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. For many patients, Dr. Kaimana Chow's preferred approach is an extended deep plane preservation facelift, which repositions the deeper facial support layer rather than relying on skin tension alone, 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 deep plane facelift restores support to the cheeks and lower face by repositioning tissue at a deeper layer 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.
The deeper facial support layer and overlying skin are repositioned together, rather than tightening skin alone.
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.
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.
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.
Rather than tightening the skin or the SMAS (superficial musculoaponeurotic system) as an isolated layer, an extended deep plane preservation facelift releases key retaining structures beneath the skin and repositions the deeper facial support layer and the skin above it together, as one connected unit, along a more natural vector. Incisions are placed discreetly within the hairline and the natural contours of the ear. This approach is designed to restore youthful structure while preserving a natural, unpulled appearance — a more advanced alternative to techniques that rely on skin tension or an isolated SMAS lift alone.
The two are closely related and often combined. A deep plane facelift refines the lower face and jawline, while a deep 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 deep neck lift would complement your result.
The aim is natural rejuvenation that refreshes rather than transforms. The "preservation" concept means the goal is not to over-dissect or over-tighten, but to restore support where aging has weakened or shifted the facial framework, for a result that looks organic and ages gracefully. Recovery varies depending on the patient, with clear aftercare and attentive follow-up throughout. Read more in our overview of the deep plane facelift and neck lift .
Because a deep plane facelift repositions the deeper facial support layer rather than relying on skin tension alone, results can remain meaningful for many years, and current research is encouraging about the durability of the technique. For a closer look at the longevity research, the evidence on outcomes, and what a deep-plane face-and-neck plan typically costs in Austin, see our guide to deep plane facelift longevity and Austin cost .
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 deep plane facelift focuses on the lower face — refining jowls, restoring jawline definition, and repositioning descended cheek and lower-face tissue at a deeper layer for a refreshed, natural result.
Rather than tightening the skin or the SMAS in isolation, a deep plane facelift releases key retaining structures and repositions the deeper facial support layer together with the skin above it, as one connected unit, along a more natural vector.
A deep plane facelift refines the lower face and jawline, while a deep 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.
Request an Appointment