Yes. Addressing jowls along the jawline is one of the primary goals of a facelift, which repositions and supports the lower-face tissues for a cleaner contour.
A facelift refines the lower face and jawline, while a neck lift specifically addresses neck laxity, banding, and the jaw-to-neck transition. The two are often combined for a balanced result.
Many ease back into routine over a few weeks, depending on the patient, with more strenuous activity resuming gradually. You receive clear aftercare and attentive follow-up throughout healing.
Techniques are selected to support the deeper facial tissues and planned around your features, so the result refreshes the face while keeping it unmistakably your own.
The quote depends on whether a facelift is performed alone or combined with a neck lift, the technique your anatomy calls for, and anesthesia and facility fees. A written, personalized quote follows your consultation, and financing is available for qualified patients through CareCredit, PatientFi, and Cherry.
Take the first step toward your goals. Request a consultation with Dr. Kaimana Chow and our team.
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