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Do I Need a Facelift, Brow Lift, or Neck Lift?

As skin ages, it is no longer be able to stretch and bounce back into shape as easily as it once did. The resulting wrinkles and sagging are associated with deterioration of the collagen and elastin fibers that make up the structure of the skin, loss of fat, too much sun exposure, and bad habits like smoking. You may notice the most pronounced skin sagging on areas such as the eyelids, jowls, chin, and throat. Although minimally invasive aesthetic procedures can improve moderate laxity, significant sagging may require surgery to remove and tighten the loose skin. Facelift surgery from our St. Louis-based West County Plastic Surgeons of Washington University is frequently used along with neck lifts and brow lifts to treat sagging on the face.

Unsure which of these forms of plastic surgery is best for addressing your concerns and helping you achieve your goals? Here’s what patients should know about their options: 


Although some people assume that the entire face is treated with a full facelift, the truth is that a facelift is really designed to focus on the lower two thirds. This procedure corrects sagging, hollowed areas, and jowls. Note that for facelifts, the ideal facial aesthetics differ among patients depending on whether they want to create a more masculine and sharper appearance or a softer and more feminine look. 

Brow Lift 

Sagging brows can create an unhappy, worried, or older appearance. Unlike a facelift, brow lifts are used to rejuvenate the upper third of the face. This procedure reduces sagging and wrinkles on the area that extends from the eyebrows up to the hairline while lifting the eyebrows to a more youthful position. 

Neck Lift 

A neck lift, or lower rhytidectomy, enhances the appearance of the jawline and neck. It treats excess fat and loose skin on the lower jawline area where jowls form, reduces fat below the chin, tightens loose skin on the neck, and reduces pronounced muscle banding on the neck. A neck lift can be performed on its own, but is commonly used with a facelift.

Learn more about your face and neck options at West County Plastic Surgeons of Washington University. To set up an appointment and find out whether a facelift, brow lift, or neck lift would be best for you, call us at (314) 996-8800 or submit a contact form online to request a consultation.