Dr. Putterman does a simplified facelift to decrease jowls. It is done by releasing skin from around the ears and face and tightening the fibrotic tissue underneath skin. He commonly combines this with a cheek mid-facelift done through a lower eyelid approach, which pulls the midface almost straight upward. The facelift then pulls the lower face obliquely toward the ears, which decreases the jowls.
Before and After Photos
Details of Surgical Technique
Illustrations are from Dr. Putterman’s textbook “Cosmetic Oculoplastic Surgery”.